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What Immunizations Are Recommended For Older Adults?

Immunizations—from infancy through adulthood—are essential to your health, disease prevention, and public safety. All current scientific evidence demonstrates that receiving a vaccination is safer than contracting a disease and treating it. 

Vaccines train your body to protect itself. 

An immunization teaches your body to defend itself against a specific disease without actually causing the illness and its consequences. 

Every vaccine contains a bit of the organism that causes the disease. It might be a protein, sugar, or weakened version of the bacteria or virus. When introduced to the body, the immune system detects these as harmful and dangerous foreign substances, called antigens, and quickly begins to produce antibodies. Antibodies are special Y-shaped proteins that learn to remember, detect, and destroy the antigens.  

But wait—there’s more! 

Besides proactively avoiding infection, adult immunizations have several benefits: 

  1. Avoiding complications from a disease. Examples: vision loss or persistent pain from shingles; pneumonia from measles or flu. 
  1. Protecting from worsening chronic health conditions, like diabetes or heart disease, if COVID-19, flu, or RSV develops. 
  1. Eliminating or reducing expenses related to vaccine-preventable diseases, including hospitalization, medical appointments, prescriptions, treatments, and lost wages. 
  1. Guarding vulnerable members of the community who have compromised immune systems. Infants, the elderly, cancer patients, and people who are too sick to be immunized rely on protection from those who are vaccinated. 
  1. Saving lives around the world, resulting in unequaled health equity. Over the last 50 years, the measles vaccine alone has saved almost 94 million lives. 

Myths about immunizations 

Although rigorous scientific method is always used to research and develop every vaccine, and continue to study its effectiveness, misconceptions continue to surface. You may have encountered one or more of these myths

Myth: MMR vaccine causes autism. 
Fact: In 1998, a small English study of 12 children (8 with autism) presented false data concluding that receiving the MMR vaccine led to what is now called Autism Spectrum Disorder. The paper was subsequently retracted and later research with large groups showed no connection between MMR immunization and diagnosis of autism. 

Myth: Vaccines contain harmful ingredients. 
Fact: Any additives to vaccines are at a lower dose than found in the natural environment. One example is aluminum, the third most abundant element in the environment. It’s found in water, air, soil, plants, and throughout the food chain. In vaccines, it boosts the immune system’s response to antigens. A second example is thimerosal, a compound that contains a form of mercury, used to preserve vials of influenza vaccine. Although there is no evidence that it causes harm, as of 2025 no U.S. vaccines contain thimerosal or mercury. 

Myth: A COVID-19 immunization can change my DNA. 
Fact: FDA-approved COVID-19 vaccines use mRNA (“messenger” RNA) as a template to produce virus proteins that cause the immune system to create antibodies to fight the virus. mRNA simply carries instructions for making antibodies from the cell’s nucleus to the place in the cell where the proteins are made; the DNA is never compromised or altered.  

Immunization schedule for adults 

Vaccinations don’t end with childhood. It’s important for your health and quality of life to maintain your protection with regular immunizations. As we get older, we can become more susceptible to diseases such as pneumonia, Respiratory Syncytial Virus (RSV), and shingles. Grandparents and adults who are around infants should be current with their whooping cough (pertussis) immunizations to protect babies from this highly contagious disease before they begin the TDaP series at 2 months. 

  • COVID-19: 1 or more doses of 2024-2025 vaccine, depending on age 
  • Influenza: 1 dose annually 
  • RSV (Respiratory Syncytial Virus): 1 dose 
    -If pregnant during RSV season 
    -Ages 50 to 75+ 
  • Tdap/Td (Tetanus, diphtheria, pertussis)/(Tetanus, pertussis):  
    -Tdap every pregnancy 
    -Tdap/Td booster every 10 years 
  • MMR (Measles, mumps, rubella): 
    -Born after 1957, without proof of immunity: 1 dose 
  • Chickenpox (Varicella): 
    -Not given during pregnancy, postpartum, or nursing. 
    -90% of adults are immune due to having the disease as children. 
    -Varicella vaccination became routine in 1995. 
  • Herpes zoster (Shingles): 2 doses 
    -Ages 50+  

