Respiratory Viruses Vaccine Recommendations

Page last updated 11/24/2025.

In alignment with leading medical, health, and patient advocacy groups, the County of San Diego affirms that vaccines are not linked to autism. We remain committed to ensuring residents continue to have access to safe and effective vaccines that are based on credible, transparent, and science-based evidence.

Vaccines are safe, effective, and the best way to protect against respiratory viruses, including COVID-19, the flu, and RSV (Respiratory Syncytial Virus). Getting seasonal vaccines help:

  • Prevent serious illness.
  • Slow the spread of viruses in the community.
  • Reduce stress on hospitals and clinics.

Informed by trusted national medical groups, including the American Academy of Pediatrics (AAP), the American College of Obstetricians and Gynecologists (ACOG), and the American Academy of Family Physicians (AAFP), see vaccine recommendations for:

Some health conditions make it more likely for someone to get sick from a respiratory virus. CDPH strongly recommends vaccination for people with these conditions. The COVID-19 Risk Factors List provides examples but is not meant to be a complete list.

For more information, see CDPH’s Public Health For All webpage, the 2025-26 Respiratory Vaccine Recommendations printable PDF, or the Respiratory Vaccine Recommendations flyers below.

Vaccines lower the risk of severe disease. Ask your healthcare provider about which vaccines are right for you this season.
Vaccines lower the risk of severe disease. Ask your healthcare provider about which vaccines are right for you this season.

COVID-19

  • Children:
    • All children 6-23 months.
    • All children 2-18 years with risk factors or who have never vaccinated against COVID-19.
    • All children with close contact with others with risk factors.
    • All children who choose protection.
  • Adults:
    • All adults age 65 years or older.
    • All adults younger than 65 years with risk factors.
    • All adults with close contact with others with risk factors.
    • All adults who choose protection.
  • Pregnancy: All planning, pregnant, postpartum, and lactating. 

Learn more about COVID-19 vaccines.

Influenza (Flu)

Everyone 6 months of age and older, in most cases, should get a flu vaccine every season. This includes:

  • Children: All children 6 months or older.
  • Adults: All adults 18 years or older.
  • Pregnancy: All planning, pregnant, postpartum, and lactating.

Learn more about protecting yourself from the flu.

RSV

  • Children:
    • All children younger than 8 months.
    • All children 8-19 months with risk factors.
  • Adults:
    • All adults 75 years or older.
    • All adults 50-74 years with risk factors.
  • Pregnancy: Pregnant between 32-36 weeks gestational age.

Learn more about RSV Immunizations

Call the Immunization Unit at (866) 358-2966, or send an  e-mail, for more information.