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Friday, September 5, 2025

Fall 2025: WA State Respiratory Vaccine Update — COVID-19 Edition

Last year I shared an overview of fall vaccines for respiratory illnesses, including COVID-19, flu, and RSV (see that post here). This year brings some important changes—especially around COVID-19. The FDA has narrowed eligibility nationally, but Washington state is continuing with broader access. Here’s what you need to know:

COVID-19 vaccination

What the New COVID-19 Vaccine Targets

Federal vs. State Eligibility

  • Federal guidance now restricts updated COVID-19 boosters primarily to those 65 and older or under-65 individuals with certain health conditions.
  • Washington State, in contrast, continues to recommend vaccination for everyone aged 6 months and older, including pregnant individuals—maintaining broader access across the board.

Where to Get Vaccinated in Washington

  • Washington pharmacies can now offer COVID-19 vaccines without an individual prescription, thanks to a recent standing order by the WA Department of Health.
  • Consider independent pharmacies, which may provide more personalized and accessible service.
  • Other options include local clinics, hospitals, and the Adult Vaccine Program (AVP), which covers uninsured or underinsured adults.
  • You can use Vaccines.gov to locate available vaccination sites across Thurston County and beyond.

Costs & Coverage

  • Insurance coverage for the updated vaccine is still under review pending federal (CDC/ACIP) recommendations, as of this posting. However, Medicare covers eligible seniors.
  • Washington’s AVP helps uninsured or underinsured adults access the vaccine at low or no cost; administrative fees may be waived for those unable to pay.

Track Local Respiratory Illness Activity in WA and Thurston County

  • Thurston County offers a Respiratory Illness Dashboard through its Public Health & Social Services site, where you can monitor weekly trends in COVID-19, flu, and RSV—including emergency department visit rates and current transmission activity.
  • WA State also maintains a broader Respiratory Illness Data Dashboard, covering trends in virus spread, hospital use, vaccination coverage, and variants—updated regularly for regional monitoring.
  • These tools are invaluable for gauging when respiratory viruses are surging—helping you time vaccination or take precautions more effectively.

DISCLAIMER: This general information is for educational purposes and not intended to diagnose any medical condition or to replace your healthcare professional.

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