Background

The influenza vaccination have important rule in prevention and its apply mandatory for the people go to hajj and for health care workers
also for the medical computerized patient . For this reason i make this research to follow the people receive the vaccination and to know what side effect they observed through survey .

Materials and methods

An epidemiological survey to evaluate the side effect rates with influenza vaccination and possible associated reasons for that.
 

Keywords

Influenza,
Vaccination
Health-care workers
Hospital
Risk factors
Saudi Arabia
hajj 

1.Introduction 

Influenza, also called "the flu," is caused by the influenza virus. It affects the lungs and can cause symptoms such as fever and trouble breathing. Most people recover from the flu on their own. But, in some people who are older or have long-term medical problems, the flu can be a serious or even deadly illness. Influenza is a seasonal illness and affects most people during the w inter months. In the United States, January and February tend to be the worst months for flu, but people can get the flu as early as October and as late as May. Each year the virus changes slightly, and the resulting different types of viruses are called strains. Some strains cause more serious illness than others. These strains are sometimes given special names, such as "swine flu" (H1N1) or "avian flu" (H5N1 and H7N9) [1]  seasonal vaccines are administered primarily to people who have both B-and T-cell immunity against the viruses. One dose of seasonal vaccine is sufficient for adults and elderly, but two doses are necessary for influenza-naive infants. Among infants (with immature immune systems and mostly naive B-cell and T-cell repertoires) and the elderly (with senescent immune systems), adjuvants are especially important to increase the magnitude and breadth of elicited immunity  [2][3]
in this study we will make  survey  to see the post vaccination side effect among people the take we will ask about  Those were local pain, irritation and in duration at site of injection , fever , fever cough and rhinorrhea generalized pain and lumber pains 

2. Methods

This study is a cross-sectional observational study of people they take Influenza Vaccination in aseer health during period 
October 2017 and October 2018 for 100 person  A brief introduction to the purpose of the study, instructions on how to complete the questionnaire, and anonymous forms were distributed to people take the vaccination  The self-administered survey was distributed and people were encouraged to complete the survey. The survey was voluntary and the completed forms were collected at the end of the period. A returned and completed form was taken as consent to participate in the survey.

2.1. Survey items

The questionnaire was composed of four sections. The first section addressed demographic information  
profession and location of the work  The second section contained information regarding the importance of the influenza vaccine
date of take and information about medical history. The third section dealt with reasons of take the  influenza vaccine .
The fourth section included information of common side effect of vaccine and the fifth suction is alow peson to write the other effects he obseve and not written. 

2.2. Statistical analysis

Data analysis was completed using the Microsoft Excel. Statistical analyses comparison between categorical variables. Bivariate analysis was used to examine associations between vaccination status and other independent variables.

3 Literature Reviews