Please share the following information with staff and colleagues..

On April 22, 2023, the Centers for Disease Control and Prevention (CDC) updated their Interim Clinical Considerations for use of COVID-19 Vaccines Currently Authorized in the United States.

• Revisions to the mRNA COVID-19 vaccination schedule include:
• At the time of initial vaccination, depending on vaccine product, children ages 6 months through 4 years are recommended to receive 2 or 3 bivalent mRNA vaccine doses
• Children aged 5 years are recommended to receive 1 or 2 bivalent mRNA vaccine doses
• People ages 6 years and older who are unvaccinated or previously received only monovalent vaccine doses are recommended to receive 1 bivalent mRNA vaccine dose
• People ages 65 years and older may receive 1 additional bivalent mRNA vaccine dose

Included in the clinical considerations are several detailed COVID-19 vaccination schedules sorted by COVID-19 vaccination history and age for people who are not moderately or severely immunocompromised. Information regarding the COVID-19 vaccination schedule for people who are moderately or severely immunocompromised has not been updated but will be available soon.

Updated resources are listed below:

Revised Pfizer-BioNTech Emergency Use Authorization (EUA) Fact Sheets:

• Healthcare Professional
• Pfizer Bivalent Only Healthcare Providers 04182023 (michigan.gov)
• Recipients and Caregiver
• Pfizer Bivalent Only Recipients and Caregivers 04182023 (michigan.gov)

Revised Moderna Emergency Use Authorization (EUA) Fact Sheets:

• Healthcare Professional
• Moderna EUA Bivalent Only Healthcare Providers 04182023 (michigan.gov)
• Recipients and Caregiver
• Moderna EUA Bivalent Only Recipients and Caregivers 04182023 (michigan.gov)

Alternatives to mRNA COVID-19 vaccines remain available for people who cannot or will not receive an mRNA vaccine. CDC’s recommendations for use of (monovalent) Novavax or Janssen’s COVID-19 vaccines were not affected by the changes.

CDC, ACIP, and MDHHS will continue to monitor COVID-19 disease levels and vaccine effectiveness in the months ahead and look forward to additional discussion around potential updates this fall.

COVID-19 vaccination is recommended for everyone ages 6 months and older in the United States for the prevention of COVID-19. CDC recommends that people get up to date with COVID-19 vaccination as soon as feasible.

Thank you,

Oakland County Health Division, Immunization Action Plan