Are there new Covid (Coronavirus disease) vaccine versions available?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: November 20, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Updated COVID-19 Vaccines Are Available for 2024-2025

Yes, new COVID-19 vaccine versions are available—the 2024-2025 formulations were FDA-approved and authorized in August 2024, targeting currently circulating Omicron JN.1 lineage strains (KP.2 and JN.1), and are recommended for all persons aged ≥6 months. 1

Current Vaccine Formulations

The most recent COVID-19 vaccines represent a significant update from previous versions:

  • Moderna and Pfizer-BioNTech 2024-2025 vaccines are based on the Omicron KP.2 strain, FDA-approved for persons aged ≥12 years and authorized under Emergency Use Authorization (EUA) for children aged 6 months–11 years as of August 22,2024 1

  • Novavax 2024-2025 vaccine is based on the Omicron JN.1 strain, authorized under EUA for persons aged ≥12 years as of August 30,2024 1

  • These formulations replaced the 2023-2024 monovalent XBB.1.5 vaccines, which themselves had replaced the bivalent BA.4/BA.5 formulations from 2022 1, 2

Why New Versions Were Developed

The evolution of vaccine formulations directly responds to viral evolution and waning immunity:

  • SARS-CoV-2 continues to evolve, with Omicron JN.1 lineage strains (including JN.1 and KP.2) widely circulating in the United States since winter 2023-2024 1

  • Previous vaccine effectiveness wanes over time—the 2023-2024 vaccine showed VE of 49% against hospitalization at 7-59 days post-vaccination, declining to only 14% at 120-179 days 1

  • The XBB-sublineage strains targeted by 2023-2024 vaccines are no longer predominant, necessitating updated formulations 1

Universal Recommendation

ACIP recommends 2024-2025 COVID-19 vaccination for all persons aged ≥6 months, regardless of prior vaccination history. 1

This represents a shift from earlier targeted approaches:

  • The recommendation applies universally across all age groups ≥6 months 1

  • Vaccination should occur regardless of previous COVID-19 vaccination history or prior SARS-CoV-2 infection 1

  • The interval is at least 2 months after the last COVID-19 vaccine dose 1

Vaccine Effectiveness Data

The most recent evidence demonstrates meaningful but moderate protection:

  • VE against symptomatic infection was 58% for XBB-sublineage and 37% for JN.1-sublineage at 60-119 days post-vaccination among adults 1

  • VE against COVID-19-associated hospitalization was 49% at 7-59 days, declining to 14% at 120-179 days among immunocompetent adults 1

  • VE against critical illness appears more durable at 69% at 7-59 days and 32% at 120-179 days 1

  • Pooled VE data showed 43% protection against medically attended COVID-19,44% against hospitalization, and 23% against death, though certainty of evidence was low 1

Special Population Considerations

For immunocompromised individuals:

  • Persons aged ≥6 months who are moderately or severely immunocompromised should receive 2 or 3 doses of the same brand of updated COVID-19 vaccine 1

  • Updated vaccines should be administered at least 2 weeks before initiation or resumption of immunosuppressive therapies 1

  • For HCT recipients, vaccination is recommended 6 months post-transplant, with consideration for early vaccination at 3 months during community outbreaks 1

Timing Considerations

  • Persons who recently had SARS-CoV-2 infection may consider delaying vaccination by 3 months from symptom onset or positive test result 1, 3

  • The minimum interval between any prior COVID-19 vaccine dose and the 2024-2025 vaccine is 2 months 1

Safety Profile

Recent safety surveillance has identified two statistical signals requiring ongoing monitoring:

  • Guillain-Barré syndrome among persons aged ≥65 years—this association had not been identified with previous formulations, and evidence remains inconclusive 1

  • Ischemic stroke among adults aged ≥50 years—cumulative data have not provided clear evidence of a safety problem, with follow-up studies ongoing 1

  • These potential risks must be weighed against the established benefits of preventing COVID-19 hospitalization and death 1

  • Common adverse events remain consistent with previous formulations: injection site reactions (60.8%) and systemic reactions (54.8%), with <1% requiring medical care 4

References

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.