COVID-19 Vaccination: Current CDC Guidelines
All individuals aged 6 months and older should receive the updated 2024-2025 COVID-19 vaccine, regardless of prior vaccination history. 1, 2
Who Should Get Vaccinated
- Everyone aged ≥6 months is recommended to receive the 2024-2025 COVID-19 vaccine 1, 2
- This includes individuals who have previously been vaccinated with any COVID-19 vaccine series 1, 2
- The recommendation applies to both immunocompetent and immunocompromised individuals, though dosing schedules differ 2
Standard Dosing for Immunocompetent Individuals
Adults and adolescents (≥12 years):
- One dose of the 2024-2025 vaccine is needed to be up to date 2
- Wait at least 8 weeks after your last COVID-19 vaccine dose before receiving the 2024-2025 vaccine 1, 2
- Available vaccine options include Moderna, Pfizer-BioNTech, or Novavax 2
- You do not need to match the manufacturer of your previous vaccines 1, 2
Children (5-11 years):
- One dose of 2024-2025 mRNA vaccine (Moderna or Pfizer-BioNTech) 2
Young children (6 months-4 years):
- Require a multidose initial vaccination series if receiving COVID-19 vaccination for the first time 2
Enhanced Dosing for Immunocompromised Individuals
If you are moderately or severely immunocompromised:
- You should receive at least 1 dose of the 2024-2025 vaccine, with additional doses often recommended 2
- If unvaccinated and aged 6 months-11 years: receive a 3-dose initial series of the same manufacturer's mRNA vaccine 2
- Cancer patients are considered moderately or severely immunocompromised and should follow enhanced vaccination schedules 2
- Ideally, vaccination should occur at least 2 weeks before starting or resuming immunosuppressive therapies 3, 2
Special Timing Considerations
If you recently had COVID-19:
- You may consider delaying vaccination by 3 months after symptom onset or positive test 1, 2
- This allows your natural immune response to mature before additional vaccination 1
If you are pregnant:
- Vaccination in the third trimester can be considered soon after vaccine becomes available 4
If you have cancer or are receiving cancer treatment:
- COVID-19 vaccination is recommended for all persons with cancer or previously treated for cancer 3
- For those aged ≥6 months who are moderately or severely immunocompromised (including hematopoietic cell transplant recipients), get 2 or 3 doses of the same brand of updated vaccine 3
- Vaccination is recommended 6 months post-transplant, with consideration for early vaccination at 3 months during community outbreaks 3
Why the 2024-2025 Vaccine Matters
The 2024-2025 vaccines are updated monovalent formulations specifically developed against current circulating variants (Omicron JN.1-line, including JN.1 and KP.2), providing better protection than previous vaccine series 1, 2
Critical Pitfalls to Avoid
- Do not delay vaccination beyond the recommended 8-week interval, as this prolongs suboptimal protection 2
- Do not assume prior vaccination is sufficient—the updated 2024-2025 formulation is recommended for everyone regardless of vaccination history 1, 2
- Do not overlook immunocompromised status, which warrants additional doses beyond the standard single dose 2
- Do not routinely order antibody testing to assess immunity post-vaccination or to determine need for vaccination 3