Immunization for Health Care Providers

Important Announcement

Washington State Department of Health Releases Updated 2026-2027 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. Visit Vaccine Recommendations for the latest schedules and guidance. 

Insurance coverage and school requirements remain unchanged, reflecting consistent, science-based guidance.

Updates to the DOH schedule for children and adolescents include:

• RSV prevention for infants: More high-risk criteria were added for babies ages 8–19 months entering their second RSV season who should get nirsevimab. 
• Meningococcal vaccine:  MenACWY recommendations were updated to align with the American Academy of Pediatrics (AAP). The minimum age for the first dose of MenQuadfi is now 6 weeks, instead of 2 years. The indications in the notes section were also updated. 

Updates to the DOH schedule for adults include:

• RSV vaccine during pregnancy: The recommended time for maternal RSV vaccination was extended from September through January to September through March 1, based on guidance from the American College of Obstetricians and Gynecologists (ACOG).
• RSV vaccine for adults: An RSV vaccine recommendation was added for immunocompromised adults ages 19 and older. 
• Flu vaccine for adults 65 and older:  mFlusiva, a recently licensed mRNA flu vaccine, was added to the existing preferred vaccines: Fluzone High-Dose, Fluad adjuvanted, and Flublok recombinant. 
• COVID-19 vaccine:  2025–26 COVID-19 vaccine references were removed from the adult schedule, and language was updated to refer more generally to previous doses. 
• The American Academy of Family Physicians continues to recommend annual flu and COVID-19 vaccination for health care professionals because of their repeated exposure to patients, including people at higher risk for severe illness.