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TIV or FluMist refers to the two vaccination options evaluated in the ACES (Assessing Choice in the Employer Setting) study, an observational trial that investigated whether offering employees a choice between different vaccine modalities would improve overall influenza immunization rates. FluMist, developed by MedImmune (a subsidiary of AstraZeneca), is a live attenuated influenza vaccine (LAIV) administered as an intranasal spray. It contains cold-adapted, temperature-sensitive influenza virus reassortants that replicate in the nasopharynx to stimulate a broad immune response. TIV (Trivalent Inactivated Vaccine) refers to the standard injectable influenza vaccines containing inactivated (killed) virus particles. The ACES study demonstrated that providing the option of a needle-free nasal spray alongside the traditional injection could enhance vaccine uptake in workplace settings.
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