A word about vaccinations in the current political administration 

Following the 2024 election, Robert F. Kennedy Jr. was appointed as Secretary of Health and Human Services. Despite existing medical advice from health officials and biosecurity experts, Kennedy, an anti-vaccine activist without medical training, has restricted recommendations for COVID-19 immunizations; defunded technology necessary for developing mRNA vaccines for future pandemics; redirected funds toward “alternative” vaccines; and replaced all 17 members of the Advisory Committee on Immunization Practices (ACIP) with individuals who reflect his personal skepticism about vaccine safety and efficacy. 

Public health authorities have expressed concern about the changes, citing potential for reduced immunization rates, outbreaks of preventable diseases, and lack of public trust in long-established scientific processes. 

Sources

Adult Immunization Schedule by Age (Addendum updated August 7, 2025.) Centers for Disease Control and Prevention. Accessed online 20 August 2025. 

Banhawi H et al. The Socio-Economic Value of Adult immunization Programmes. Office of Health Economics, London, England. April 2024. Accessed online 20 August 2025. 

Beyrer C. The Long History of mRNA Vaccines. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health. 6 October 2021. Accessed online 21 August 2025. 

Common Vaccine Concerns and Myths. Missouri Medicine/National Library of Medicine/National Center for Biotechnology Information. Sep-Oct 2021. Accessed online 17 August 2025. 

Do L, Mulholland K. Measles 2025. New England Journal of Medicine, Vol. 393, Issue 7. 25 June 2025. Accessed online 18 August 2025. 

Explaining How Vaccines Work. Vaccines and Immunizations. Centers for Disease Control and Prevention, 10 August 2024. Accessed online 17 August 2025. 

Gidengil C, Goetz MB, Maglione M, et al. Safety of Vaccines Used for Routine Immunization in the United States: An Update. Agency for Healthcare Research and Quality (US), May 2021. National Library of Medicine/National Center for Biotechnology Information. Accessed online 20 August 2025. 

Ginglen J, Doyle M. Immunization. StatPearls/National Library of Medicine/National Center for Biotechnology Information. 7 February 2023. Accessed online 17 August 2025. 

Global immunization efforts have saved at least 154 million lives over the past 50 years. Press release, World Health Organization, 24 April 2024. Accessed online 16 August 2025. 

Haelle T. The Staggering Success of Vaccines. Nature. 23 October 2024. Accessed online 21 August 2025. 

How Vaccines are Developed and Approved for Use. Vaccines and Immunizations. Centers for Disease Control and Prevention, 10 August 2024. Accessed online 18 August 2025. 

Murthy N et al, Advisory Committee on Immunization Practices (ACIP). Recommended Adult Immunization Schedule, United States, 2022. Annals of Internal Medicine, Vol.175, Issue 3. March 2022. Accessed online 17 August 2025. 

U.S. Vaccine Names. Vaccines and Immunizations. Centers for Disease Control and Prevention, 23 June 2025. Accessed online 16 August 2025. 

Geoghegan S, O’Callaghan K, Offit P. Vaccine Safety: Myths and Misinformation. Frontiers in Microbiology, 17 March 2020. Accessed online 20 August 2025. 

Vaccines and Diabetes/Why Vaccines Are Good for your Heart. National Foundation for Infectious Diseases, Bethesda, MD. Updated July 2025. Accessed online 20 August 2025. 

World Health Organization, Geneva Switzerland. A Brief History of Vaccination. Accessed online 16 August 2025. 

Yang, YT. The perils of RFK Junior’s anti-vaccine leadership for public health. The Lancet, Vol. 405, Issue 10473, 11 January 2025. Accessed online 17 August 2025. 

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