{"id":14761,"date":"2026-09-30T08:00:00","date_gmt":"2026-09-30T12:00:00","guid":{"rendered":"https:\/\/vaccines.phila.gov\/?p=14761"},"modified":"2026-09-29T11:44:49","modified_gmt":"2026-09-29T15:44:49","slug":"update-to-pediatric-respiratory-vaccine-guidelines-2026-2027","status":"publish","type":"post","link":"https:\/\/vaccines.phila.gov\/index.php\/update-to-pediatric-respiratory-vaccine-guidelines-2026-2027\/","title":{"rendered":"Update to Pediatric Respiratory Vaccine Guidelines (2026-2027)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Influenza Vaccine<\/strong>\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Annual influenza vaccination is recommended for all children starting at 6 months of age.<\/li>\n\n\n\n<li>All children aged &lt;5 years are considered high risk for severe influenza, especially those &lt;2 years old.\n<ul class=\"wp-block-list\">\n<li>Please refer to Table 2 in the resource below for other high-risk conditions.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>There is no preference for live versus inactivated influenza vaccine.\n<ul class=\"wp-block-list\">\n<li>Not all children can receive the live influenza vaccine; there are specific medical contraindications (refer to Table 5). \u00a0<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Isolated egg allergy is not a contraindication to any formulation, including those manufactured in an egg-based process.\n<ul class=\"wp-block-list\">\n<li>For parents who prefer an egg-free option, Flucelvax is a cell-based vaccine.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Children aged &lt;9 years who <strong>have not<\/strong> received 2 lifetime doses prior to this season should receive 2 doses spaced 4 weeks apart this season. \u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Resource:&nbsp;<a href=\"https:\/\/gcc02.safelinks.protection.outlook.com\/?url=http%3A%2F%2Furl4461.phila.gov%2Fls%2Fclick%3Fupn%3Du001.iSzM8kOxQHA1M7bVE116qvTFtXjIzuWtsXSLd5SyPmGXa3TywPOG14UeTAyG-2BVfgMutji0pIIhQ7d9sRxSaDe-2FNMgIURcL0zunT9tvA-2B9T3gi0hQpUCHa8bTMHrobxn-2BUSoirpIrcpACGVnQEhiOuzuG7u-2BoWRWcozJW2KR89obhgoOxbCMqrfO1V5Q9FwXhvGdgzFdhougXvjdES708VGc7zTFNRPxpAeu8Pty-2B1M8-3De9fG_44-2B2VrTxhhp9EIC5J97IR8LrDLL7-2FOtjCS1FCFHr2guUpXwn9J3ycSqZHyo-2FRwPe0AZdxd0PYzIEfiASJ5xII-2FDX94yyZOVcOzUIqeX2nmo01wzGdG28QRtBjC9PUbdoH9RRj5AOsCjGDZHdck3E2yoYVXE7DE0QUvW21ariVBHwlN5p5uL5XQT05Hz289VFZMlERA3DvdWHO0V3WWh3O2zM0JzlKaADPwSFFMHUVWzdC4SfjJeQ5Q7Y-2FTkv0fHY8PIkaydnkqUSKUiBC1jFtYttSeLZd0HPqOYD-2BpZ3hPVhI-2BtMfEiqtLneoL-2BdWZIYAUCLiE7ciWWG24EZV6LEnlpd2JxEPd7J4tncQ-2Bs7OvnTdrdBvzGMaO2iHzHPpTIFJt95abnITJYiYGWM6OTdGK4p-2F6rUpdkux5DkBYT2ypxwZ0qmMaQsuEaZkTN0MQayHCuqpn6i3Vpx3cEeWau-2Bny8-2FgyziXzdbmf2cz8OcrrRdzLU8lJI-2B5xnyVQ7I-2BGVVYJ1Sk3UHbyQ0FXjoHavWysFU4c2Nsy0p1nRPJ1iMe9JPa74g6czwT96XjPeCOhdg6CANzm9YEdFvWK-2Bz5jZeeNuQCBmgCkW-2BnwEDiwaJTX0-3D&amp;data=05%7C02%7Crishi.sharma%40phila.gov%7C60fb11a1287a4b719c8208df1e33d7a2%7C2046864f68ea497daf34a6629a6cd700%7C0%7C0%7C639262880169877571%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=rcvRNG4aY7h3BvKkB4C04h29RMZAKqR5ge5cpQum0tQ%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\"><u><strong>Recommendations for Prevention and Control of Influenza in Children, 2026\u20132027: Policy Statement | Pediatrics | American Academy of Pediatrics<\/strong><\/u><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The following influenza vaccine formulations are available for ordering through the Vaccines for Children (VFC) program:&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"336\" src=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161145-1024x336.png\" alt=\"\" class=\"wp-image-14762\" srcset=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161145-1024x336.png 1024w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161145-480x157.png 480w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161145-700x230.png 700w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161145-300x98.png 300w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161145-600x197.png 600w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161145.png 