 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  Before receiving this vaccination, tell your health care professional if you are allergic to it; or to any other vaccines; or if you have any other allergies. This product may contain inactive ingredients (such as latex found in some brands), which can cause allergic reactions or other problems. Talk to your health care professional for more details. Before you receive this vaccine, tell your health care professional your medical history, especially of: any fever, uncontrolled seizures or other nervous system disorder (such as encephalopathy), history of Guillain-Barre syndrome, immune system disorders (such as due to HIV infection, certain cancers such as leukemia/lymphoma, cancer or radiation treatment), seizures (such as epilepsy controlled by medication, febrile seizures) or history of other nervous system disorders, vaccination history including previous reactions to any vaccines. During pregnancy, flu vaccination is usually recommended. Discuss the risks and benefits with your health care professional. It is unknown if this vaccine passes into breast milk. Consult your health care professional before breast-feeding.The interactions of Afluria Quad 2021-2022 (36 Mos Up)(PF) Intramuscular: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all </s>