CDC recommends the 2023–2024 updated COVID-19 vaccines.
Everyone aged 5 years and older should get 1 dose of the updated Pfizer-BioNTech or Moderna COVID-19 vaccine to protect against serious illness from COVID-19.
People who are moderately or severely immunocompromised may get additional doses of updated COVID-19 vaccine.
Children aged 6 months–4 years need multiple doses of COVID-19 vaccines to be up to date, including at least 1 dose of updated COVID-19 vaccine.
COVID-19 vaccine recommendations will be updated as needed.

About COVID-19 Vaccines

COVID-19 vaccines available in the United States are effective at protecting people from getting seriously ill, being hospitalized, and dying. As with other vaccine-preventable diseases, you are best protected from COVID-19 when you stay up to date with the recommended vaccinations.

COVID-19 vaccines recommended for use in the United States:

Pfizer-BioNTech (updated)
Moderna (updated)
Novavax

COVID-19 Vaccines: 2023–2024 Updated, Bivalent, and Original

2023–2024 updated COVID-19 vaccines

As of September 12, 2023, the 2023–2024 updated Pfizer-BioNTech and Moderna COVID-19 vaccines were recommended by CDC for use in the United States.
The 2023–2024 updated COVID-19 vaccines more closely targets the XBB lineage of the Omicron variant and could restore protection against severe COVID-19 that may have decreased over time. We anticipate the updated vaccines will be better at fighting currently circulating variants.
Novavax’s updated COVID-19 vaccine is currently under review by the U.S. Food and Drug Administration (FDA) for emergency use authorization (EUA) in individuals aged 12 and older.

2022–2023 Bivalent vaccines

As of September 11, 2023, the bivalent Pfizer-BioNTech and Moderna COVID-19 vaccines are no longer available for use in the United States.
The 2022–2023 bivalent vaccines were designed to protect against both the original virus that causes COVID-19 and the Omicron variants BA.4 and BA.5. Two COVID-19 vaccine manufacturers, Pfizer-BioNTech and Moderna, had developed bivalent COVID-19 vaccines.

Original vaccines

As of April 18, 2023, the original Pfizer-BioNTech and Moderna COVID-19 vaccines are no longer available for use in the United States.
As of May 6, 2023, J&J/Janssen COVID-19 vaccine is no longer available for use in the United States.
Previous COVID-19 vaccines were called “original” because they were designed to protect against the original virus that causes COVID-19.

VACCINE RECOMMENDATIONS

Everyone Aged 5 Years and Older - Get 1 updated COVID-19 vaccine

Everyone aged 5 years and older should get 1 updated COVID-19 vaccine, at least two months after getting the last dose of any COVID-19 vaccine.

People Who May Get Additional Updated COVID-19 Vaccines

People who are moderately or severely immunocompromised may get additional doses of updated COVID-19 vaccines. Talk to your healthcare provider about additional updated doses.

Children Aged 6 Months—4 Years OR Children Who Are Not Vaccinated

Children aged 6 months–4 years should get two or three doses of updated COVID-19 vaccine depending on which vaccine they receive.

Children Who Got Previous COVID-19 Vaccine(s)

Children aged 6 months–4 years who got COVID-19 vaccines before September 12, 2023, should get one or two doses of updated COVID-19 vaccine depending on which vaccine and the number of doses they’ve previously received.

People Who May Want Another COVID-19 Vaccine Option (non-mRNA vaccine)

People 12 years and older who are unable or choose not to get an updated Pfizer-BioNTech or Moderna COVID-19 vaccine:

1st Dose: Novavax (PRIMARY SERIES)

2nd Dose: Novavax (PRIMARY SERIES) - 3–8 weeks after 1st dose

Booster: can get Novavax if:

You are 18 years of age or older (Novavax is not authorized as a booster dose at this time for teens aged 12–17 years)
You completed a COVID-19 vaccine primary series at least 6 months ago
You have not gotten any other COVID-19 booster dose

An updated mRNA COVID-19 vaccine can be given after the first, second or third dose of Novavax COVID-19 vaccine at least 8 weeks after your last dose

When Are You Up to Date?

Everyone aged 5 years and older

You are up to date when you get 1 updated COVID-19 vaccine.

Children aged 6 months—4 years
- You are up to date when you get all recommended doses, including at least 1 dose of updated COVID-19 vaccine.
Children aged 6 months—5 years who got the Moderna COVID-19 vaccine
- You are up to date when you get 2 Moderna COVID-19 vaccine doses, including at least 1 updated COVID-19 vaccine dose.
People who got the Novavax COVID-19 vaccine
- You are up to date when you get the Novavax COVID-19 vaccine doses approved for your age group or when you get 1 updated COVID-19 vaccine.
People who got the Johnson & Johnson/Janssen COVID-19 vaccine
- You are up to date when you get 1 updated COVID-19 vaccine.

Getting Vaccines If You Recently Had COVID-19

If you recently had COVID-19, you still need to stay up to date with your vaccines, but you may consider delaying your vaccine by 3 months.

Reinfection is less likely in the weeks to months after infection. However, certain factors could be reasons to get a vaccine sooner rather than later, such as:

personal risk of severe disease,
risk of disease in a loved one or close contact,
local COVID-19 hospital admission level,
and the most common COVID-19 variant currently causing illness.

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