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Bivalent Vaccines for Individuals 6 Months of Age and Older

On April 18, 2023, the U.S. Food and Drug Administration authorized the currently available bivalent COVID-19 vaccines to be used for all doses administered to individuals 6 months of age and older, including an additional dose(s) for certain populations. The original monovalent Moderna and Pfizer-BioNTech COVID-19 vaccines are no longer authorized for use in the U.S.

Overview of the COVID-19 vaccine recommendations:

• If you have never received any COVID-19 vaccine – you may receive a single bivalent vaccine.
• If you were previously vaccinated with a monovalent COVID-19 vaccine and have not yet received a dose of the new bivalent vaccine – you may receive a single bivalent booster.
• If you are 65 years of age and older and have previously received a bivalent vaccine dose – you may receive one additional bivalent dose at least 4 months after your initial bivalent dose.
• If you have a weakened immune system and have previously received a bivalent vaccine dose – you may receive one additional bivalent dose at least 2 months after your initial bivalent dose. Additional doses may be administered for people who are at higher risk conditions at the discretion of your healthcare provider.

Specific recommendations are provided for young children:

• Children 6 months through 5 years of age who are unvaccinated may receive a two-dose series of the Moderna bivalent vaccine (6 months through 5 years of age) OR a three-dose series of the Pfizer-BioNTech bivalent vaccine (6 months through 4 years of age).
• Children who are 5 years of age may receive two doses of the Moderna bivalent vaccine or a single dose of the Pfizer-BioNTech bivalent vaccine.

Consider talking with your healthcare provider about whether you need an updated booster dose or find more information at VDH’s COVID-19 Vaccine webpage.

Influenza (flu) vaccine: VDH and CDC recommend yearly flu vaccination to protect yourself and your loved ones from influenza.

• Individuals ages 6 months and older should be vaccinated annually.
• Individuals at high risk of severe flu complications, including young children, pregnant women, people with chronic health conditions like asthma, diabetes, or heart and lung disease, and people 65 years and older.
• Healthcare workers and others who live with or care for people at high risk.

Talk to your healthcare provider about the flu vaccine most appropriate for your age group and vaccination recommendations for persons with a history of severe egg allergy.

Find your flu vaccines online at VDH’s VASE+ Vaccine Appointment Scheduling Engine or vaccines.gov.