What are the current Centers for Disease Control and Prevention (CDC) guidelines for receiving the Covid-19 vaccine?

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Last updated: December 3, 2025View editorial policy

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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

After Vaccination

  • Continue to follow all public health guidelines regarding physical distancing and other preventive measures 3
  • Household members and close contacts should also receive COVID-19 vaccination to create a "cocooning effect" of protection 3

References

Guideline

COVID-19 Vaccination in Adults Who Received a Pediatric Dose

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

COVID-19 Vaccination Guidelines

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices, United States, 2021-22 Influenza Season.

MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports, 2021

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.

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