Immunizations and Vaccines

Your source for vaccine recommendations, where to get vaccinated, and immunization information and resources to support vaccination across the lifespan.

Important Announcement

DOH Releases Updated 2026–27 Vaccine Schedules

The Washington State Department of Health (DOH) released updated vaccine schedules for children and adolescents (PDF), and for adults (PDF). The updates include changes to RSV, flu, COVID-19, and meningococcal vaccine recommendations. For more information about how DOH makes vaccine recommendations, and to view the detailed immunization schedules, visit Vaccine Recommendations. 

There are no changes to insurance coverage or school immunization requirements. All vaccines recommended for children and adolescents remain available at no cost through Washington’s universal Childhood Vaccine Program at participating provider sites. Uninsured adults age 19 and older can receive recommended vaccines at no cost through Washington’s Adult Vaccine Program.

Providers and public health professionals: Visit the provider immunization webpage for specific resources, guidance, and tools.

Updates to DOH Immunization Schedules

Updates to the DOH schedule for children and adolescents include: 

  • RSV prevention for babies: Added more high-risk conditions for babies ages 8–19 months who may need nirsevimab during their second RSV season. 
  • Meningococcal vaccine: Updated MenACWY recommendations to align with the American Academy of Pediatrics. The minimum age for the first MenQuadfi dose is now 6 weeks, instead of 2 years for children who meet the recommendation. 

Updates to the DOH schedule for adults include: 

  • RSV vaccine during pregnancy: The recommended time is now September through March 1, instead of September through January. 
  • RSV vaccine for adults: Added a recommendation for adults age 18 and older with weak immune systems. 
  • Flu vaccine for adults 65 and older: Added mFlusiva, a new mRNA flu vaccine, to the preferred flu vaccines for adults age 65 and older. 
  • COVID-19 vaccine: Removed 2025–26 COVID-19 vaccine references and updated the adult schedule to use more general language about previous COVID-19 vaccine doses. 

Recommended Immunization Schedules

Childhood and adolescent immunization schedule (PDF) from birth through 18 years of age.

Adult immunization schedule (19 years and older) (PDF)

Get Immunized

Immunization Information

Diseases and Vaccines

Reasons To Get Immunized

  • To keep you and your family healthy.
  • To keep your community healthy.
  • To protect loved ones from disease.
  • To stop the spread of disease to the most vulnerable populations.
  • Because other parents and experts agree it's the best thing you can do to keep your family healthy.

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