I have always been vaccinated with a flu shot until last year. I was diagnosed with GCA and PMR in November 2023. I have mild PMR that occurs occasionally and on bad days I may take an Aleve. No more prednisone. Overall I have had some healing since 2023. I am reluctant to get the flu vaccine. As I have read studies that indicate it is sometimes the adjuvants in the vaccine that will cause our auto immune system to flare. My rheumatologist, who I no longer see is OK with the flu vaccine. I have also been seen by allergist/pulmonary physicians for 40 years. I am 72 years old. The allergist suggested that I get a “regular” flu shot and perhaps split the dose with two injections spread apart, he did not recommend that I get the “quad senior” flu shot. I am sitting on a fence post, still trying to make a decision as to what to do. I would like to prevent any possibility of a PMR flare.