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Fluenz Tetra is a quadrivalent live attenuated influenza vaccine (LAIV) administered as an intranasal spray for the prevention of seasonal influenza. Developed by AstraZeneca (via its subsidiary MedImmune), it contains four cold-adapted, temperature-sensitive influenza virus strains (two Type A and two Type B) that are designed to replicate in the cooler environment of the nasopharynx but not in the lungs. This replication induces a broad immune response, including mucosal IgA, systemic IgG, and T-cell mediated immunity, mimicking natural infection without causing the disease. The vaccine is primarily indicated for children and adolescents. The SNIFFLE-4 study, a Phase 4 trial conducted by Imperial College London in collaboration with Public Health England, specifically assessed the safety and tolerability of the 2016/2017 formulation in children with moderate to severe asthma or recurrent wheeze, demonstrating that the vaccine is well tolerated in this population.
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