Use of COVID-19 Vaccines in the United States
Interim Clinical Considerations
Summary of recent changes (last updated September 15, 2023):
- Recommendations for use of the 2023–2024 formulations of Moderna COVID-19 Vaccine and Pfizer-BioNTech COVID-19 Vaccine:
- Everyone ages 5 years and older is recommended to receive 1 dose of updated (2023–2024 Formula) mRNA COVID-19 vaccine
- Children ages 6 months–4 years
- Initial vaccination: should receive either 2 doses of updated (2023–2024 Formula) Moderna or 3 doses of updated (2023–2024 Formula) Pfizer-BioNTech COVID-19 vaccine
- Received previous mRNA doses: need 1 or 2 doses of updated (2023–2024 Formula) Moderna or updated (2023–2024 Formula) Pfizer-BioNTech COVID-19 vaccine, depending on the number of prior doses
- People who are moderately or severely immunocompromised
- Initial vaccination: should receive a 3-dose series of updated (2023–2024 Formula) Moderna or updated (2023–2024 Formula) Pfizer-BioNTech COVID-19 vaccine
- Received previous mRNA doses: need 1 or 2 doses of updated (2023–2024 Formula) Moderna or updated (2023–2024 Formula) Pfizer-BioNTech COVID-19 vaccine, depending on the number of prior doses
- May receive 1 or more additional updated (2023–2024 Formula) mRNA COVID-19 vaccine doses
- Bivalent mRNA COVID-19 vaccines are no longer recommended in the United States
- Updated guidance for COVID-19 vaccination and myocarditis or pericarditis
- Updated guidance for COVID-19 vaccination and Multisystem Inflammatory Syndrome (MIS) in children (MIS-C) and in adults (MIS-A)
- Reorganization and consolidation of sections on contraindications and precautions, including allergic reactions to COVID-19 vaccines
Reference Materials
- Interim COVID-19 Immunization Schedule (Updated 9/22/2023)
- COVID-19 Vaccination Recommendations Infographic (Updated 9/20/2023)
- COVID-19 Vaccination Recommendations Infographic (Immunocompromised) (Updated 9/20/2023)
- COVID-19 Vaccine Product Information (Updated 9/25/2023)
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