2025 Vaccine Recommendations for Older Adults
- 4 minute read.
- Last Updated: 10/6/2025
Prevention is our best medicine. Vaccines are one of the most effective tools we have to protect our patients, families, and communities. That’s why we’re sharing the latest updates and expert advice to help you stay ahead of illness this fall and winter.
“I’m a big proponent of vaccines. I’ve seen the changes. There are a lot of severe illnesses we don’t see much of anymore because of the success of vaccinations,” says Robert Wilson, MD, a family medicine practitioner at Covenant Health.
Updated Vaccine Recommendations
It’s especially important for older adults to stay up to date on current vaccine guidelines. The Centers for Disease Control regularly updates vaccination recommendations when new immunizations are developed, or guidelines change. This year, several vaccines have new guidelines, including:
Pneumococcal Vaccine
The CDC now recommends the pneumonia vaccine for everyone age 50 and older. “Even if you’re over 65 and have had several pneumonia shots, it’s a good idea to get this,” says Dr. Wilson. PCV20 or PCV21 is a one-time shot that protects against more strains than previous versions.
RSV Vaccine
Respiratory syncytial virus (RSV) is more dangerous than many realize. “If you’re admitted to the hospital with RSV, you’re more likely to end up on a ventilator than if you get admitted for influenza or COVID,” Dr. Wilson explains. The RSV vaccine is recommended for everyone 75 and older and adults 50–74 with chronic conditions like asthma, COPD, diabetes, or those who are immunosuppressed.
Flu Vaccine
The flu changes every year, and so does the vaccine. “Last year’s shot won’t protect you from this year’s flu,” Dr. Wilson warns. Get vaccinated in the fall to stay protected during “flu season.”
COVID-19 Booster
Boosters are recommended for older adults and those with chronic health conditions. “What may be a mild cough for a healthy 30-year-old could put a 70-year-old in the hospital,” says Dr. Wilson.
Shingles Vaccine
If you’re 50 or older, this two-dose series is essential. “The shingles vaccine is over 90 percent effective,” Dr. Wilson notes. While some people worry about soreness after getting vaccinated, “the shingles are much worse,” he says.
Tetanus and Pertussis (Whooping Cough)
Adults who have never received the vaccine should get a Tdap shot that protects against tetanus, diphtheria and pertussis, especially if they’re around infants. “If you’re a grandparent and there’s a newborn around, make sure you’re protected,” Dr. Wilson advises. Once you’ve received an initial dose, you’ll need a booster every 10 years to stay protected.
HPV Vaccine
This vaccine prevents certain cancers and is primarily recommended for adolescents and young adults, but it may also be clinically recommended for an individual at a later age. “We’ve got a vaccine that actually prevents cancer, which is phenomenal,” Dr. Wilson says.

Reference Chart
| Vaccine | Who Should Get It | Notes |
| Pneumococcal (PCV20 or PCV21) | Adults 50+ | One time dose. Covers more strains than older versions. |
| RSV | Adults 75+ and 50-74 with chronic conditions | Includes asthma, COPD, diabetes, heart disease, or immunosuppression. |
| Influenza | Everyone older than 6 months | Annual vaccine. Updated strains for 2025-2026 |
| COVID-19 Booster | Adults 65+, high-risk individuals | Updated for current variants. Recommended annually. |
| Shingles | Adults 50+ | Two-dose series. Highly effective. |
| Tetanus, Diphtheria, Pertussis (Tdap) | All adults, every 10 years | Especially important for grandparents around infants. |
| HPV (Human Papillomavirus) | Ages 9-26 routinely, 27-45 based on clinical decision | Prevents several types of cancer. |
Addressing Common Misconceptions
“I’m healthy, so I don’t need vaccines.”
Even healthy adults over 50 benefit from the pneumonia and shingles vaccines.
“I never had chickenpox, so I don’t need the shingles vaccine.”
Most adults born before 1980 were exposed to the virus—even if they don’t remember it. Getting the vaccine helps you stay protected.
“Can I get multiple vaccines at once?”
Yes. It’s safe to receive more than one vaccine during the same visit.
Where Should You Get Vaccinated?
Covenant Health makes it easy. Our providers can help you review your vaccine history and stay up to date. You can get vaccinated at:
- Your Covenant Health primary care office
- Local pharmacies
- Community clinics
No matter where you go, the most important thing is that you get vaccinated. If you have questions about your individual vaccine needs or other concerns, speak with your healthcare provider.
Covenant Health: Your Partner in Prevention
We’re here to help you make informed choices. Vaccines are safe. They’re effective. And they’re one of the best ways to protect yourself and your loved ones.
Our team of compassionate medical experts offer high-quality care close to home. Schedule your vaccinations with a primary care doctor today.