Recommendation for Everyone Aged 6 Years and Older

Get 1 updated COVID-19 vaccine

Everyone 6 years and older should get 1 updated Pfizer-BioNTech or Moderna COVID-19 vaccine, regardless of whether they’ve received any original COVID-19 vaccines.

Recommendations for People Who May Get Additional Updated COVID-19 Vaccines

Some people may get additional doses of COVID-19 vaccines:

  • People aged 65 years and older may get 1 additional dose of COVID-19 vaccine 4 or more months after the 1st updated COVID-19 vaccine.
  • People who are moderately or severely immunocompromised may get 1 additional dose of updated COVID-19 vaccine 2 or more months after the 1st updated COVID-19 vaccine. Talk to your healthcare provider about additional updated doses.

Recommendations for Children Aged 6 Months—5 Years

Recommendation for People Who May Want Another COVID-19 Vaccine Option

People 12 years and older who are unable or choose not to get an updated Pfizer-BioNTech or Moderna COVID-19 vaccine can consider other options to get up to date:

When Are You Up to Date?

Everyone aged 6 years and older

You are up to date when you get 1 updated Pfizer-BioNTech or Moderna COVID-19 vaccine.

Children aged 6 months—5 years who got the Pfizer-BioNTech COVID-19 vaccine

You are up to date if you are:

  • Aged 6 Months—4 years and you get 3 COVID-19 vaccine doses, including at least 1 updated COVID-19 dose.
  • Aged 5 years and you get at least 1 updated COVID-19 vaccine dose.

Children aged 6 months—5 years who got the Moderna COVID-19 vaccine

You areup to date when you get 2 Moderna COVID-19 vaccine doses, including at least 1 updated COVID-19 vaccine dose.

People who are unable or choose not to get a recommended mRNA vaccine

You are up to date when you get the Novavax COVID-19 vaccine doses approved for your age group.

About COVID-19 Vaccines

COVID-19 vaccines available in the United States are effective at protecting people from getting seriously ill, being hospitalized, and dying. As with other vaccine-preventable diseases, you are best protected best from COVID-19 when you stay up to date with the recommended vaccinations.

Four COVID-19 vaccines are approved or authorized in the United States:

  • Pfizer-BioNTech
  • Moderna
  • Novavax
  • Johnson & Johnson’s Janssen (J&J/Janssen) (CDC recommends that the J&J/Janssen COVID-19 vaccine only be considered in certain situations, due to safety concerns.)

Updated and Original COVID-19 Vaccines

Updated vaccines

The updated vaccines are called “updated” because they protect against both the original virus that causes COVID-19 and the Omicron variant BA.4 and BA.5. Two COVID-19 vaccine manufacturers, Pfizer-BioNTech and Moderna, have developed updated COVID-19 vaccines.

Original vaccines

Previous COVID-19 vaccines are called “original” because they were designed to protect against the original virus that causes COVID-19.

As of April 18, 2023, the original Pfizer-BioNTech and Moderna COVID-19 vaccines are no longer authorized for use by the FDA in the United States. Updated Pfizer-BioNTech and Moderna COVID-19 vaccines are being used for all age groups.

Getting Vaccines If You Had or Currently Have COVID-19

If you recently had COVID-19, you still need to stay up to date with your vaccines, but you may consider delaying your next vaccine dose by 3 months from:

  • when your symptoms started.
  • or, if you had no symptoms, when you first received a positive test.

Reinfection is less likely in the weeks to months after infection. However, certain factors could be reasons to get a vaccine sooner rather than later, such as:

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