CDC Updates COVID-19 Vaccine Schedule

This email is to inform you that the NC Immunization Program (NCIP) received guidance that the Centers for Disease Control and Prevention (CDC) has released updated versions of the Child and Adolescent and Adult Immunization Schedules, following a directive from the U.S. Secretary of Health and Human Services to revise COVID-19 vaccine recommendations.

If your facility/agency utilizes standing orders for COVID-19 vaccines, please update accordingly after you have thoroughly reviewed the updates.

Summary of Key Changes from CDC

COVID-19 Vaccine Updates:

• Children and Adolescents (6 months–17 years)
  CDC recommends that families and providers should talk about getting immunized against COVID-19, as COVID-19 vaccination is now based on shared clinical decision-making for all children and adolescents, including those who are moderately or severely immunocompromised.
  • VFC-eligible children may receive the vaccine after a shared clinical decision with their healthcare provider.
  • The Child Immunization Schedule Notes section has been updated accordingly and should be reviewed carefully.
• Adults (18+ and not pregnant)
  No changes have been made to the COVID-19 vaccine recommendations for this group. 

Pregnancy Guidance

For both schedules, pregnancy is now shaded gray, indicating no current recommendation or guidance regarding COVID-19 vaccination during pregnancy. Given the increased risk of severe illness from COVID-19 during pregnancy, providers are encouraged to talk with their pregnant patients about vaccination and to consider treatment options for those with COVID-19 infections.

To confirm you are viewing the most current version of the schedules, be sure to check the revision date in the bottom left corner of the PDFs and the upper left corner of the web versions. Updates to the mobile app are still in progress. Find the updated HTML pages and PDFs at the links below:

Child and Adolescent Schedule

• HTML pages:
  • Child and Adolescent Immunization Schedule by Age | Vaccines & Immunizations | CDC
  • Child and Adolescent Immunization Schedule by Medical Indication | Vaccines & Immunizations | CDC
  • Child Immunization Schedule Notes | Vaccines & Immunizations | CDC
• PDFs:
  • Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger; 2025 U.S. (PDF)
  • Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger; 2025 U.S. (PDF)

Adult Schedule

• HTML page:
  • Adult Immunization Schedule by Medical Condition and Other Indication | Vaccines & Immunizations | CDC
• PDFs:
  • Recommended Adult Immunization Schedule for ages 19 years or older; 2025 U.S. (PDF)
  • Recommended Adult Immunization Schedule for ages 19 years or older; 2025 U.S. (PDF)

Updates to CDC’s Interim Clinical Considerations for Use of COVID-19 Vaccines in the United States to reflect these changes are forthcoming.

CDC’s Advisory Committee on Immunization Practices (ACIP) is scheduled to meet June 25-26. We will share any further updates to the immunization schedule if ACIP issues additional changes.