Respiratory virus season immunization recommendations 

Find the latest recommendations and resources from leading medical organizations. 

 

Aligned with evidence and guidance from:

American Academy of Family Physicians  •  American Academy of Pediatrics  •  Vaccine Integrity Project  •  American College of Obstetricians and Gynecologists  •  Infectious Diseases Society of America

Quick reference

Consolidated respiratory virus immunization recommendations

This resource includes the current flu, COVID-19, and RSV immunization recommendations from the American Academy of Family Physicians, American Academy of Pediatrics, American College of Obstetricians and Gynecologists, and the Infectious Diseases Society of America into a single printable reference for you and your patients.

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Find recommendations for your patient

View the current recommendations and related resources for each respiratory virus by patient population. 

 

<div class="accordion-header" style="border-left: 2px solid #7B2CBF; padding-left: 12px;"><h3 class="accordion-title" style="font-family:'Kepler Std','kepler-std',serif; font-weight:300; font-size:28px; margin:0;">Children and adolescents (0-18 years) </h3><p class="accordion-subtitle" style="margin:4px 0 0;">Immunization recommendations for children and adolescents from birth through 18. </p></div>
Influenza (seasonal flu)

Annual flu vaccine for all children 6 months+

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COVID-19

All young children ages 6-23 months and children 2-18 years in certain risk groups or if desired

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Respiratory syncytial virus (RSV)

All infants <8 months, if no protection from RSV vaccine during pregnancy and children 8-19 months in certain risk groups

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<div class="accordion-header" style="border-left: 2px solid #7B2CBF; padding-left: 12px;"><h3 class="accordion-title" style="font-family:'Kepler Std','kepler-std',serif; font-weight:300; font-size:28px; margin:0;">Adults (19-64 years)</h3><p class="accordion-subtitle" style="margin:4px 0 0;">Vaccine recommendations for healthy, non-pregnant adults.</p></div>
Influenza (seasonal flu)

Annual flu vaccine for all adults age 19+

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COVID-19

Annual updated COVID-19 vaccine

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RSV

One-time RSV vaccine for adults age 50-74 at increased risk of severe RSV

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<div class="accordion-header" style="border-left: 2px solid #7B2CBF; padding-left: 12px;"><h3 class="accordion-title" style="font-family:'Kepler Std','kepler-std',serif; font-weight:300; font-size:28px; margin:0;">Older adults (65+ years) </h3><p class="accordion-subtitle" style="margin:4px 0 0;">Vaccine guidance for older adults.</p></div>
Influenza (seasonal flu)

Annual flu vaccine for all adults, enhanced flu vaccine (high dose, adjuvanted, recombinant, or mRNA) for 65+, if possible

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COVID-19

Annual updated COVID-19 vaccine for adults 65+, followed by a second dose 6 months later to boost protection

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RSV

One-time RSV vaccine recommended for adults age 50-74 at increased risk and all adults age 75+

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<div class="accordion-header" style="border-left: 2px solid #7B2CBF; padding-left: 12px;"><h3 class="accordion-title" style="font-family:'Kepler Std','kepler-std',serif; font-weight:300; font-size:28px; margin:0;">Pregnancy</h3><p class="accordion-subtitle" style="margin:4px 0 0;">Vaccine guidance for pregnant patients.</p></div>
Influenza (seasonal flu)

Annual flu vaccine (avoid nasal spray flu vaccine)

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COVID-19

Annual updated COVID-19 vaccine

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RSV

One-time RSV vaccine in first eligible pregnancy if 32-36 weeks pregnant, given between Sept. 1 and March 1

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<div class="accordion-header" style="border-left: 2px solid #7B2CBF; padding-left: 12px;"><h3 class="accordion-title" style="font-family:'Kepler Std','kepler-std',serif; font-weight:300; font-size:28px; margin:0;">Immunocompromised</h3><p class="accordion-subtitle" style="margin:4px 0 0;">Vaccine guidance for patients with immunocompromising conditions.</p></div>
Influenza (seasonal flu)

Annual flu vaccine for those aged ≥6 months (avoid nasal spray flu vaccine)

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COVID-19

Annual updated COVID-19 vaccine for those aged ≥6 months

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RSV

Single dose of RSV vaccine for those aged ≥18 years and for those aged <18 years, administration should be guided by shared decision making

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<div class="accordion-header" style="border-left: 2px solid #7B2CBF; padding-left: 12px;"><h3 class="accordion-title" style="font-family:'Kepler Std','kepler-std',serif; font-weight:300; font-size:28px; margin:0;">Healthcare personnel </h3><p class="accordion-subtitle" style="margin:4px 0 0;">Vaccine guidance for individuals who work in a healthcare setting.</p></div>
Influenza (seasonal flu)

Annual flu vaccine

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COVID-19

Annual updated COVID-19 vaccine

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RSV

Follow age- and risk-based RSV vaccine recommendations

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Respiratory Virus Immunization Recommendation Implementation Note: The American Immunization Registry Association (AIRA) has translated the influenza, RSV, and COVID-19 recommendations into structured guidance to support implementation across IIS, EHRs, and other clinical systems. The guidance is now available on AIRA’s Clinical Decision Support webpage. We encourage organizations to reference AIRA’s resources before independently developing technical logic for the new recommendations.