1131w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>COVID-19 Vaccine<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">COVID-19 vaccination is currently recommended for certain high-risk groups, which include: &nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>All children aged 6-23 months due to higher COVID-19-associated hospitalization rates<\/li>\n\n\n\n<li>Persons at high risk of severe COVID-19 due to immunocompromise or underlying medical conditions (refer to Table 1 in the resource) \u00a0<\/li>\n\n\n\n<li>Residents of long-term care facilities or other congregate settings<\/li>\n\n\n\n<li>Persons whose household contacts are at high risk for severe COVID-19<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Resource: <a href=\"https:\/\/gcc02.safelinks.protection.outlook.com\/?url=http%3A%2F%2Furl4461.phila.gov%2Fls%2Fclick%3Fupn%3Du001.iSzM8kOxQHA1M7bVE116qvTFtXjIzuWtsXSLd5SyPmGXa3TywPOG14UeTAyG-2BVfgMutji0pIIhQ7d9sRxSaDe-2FNMgIURcL0zunT9tvA-2B9T1wMHcyJ2ZTCuYqdmnnZRkCPWz-2FSNGrxzNea8xO5JkP6l-2Ba0xUf6A9RSTeaXkjCcI6rmoJrvFOf-2B7d8U6muKokkmlYN_44-2B2VrTxhhp9EIC5J97IR8LrDLL7-2FOtjCS1FCFHr2guUpXwn9J3ycSqZHyo-2FRwPe0AZdxd0PYzIEfiASJ5xII-2FDX94yyZOVcOzUIqeX2nmo01wzGdG28QRtBjC9PUbdoH9RRj5AOsCjGDZHdck3E2yoYVXE7DE0QUvW21ariVBHwlN5p5uL5XQT05Hz289VFZMlERA3DvdWHO0V3WWh3O2zM0JzlKaADPwSFFMHUVWzdC4SfjJeQ5Q7Y-2FTkv0fHY8PIkaydnkqUSKUiBC1jFtYttSeLZd0HPqOYD-2BpZ3hPVhI-2BtMfEiqtLneoL-2BdWZIYAUCLiE7ciWWG24EZV6LEnlpd2JxEPd7J4tncQ-2Bs7OvnTdrdBvzGMaO2iHzHPpTIFJt95abnITJYiYGWM6OTdGK4p-2F6rUpdkux5DkBYT2ypxwZ0qmMaQsuEaZkTN0MQaybHdaRhvNcbXYZn-2BwbAjPqiWVpQXDGxcf-2BA8soZjk-2FCAGJ0t3aDl6eRUbO-2BvbmU-2FljU-2B6x6i8MiidmTDQeuCvBM2eu4rK0OFONxKf7I2x-2B-2FoE-2F7j6HS88V2tjT9EDS-2BV-2FRGE7R0JtocjVFAp4YGBPEeWQ5JF1NxWQV2lN6bc1-2Bm0-3D&amp;data=05%7C02%7Crishi.sharma%40phila.gov%7C60fb11a1287a4b719c8208df1e33d7a2%7C2046864f68ea497daf34a6629a6cd700%7C0%7C0%7C639262880169926737%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=HEo9hU2BybYV23ppodIEXMt0rsKbEZolNWYiYVZu%2FCE%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\"><u><strong>Recommendations for COVID-19 Vaccines in Infants, Children, and Adolescents, 2026-2027: Policy Statement | Pediatrics | American Academy of Pediatrics<\/strong><\/u><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The following COVID-19 vaccine formulations are available for ordering through the VFC program:&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"996\" height=\"465\" src=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161206.png\" alt=\"\" class=\"wp-image-14763\" srcset=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161206.png 996w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161206-480x224.png 480w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161206-700x327.png 700w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161206-300x140.png 300w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161206-600x280.png 600w\" sizes=\"auto, (max-width: 996px) 100vw, 996px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>RSV Immunization<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>RSV antibody immunization continues to be recommended for all infants &lt;8 months entering their first RSV season, ideally administered in the newborn nursery\/NICU prior to discharge.\n<ul class=\"wp-block-list\">\n<li>This is for infants whose birthing parents did not receive RSV vaccine during pregnancy, at least 14 days prior to delivery.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Abrsyvo is available through the VFC program for pregnant people under age 19 years, with the current recommendation to administer the vaccine at 32-36 weeks of gestation between September and March (of note: this recommendation expands the previous September-January recommendation).<\/li>\n\n\n\n<li>RSV immunization is typically recommended from October to March. In 2025-2026, RSV season extended into April. The Philadelphia Department of Health will alert clinicians if RSV immunization needs to be extended past March.<\/li>\n\n\n\n<li>Infants and children 8 through 19 months of age at high risk of severe RSV disease entering their second RSV season should receive a second dose of RSV antibody.