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	Photo by Travis Pratt Richard Eubanks of Monrovia receives a flu shot Tuesday at the Rite Aid in Frederick. Maxim Health Care Services was on hand administering the vaccinations.

The department has not received all the vaccine it ordered and expects additional supplies in November. Once it is received, more clinics will be scheduled. The health department does still have intranasal vaccine available, for children ages 5 to 11 only.

Shortages of the vaccine, in part, prompted a large turnout at seasonal flu clinics last week, said Angela Blair, community health educator for the Frederick County Health Department.

"Since it is estimated that upwards of 90 percent of influenza vaccine is administered in the private sector, any shortages experienced by the private sector increases demand in the public sector."

Other providers of the vaccine, including doctors' offices and retailers, may have it available.

A seasonal flu clinic at CVS Pharmacy on Ballenger Center Drive was scheduled to start at 10 a.m. Wednesday. But people started lining up at the door around 6:30 a.m. and a shift supervisor estimated all vials of vaccine, enough for about 200 people, would be gone by noon.

Across town at Rite Aid on Key Parkway, an afternoon flu clinic started about 2 p.m. but people started lining up an hour before.

John Zuna was at the end of the line that wove through the aisles and around the store. It didn't take long for the line to extend behind him. The Mount Airy resident said his employer offers the seasonal flu vaccine but he was out of town for it this year.

It was Susan Wright's fourth attempt to get a flu vaccine this year. The Hagerstown resident works in Frederick . She had tried another location earlier in the day but the clinic ran out of vaccine. She gets the seasonal vaccine every year and "as soon as the swine flu ones come out I'll get that."

Penelope and Richard Eubanks of Monrovia have done a lot of things together in their 45 years, including getting flu shots. "When we got here about 1:30 there was already a long line," said Penelope. "We usually get the flu shot, but it's usually not this hard."

Cheryl Slavinsky, director of public relations for Rite Aid in Camp Hill, Pa., said the company has not received all of its orders placed for seasonal flu vaccine either. "The CDC says the manufacturers had to switch from producing it to H1N1 vaccine production," she said. The clinic at the Frederick Rite Aid was through an outside provider.

"We still have a supply and we're pumping more into the system in those areas (of the country) that don't have it," Slavinsky said.

When it comes to the H1N1 vaccine, it's still wait and see, she said.

"We have no idea of when or where we will get the vaccine or how it will be distributed. We've never been through this before. It wasn't an easy process."

Providers place orders for seasonal flu vaccine early in the year. "We determine how much seasonal vaccine to order based upon how much was used in prior years," said Blair.

For H1N1, providers requested vaccine from their state health department. Each state's allocation is based on population. The state health department, here the Maryland Department of Health and Mental Hygiene, prioritizes the allocation to providers, giving priority to those that serve the CDC target groups.

Earlier this week, the FDA approved use of the seasonal flu vaccine Fluarix for children ages 3 to 17 years. Fluarix, which contains inactivated influenza A and B viruses, had been approved for use in adults. A U.S. study showed that children vaccinated with Fluarix were as effective in producing antibodies as Fluzone, a different vaccine already licensed by the FDA for use in children age 6 months and older.