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    3 Vaccines You Might Need Right Now

    These shots will help safeguard you from RSV, flu, and COVID-19 throughout the winter

    Close-up of tops of 3 vaccine bottles with syringe going into the top of the right one. Photo: Getty Images

    Vaccinations for seasonal viruses are a key part of protecting your health. That’s especially true later in life, when your immune system can have a more difficult time fighting off infections.

    This year you may be hearing about vaccines to reduce the risks of the flu and COVID-19, and even a new one for respiratory syncytial virus (RSV). Here’s a rundown.

    The New RSV Vaccine

    RSV is a respiratory virus that usually causes mild coldlike symptoms but can be severe and even deadly for older adults and infants.

    Data indicates that about 8 to 10 percent of all hospitalizations for acute respiratory illnesses are due to RSV in older people, according to Angela Branche, MD, an infectious disease physician and an associate professor of medicine at the University of Rochester in New York. Now, for the first time, there are two RSV vaccines available for people 60 and older (under the names Arexvy and Abrysvo).

    more on seasonal viruses

    Who should get one: At this point, health officials aren’t definitively recommending it for everyone 60 and older. Instead, they advise talking with your doctor about your risk for RSV and whether the vaccine makes sense for you. People in their 70s or 80s, or those who have underlying health conditions that put them at greater risk—such as chronic heart, lung, or kidney disease; and diabetes—should seriously consider it, Branche says. Side effects that were reported in clinical trials, such as arm soreness and redness, headache, and fatigue, were generally mild (though a tiny percentage of people developed atrial fibrillation or neurological problems).

    Health officials have also recommended the Abrysvo vaccine for pregnant people between the 32nd and 36th weeks of their pregnancy, and a separate RSV immunization for babies.

    Effectiveness: In clinical trials, Arexvy was 82.6 percent effective in preventing RSV-associated symptoms like coughs, difficulty breathing, wheezing, and a need for supplemental oxygen during the first RSV season following vaccination. Abrysvo was 88.9 percent effective.

    Timing: Since these are one-time shots for now (because they may protect you for more than a season), get it when it’s convenient. You can have an RSV vaccine and flu shot at the same time, though you may experience worse side effects. You’ll probably need to seek the vaccine out at a pharmacy, says William Schaffner, MD, an infectious disease specialist at Vanderbilt University Medical Center in Nashville, Tenn.

    Your Annual Flu Shot

    “This is a really good year to get vaccinated,” Branche says. “Many people are several years from their last infection and maybe even their last vaccine.” People 65 and older should look for one of the three vaccines recommended for them: Fluzone High-Dose Quadrivalent, Fluad Quadrivalent, and Flublok Quadrivalent. (If you can’t find them, get the regular flu shot.)

    Who should get one: Unless you have certain rare allergies, a flu shot is recommended for all adults every year.

    Effectiveness: During the last flu season, the flu vaccine was about 54 percent effective; in 2021 to 2022, it was about 36 percent effective. Data show that in general, the vaccines recommended for people ages 65 and up are more potent than the regular flu shot. “In these older populations, they work about 20 percent better than the standard vaccine,” Schaffner says.

    Timing: If you haven’t already had the shot, get one as soon as you can. It can take about two weeks to reach full effectiveness, according to the Centers for Disease Control and Prevention.

    A COVID-19 Booster

    The COVID-19 vaccine has been updated to be a better match for the main circulating strains of the virus.

    Who should get one: While a dose of the updated vaccine is recommended for anyone 6 months and older, “the greatest benefit is for people at increased risk for severe COVID-19 with respect to hospitalizations and deaths,” says Jeffrey Duchin, MD, a professor of medicine in the division of infectious diseases at the University of Washington. That means adults 65 and older, and people with underlying medical conditions or weak immune systems.

    Effectiveness: Data from past boosters suggests protection against serious COVID-19 may initially be as high as 70, 80, or 90 percent, Schaffner says. “A lot depends on how vigorous your immune system is.” But that protection does wane over the months following vaccination.

    Timing: Wait at least two months after your last COVID-19 booster and, if you’ve had a case of COVID-19 recently, at least three months after you tested positive or symptoms started.

    Editor’s Note: A version of this article also appeared in the November 2023 issue of Consumer Reports on Health.


    Catherine Roberts

    Catherine Roberts is a health and science journalist at Consumer Reports. She has been at CR since 2016, covering infectious diseases, bugs and bug sprays, consumer medical devices like hearing aids and blood pressure monitors, health privacy, and more. As a civilian, her passions include bike rides, horror films and fiction, and research rabbit holes. Follow her on Twitter @catharob.