This year's flu vaccine does cover swine flu (H1N1). I got the flu vaccine when it came out in September. I work in an urgent care and see patients every day with positive flu tests. They are miserable. The flu vaccine may not be perfect but even having been around all the sick people with the flu I have not gotten it. I saw a young mom yesterday who was miserable and had a 4 month old baby at home. I recommended that she stay completely away from her 4 month old for 5 days and told her she would have to pump and dump her breastmilk because of the tamiflu I gave her. She was crying, and kept saying she wished she got a flu shot and felt like it would be her fault if her 4 month old got the flu and something happened to him. It broke my heart. I know everyone has their own opinions regarding the flu shot, but I would do anything to not put a child who is not old enough to be vaccinated at risk. The flu vaccine shot is an inactivated virus that CAN NOT cause the flu. The nasal mist is an active virus and can cause a mild case. The flu shot does not cause autism. Yes, in a very small amount of people it can cause an allergic reaction or gillian barret syndrome. But that is highly unlikely. Hope this helps. There is tons more info on the cdc website if you are curious.