For the first time in 30 years, the American Academy of Pediatrics is substantially diverging from U.S. government vaccine recommendations.

FluMist Home is an influenza vaccine that’s administered via nasal spray, which means no needles and no waiting in line at the pharmacy. Plus, it’s covered by insurance and experts say it’s about as effective as the traditional flu vaccine. But there’s a catch: It’s only been approved for people ages 2 to 49.