{"id":12974,"date":"2025-10-08T16:14:05","date_gmt":"2025-10-08T20:14:05","guid":{"rendered":"https:\/\/vaccines.phila.gov\/?p=12974"},"modified":"2025-10-08T16:14:07","modified_gmt":"2025-10-08T20:14:07","slug":"updated-acip-recommendations-and-mmrv-vaccine","status":"publish","type":"post","link":"https:\/\/vaccines.phila.gov\/index.php\/updated-acip-recommendations-and-mmrv-vaccine\/","title":{"rendered":"Updated ACIP Recommendations and MMRV Vaccine"},"content":{"rendered":"\n<p>On September 18-19, 2025, CDC&#8217;s Advisory Committee on Immunization Practices (ACIP) voted to recommend:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>MMRV (combined MMR + varicella) vaccine should not be given to children under 4 years old.\n<ul class=\"wp-block-list\">\n<li>It is recommended to administer MMR and varicella vaccines separately.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Clinical Background: MMRV Vaccine<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>The MMRV vaccine is a combination vaccine against measles, mumps, rubella, and varicella. The ACIP made this decision on the basis that the MMRV vaccine is linked to a twofold increased risk of febrile seizures in children under 2. According to national data, MMRV vaccine accounts for about 15% of first dose measles, mumps, and rubella vaccination. In Philadelphia, MMRV as first dose accounts for even less than the national average.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Implications for Vaccine Access\u00a0<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Vaccines for Children (VFC) coverage:<\/strong>\u00a0MMRV vaccine will no longer be covered for children under 4 years old through the VFC program. MMRV vaccine will continue to be covered for children 4 to 12 years of age.<\/li>\n\n\n\n<li><strong>Clinical guidance:<\/strong>\u00a0Immunization decisions should continue to be made by clinicians and families based on the most current eligibility criteria.\n<ul class=\"wp-block-list\">\n<li>Children should still receive two doses of measles, mumps and rubella (MMR) and varicella vaccines \u2014 once at 12 to 15 months and again at 4 to 6 years as per the\u00a0<a href=\"https:\/\/gcc02.safelinks.protection.outlook.com\/?url=http%3A%2F%2Furl4461.phila.gov%2Fls%2Fclick%3Fupn%3Du001.iSzM8kOxQHA1M7bVE116qkhBF-2FQ6rw8wJn9PitTVZfRnlANXNz-2BfnpR5SIlJ2mYMzpdIuCjgjziRO6z4lOPncQW9FuLn15qwfZ6w8PJnKwS5YsJO-2FhHtNNKFSVekjxt0So_6_44-2B2VrTxhhp9EIC5J97IR8LrDLL7-2FOtjCS1FCFHr2guUpXwn9J3ycSqZHyo-2FRwPe0AZdxd0PYzIEfiASJ5xII-2FDX94yyZOVcOzUIqeX2nmogSxJd8iEa9-2BLj5DyGgO1qVYwvVfaMZajDkTw5ZyENsV7PYH0uBFbZ7zpRddIFVgrpe-2BAeV6NllG7kj9R4-2FFEnlw1Db-2BnfYR5IqNaywt1B4754hwAUHKYrEqewiEXjOTUoqWa8VGuvUZZBlsLcEA67gmuSs1-2B-2FPvvKuygROrn8FWbnLiho0TaWnJJMCWfmMeKolK-2BV69OebiYAJIIqxy-2FzXqXTnY4pIEbqb1oDkrFRsYmA1WxZvq0btF09NF45oxytDycRdt1T9dMK4L2Jj4LrUz7knFw6HKkTyt-2BbEetTpOrZkfpieyj31Ah9HGgKdLQO985UK7KupVMtF3pzAlyrk207F-2FsoiRwYpVyXF40dk-2FmoGp7xmme-2FQFHWfTRg1BTkQKTS442KeCfXNfELyPrjgVrE8PqFdnVWT2lyiOArt86H-2FrYr2aEkWmULHlNOazN7bVEx2mowMRHaGkHqlDufd-2F4ylYULCAFJu4o1D-2BMiL9RI2KuASgrj64ZMfJsMXDbOpjk-2B8oRCaIl7h6amK2d6W1m7Q-2Bos-2BaQY7-2FeFLjy1YAMPpZzNzaGcFILJ2pmtGZ9iZ-2BEL68-2BHZi206hyw2IY-2BFEy72sL1NNfVBhScPpfDnUoUYVNlmDS4rGl-2BE4ivjq-2F0c2Qh6JLWhwY-2BdTctOSj02qt1gvlgsUxjCihUxB9ruI1OW0tCwH-2BrHQkY-2FOr9dU2ZPbaKK4RDgYU02GX-2FTHd2yW88JhzY-2FUY8jbOdoo61AK1WGpI4E-2BFiwGPRhX-2BuSWQztlDCgXKOUAQc-2Fto-2BH7SObk-2Bt7MCQbt3iffRdt-2B6iIp3LFIImTQUUMe27V60z3zC9hIsZPw9No2oSKovL0Xe-2B&amp;data=05%7C02%7Crishi.sharma%40phila.gov%7C2ed49b52face452b39cc08de068c4170%7C2046864f68ea497daf34a6629a6cd700%7C0%7C0%7C638955396625218476%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=YMBgktPiENNKwZJOXtVXlUBBck13WezU2FBByjh5wSI%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\"><u><strong>childhood vaccination schedule<\/strong><\/u><\/a>.<\/li>\n\n\n\n<li>MMR and varicella vaccines can be given at the same visit.<\/li>\n\n\n\n<li>Children aged 4 years and older can still get MMRV. There is no evidence of an increased risk of febrile seizure in this older age group.\u00a0<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Questions?<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>For product availability questions:\u00a0<a href=\"mailto:dphproviderhelp@phila.gov?subject=&amp;body=\"><u><strong>dphproviderhelp@phila.gov<\/strong><\/u><\/a>\u00a0<\/li>\n\n\n\n<li>For all other inquiries:\u00a0<a href=\"mailto:vaccines@phila.gov?subject=&amp;body=\"><u><strong>vaccines@phila.gov<\/strong><\/u><\/a><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>The Philadelphia Immunization Program remains committed to protecting children and families from vaccine-preventable diseases. We will continue to keep you informed on vaccine availability, product coverage, and resources to support your practice and patients.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>On September 18-19, 2025, CDC&#8217;s Advisory Committee on Immunization Practices (ACIP) voted to recommend: Clinical Background: MMRV Vaccine The MMRV vaccine is a combination vaccine against measles, mumps, rubella, and varicella. The ACIP made this decision on the basis that the MMRV vaccine is linked&#8230;<\/p>\n","protected":false},"author":22,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23,1,139],"tags":[],"class_list":["post-12974","post","type-post","status-publish","format-standard","hentry","category-medical-directors-notes","category-general","category-vfc"],"_links":{"self":[{"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/posts\/12974","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/users\/22"}],"replies":[{"embeddable":true,"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/comments?post=12974"}],"version-history":[{"count":0,"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/posts\/12974\/revisions"}],"wp:attachment":[{"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/media?parent=12974"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/categories?post=12974"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vaccines.phila.gov\/index.php\/wp-json\/wp\/v2\/tags?post=12974"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}