Immunizations and Vaccines

Get Immunized

In Washington state, there are no changes to the childhood or adult immunization schedule, insurance coverage, or school immunization requirements. This is because the underlying science has not changed.

Current immunization guidance continues to be based on recommendations from trusted professional organizations endorsed by both the Washington State Department of Health (DOH) and the West Coast Health Alliance (WCHA).

Children (18 years or younger): American Academy of Pediatrics (AAP)
Pregnant persons: American College of Obstetricians and Gynecologists (ACOG)
Adults (19 years or older): American Academy of Family Physicians (AAFP)

All vaccines recommended by the AAP remain available at no cost for children under age 19 through Washington’s universal Childhood Vaccine Program (CVP) at participating provider sites. Uninsured adults age 19 and older can receive recommended vaccines at no cost through Washington’s Adult Vaccine Program (AVP).

Families should not experience any changes in vaccine access or coverage due to recent federal policy developments. Vaccines remain accessible through both the Childhood Vaccine Program (CVP) and Adult Vaccine Program (AVP).

The DOH will continue to monitor the evolving immunization landscape and any developments that may impact immunization programs. We are committed to providing timely communication to the public, providers and partners, and to maintaining science-based vaccine policy that ensures equitable access for all Washington residents.

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

Respiratory Season Vaccine Recommendations

The Washington State Department of Health (DOH), in alignment with the West Coast Health Alliance, recommends COVID-19, flu, and RSV vaccination for eligible individuals during 2025-2026 respiratory season. Specific recommendations are shown in the chart below.

Age/Condition	COVID-19	Influenza	RSV
Children	All 6-23 months All 2-18 years with risk factors or never vaccinated against COVID-19 All who are in close contact with others with risk factors¹ All who choose protection¹	All 6 months and older	All younger than 8 months² All 8-19 months with risk factors
Pregnancy	All who are planning pregnancy, pregnant, postpartum or lactating	All who are planning pregnancy, pregnant, postpartum or lactating	32-36 weeks gestational age²
Adults	All 65 years and older All younger than 65 years with risk factors All who are in close contact with others with risk factors All who choose protection	All	All 75 years and older All 50-74 years with risk factors

Age/Condition

COVID-19

Influenza

RSV

Children

All 6-23 months
All 2-18 years with risk factors or never vaccinated against COVID-19
All who are in close contact with others with risk factors¹
All who choose protection¹

All 6 months and older

All younger than 8 months²
All 8-19 months with risk factors

Pregnancy

All who are planning pregnancy, pregnant, postpartum or lactating

All who are planning pregnancy, pregnant, postpartum or lactating

32-36 weeks gestational age²

Adults

All 65 years and older
All younger than 65 years with risk factors
All who are in close contact with others with risk factors
All who choose protection

All 75 years and older
All 50-74 years with risk factors

¹COVID-19 vaccine is available for persons 6 months and older.
²Protect infants with either prenatal RSV vaccine or infant dose of nirsevimab or clesrovimab.

COVID-19 Vaccination Standing Order

The Washington State Department of Health (DOH) has issued a statewide standing order authorizing qualified health care personnel to vaccinate individuals aged 6 months and older, including pregnant people, against COVID-19 if they do not have contraindications to the vaccine. This will increase access to COVID-19 vaccination for Washington state residents. Learn more about COVID-19 vaccines.

The standing order follows the West Coast Health Alliance vaccine recommendations for COVID-19, flu, and RSV. The standing order does not follow the CDC Immunization Schedule published August 7, 2025.

You make educated choices about your health and the health of your family every day. You research which car seat has the highest safety ratings, you read food labels, and you talk to your friends and family about how to find quality child care. Your choice to immunize is no different. Making an educated choice about immunization is critical to protecting you and your family's health.

Access your family's immunization information or, if you already have an account, log in to MyIR Mobile.

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.

Immunization Information

For children (birth to six years)
For preteens and teens (7-18 years)
School and child care immunization requirements - back to school information
For college students
For adults
For pregnant people
For seniors
For travelers