This is a difficult decision. There are risks either way. I personally decided to get the flu shot because I'm on immunosuppressant drugs, so if I got the flu it could be harder for me to fight; and also because it was the flu (H1N1) that either caused or exacerbated my MG in the first place.

It is typical for MGers to get worse MG symptoms when they have any kind of infection. I have never had a bad reaction to a flu shot, but I have had a bad reaction to the flu! That's my reasoning. But I think the decision to avoid vaccines is a reasonable one, too, especially for someone who's had trouble with vaccines in the past.

One thing I do know: anyone who's on immunosuppressant drugs and who decides to get the shot should have the shot and not the nasal spray (because the nasal spray contains a live, but weakened, form of the flu virus. The shot contains a dead form).

Abby