Vaccine Access in the U.S. – Fall 2025 Update
As flu season approaches and COVID-19 cases rise in parts of the country, vaccine access remains an important public health focus. Here’s an overview of the latest vaccine guidance and availability across the United States, broken down by vaccine type and state highlights.
COVID-19 Vaccines
New 2025–26 Formula (LP.8.1-adapted)
Authorized for:
Adults 65 years and older
Individuals aged 5–64 with at least one underlying health condition that increases their risk for severe COVID-19 outcomes
Flu Vaccines
Availability: Widely accessible in pharmacies, primary care offices, and community clinics.
Timing: Recommended annually for everyone 6 months and older, ideally before late October to maximize protection during peak flu season.
Access: No restrictions by age or health condition; available nationwide.
RSV Vaccines
Older Adults: RSV vaccines are increasingly available for adults 60+, with strong uptake expected this fall.
Infants & Pregnant People: Pediatric RSV prevention (maternal vaccine during pregnancy and infant immunizations) is expanding through pediatric practices and hospitals.
State & Regional Updates
West Coast Alliance (California, Oregon, Washington, Hawaii): These states are coordinating on broader vaccine guidance and maintaining expanded access through pharmacies and public health clinics.
Virginia: Pharmacies can now directly vaccinate eligible groups (65+ and younger adults with conditions) against COVID-19 without a doctor’s prescription.
Massachusetts: Expanded pharmacy programs continue to offer flu and COVID vaccines statewide.
New York: Additional city and state flu vaccination sites are being opened, especially in underserved neighborhoods.
Illinois: Increased access to RSV vaccines for older adults through county health departments.
Texas & Florida: Pharmacies remain the primary access point for flu and COVID vaccines, with some counties offering free flu shot clinics.
Key Takeaways
Flu shots: Available to everyone 6 months and older.
COVID-19 vaccines: The newest formula is limited to older adults and people with underlying conditions; healthy adults under 65 can still get last year’s approved vaccines.
RSV protection: Expanding for older adults, infants, and pregnant people.
Access points: Pharmacies, clinics, and local health departments remain the best places to find up-to-date vaccine availability.
👉 Tip: For the most accurate, local information, always check your state health department website or ask your pharmacist about which vaccines are currently in stock and who can receive them.
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