\n<ul class=\"wp-block-list\">\n<li><strong>Note the following expanded high-risk criteria for this group:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Preterm birth (&lt;32 weeks\u2019 gestation), regardless of the need for medication or other support<\/li>\n\n\n\n<li>Hemodynamically significant congenital heart disease<\/li>\n\n\n\n<li>Anatomic pulmonary abnormalities or neuromuscular disorders that increase the risk of severe RSV disease<\/li>\n\n\n\n<li>Down syndrome or other chromosomal differences that raise the risk of severe RSV disease<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Previous high-risk criteria still stand:\n<ul class=\"wp-block-list\">\n<li>Chronic lung disease that required medical intervention in the 6 months prior to the start of this season \u00a0<\/li>\n\n\n\n<li>Severe immunocompromise \u00a0<\/li>\n\n\n\n<li>American Indian or Alaska Native children<\/li>\n\n\n\n<li>Children with cystic fibrosis with severe lung disease or weight-for-length &lt;10 %<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Resource: <a href=\"https:\/\/gcc02.safelinks.protection.outlook.com\/?url=http%3A%2F%2Furl4461.phila.gov%2Fls%2Fclick%3Fupn%3Du001.iSzM8kOxQHA1M7bVE116qvTFtXjIzuWtsXSLd5SyPmGXa3TywPOG14UeTAyG-2BVfgMutji0pIIhQ7d9sRxSaDe-2FNMgIURcL0zunT9tvA-2B9T2PyPGmlO6P4EdOFSElqME1aqKdkgZm8Vif9YiFMjL8Fn5NWTOuIZ-2FiFgPYZqAbqLQLRVssIJ5ptm2B3tEnXgzhRwMp_44-2B2VrTxhhp9EIC5J97IR8LrDLL7-2FOtjCS1FCFHr2guUpXwn9J3ycSqZHyo-2FRwPe0AZdxd0PYzIEfiASJ5xII-2FDX94yyZOVcOzUIqeX2nmo01wzGdG28QRtBjC9PUbdoH9RRj5AOsCjGDZHdck3E2yoYVXE7DE0QUvW21ariVBHwlN5p5uL5XQT05Hz289VFZMlERA3DvdWHO0V3WWh3O2zM0JzlKaADPwSFFMHUVWzdC4SfjJeQ5Q7Y-2FTkv0fHY8PIkaydnkqUSKUiBC1jFtYttSeLZd0HPqOYD-2BpZ3hPVhI-2BtMfEiqtLneoL-2BdWZIYAUCLiE7ciWWG24EZV6LEnlpd2JxEPd7J4tncQ-2Bs7OvnTdrdBvzGMaO2iHzHPpTIFJt95abnITJYiYGWM6OTdGK4p-2F6rUpdkux5DkBYT2ypxwZ0qmMaQsuEaZkTN0MQayC7SwuIG5tYgyargxHntMl59mCbNdzGlHylWvJbIPwAN4ydxxyz7Dej-2BL9On70JtuQ1gXSzkA-2BcfWCC-2Bhn2w8ZbOLDPFcKnpiTB3q-2BQ5g148q36c-2F-2BQBwkB32p0MqhR1dkG63zbsPYZLR7dwlnL5CDV1qNErgR1MvcDBTi0BrAcE-3D&amp;data=05%7C02%7Crishi.sharma%40phila.gov%7C60fb11a1287a4b719c8208df1e33d7a2%7C2046864f68ea497daf34a6629a6cd700%7C0%7C0%7C639262880169946843%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=cADAA59j3lwCLcwD8gIc%2ByvL2dsYuf4C%2Fm0UOf5yzIY%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\"><u><strong>Recommendations for the Prevention of Respiratory Syncytial Virus Disease in Infants and Children: Policy Statement | Pediatrics | American Academy of Pediatrics<\/strong><\/u><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The following RSV immunization formulations are available for ordering through the VFC program:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"409\" src=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161227-1024x409.png\" alt=\"\" class=\"wp-image-14764\" srcset=\"https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161227-1024x409.png 1024w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161227-480x192.png 480w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161227-700x280.png 700w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161227-300x120.png 300w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161227-600x240.png 600w, https:\/\/vaccines.phila.gov\/wp-content\/uploads\/2026\/09\/Screenshot-2026-09-28-161227.png 1128w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Influenza Vaccine\u00a0 Resource:&nbsp;Recommendations for Prevention and Control of Influenza in Children, 2026\u20132027: Policy Statement | Pediatrics | American Academy of Pediatrics The following influenza vaccine formulations are available for ordering through the Vaccines for Children (VFC) program:&nbsp; COVID-19 Vaccine COVID-19 vaccination is currently recommended for&#8230;<\/p>\n","protected":false},"author":22,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,139],"tags":[],"class_list":["post-14761","post","type-post","status-publish","format-standard","hentry","category-general","category-vfc"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - 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