Respiratory Season Vaccines
Flu · RSV · COVID-19 · 2026–2027 season
Fall 2026
Flu (influenza)
RSV
COVID-19 (2026–2027 vaccine)
Children & teens 0–18 years
Flu
Every year, from 6 months of age
RSV
Babies under 8 months: 1 antibody dose if mom was not vaccinated in pregnancy · 8–19 months: only certain risk groups
COVID-19
All babies 6–23 months · Ages 2–18: if high risk, or if desired
Pregnancy
Flu
Every pregnancy — flu shot, not nasal spray
RSV
1 dose in your first eligible pregnancy at weeks 32–36, between Sept 1 and Mar 1
COVID-19
Updated vaccine every year, any trimester
Adults 19–64 years
Flu
Every year, ideally Sept–Oct
RSV
1 dose, once, at 50–74 if higher risk of severe RSV (heart, lung, kidney or liver disease, diabetes, obesity, nursing home)
COVID-19
Updated vaccine every year
Older adults 65+ years
Flu
Every year — ask for the enhanced vaccine (high-dose, adjuvanted, recombinant or mRNA)
RSV
1 dose, once: everyone 75+, and 65–74 if higher risk
COVID-19
Updated vaccine every year, plus a 2nd dose 6 months later
Weakened immune system (immunocompromised)
Flu
Every year from 6 months — shot, not nasal spray
RSV
1 dose for everyone 18+ · Under 18: talk with your doctor
COVID-19
Updated vaccine every year from 6 months; extra doses per your doctor
Health care workers
RSV
Follow your own age and health-risk guidance
COVID-19
Updated vaccine every year
Recommended for everyone at this age
Catch-up: get it if you missed it
Only for certain health conditions, pregnancy, travel or exposure
Optional — talk to your doctor or care team
When?
Flu and COVID-19: September or October is ideal, but any time during the season is worth it. RSV: before the season starts (late summer or fall). The 2025–2026 COVID-19 formula is no longer used.
Together or separately?
It is safe to get flu, COVID-19 and RSV vaccines on the same day. One visit protects the whole season. If someone is sick with a fever, it’s better to wait until they feel well.
Why it matters
These vaccines lower the risk of hospitalization and death for the people most at risk: babies, pregnant women, adults 65+ and people living with chronic conditions. Who in your home is in one of those groups?
Sources · American Academy of Pediatrics (AAP), Recommended Child and Adolescent Immunization Schedule, United States, 2026 · American Academy of Family Physicians (AAFP), Adult Immunization Schedule 2026 and 2026–2027 Influenza, RSV and SARS-CoV-2 Immunization Recommendations · American College of Physicians (ACP) · American Medical Association (AMA), SpreadTheFacts.org · Vaccine Integrity Project (VIP), CIDRAP · American College of Obstetricians and Gynecologists (ACOG), Maternal Immunizations 2026 · Infectious Diseases Society of America (IDSA), 2026 Guidelines for Immunocompromised Patients.
This material does not replace the advice of your doctor or MiSalud care team. Always confirm your personal plan with a clinician. Updated October 2026.
