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AVP COVID-19 vaccine ordering is open in the IIS as of September 25 for providers who prioritized COVID-19 vaccine on their provider agreements.
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COVID-19 vaccine orders will be processed each Wednesday. However, the first day of AVP COVID-19 order processing will be Friday, October 2 due to the end of the federal fiscal year. We will resume processing on Wednesday the following week.
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COVID-19 vaccines are under allocation and there will be a limited number of doses available each week.
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Stop administration and return 2025-2026 COVID-19 vaccine using the Vaccine Return process once you receive your first shipment of the 2026-2027 formulation.
- Reconcile inventory of 2025-2026 COVID-19 vaccines in the IIS using the category "Spoiled" and reason "Expired BUD"
- Remember to submit the return before inactivating the vaccine in the IIS
- Allow at least 3 days for order approval from time of submission for accountability checks
- Orders need to be in "Pending State Approval" status in the IIS by close of business the weekday before the processing day
- If there is not enough vaccine in allocation, orders will be reduced based on the Vaccine Allocation and Equity Plan
Additional Resources
The Washington State Department of Health (DOH) has released updated immunization schedules for children and adolescents, and for adults. See also our September 17 press release.
The recommendations are based on evidence from leading medical and public health organizations.
The updated schedules include Washington-specific guidance for respiratory virus vaccines. The recommendations generally align with guidance released on September 4, 2026, by the West Coast Health Alliance (WCHA).
One important difference: Washington recommends COVID-19 vaccination for all adults age 19 and older, including adults who do not have additional risk factors.
Under chapter 43.70 RCW DOH has the authority to issue immunization recommendations and related guidance to health care providers about who should receive certain vaccines, when they should be given, and under what conditions. Certain insurance coverage and funding under the state's universal Childhood Vaccine Program must be provided for vaccine recommended by DOH.
What changed?
The 2026-2027 DOH immunization schedules include these clinical updates:
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RSV prevention for infants: More high-risk criteria were added for babies ages 8-19 months entering their second RSV season who should get nirsevimab.
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RSV vaccine during pregnancy: The recommended time for maternal RSV vaccination was extended from September through January to September through March 1, based on guidance from the American College of Obstetricians and Gynecologists (ACOG).
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RSV vaccine for adults: An RSV vaccine recommendation was added for immunocompromised adults ages 19 and older.
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Flu vaccine for adults 65 and older: mFlusiva, a recently licensed mRNA flu vaccine, was added to the existing preferred vaccines: Fluzone High-Dose, Fluad adjuvanted, and Flublok recombinant.
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COVID-19 vaccine: 2025-26 COVID-19 vaccine references were removed from the adult schedule, and language was updated to refer more generally to previous doses.
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Meningococcal vaccine: MenACWY recommendations were updated to align with the American Academy of Pediatrics (AAP). The minimum age for the first dose of MenQuadfi is now 6 weeks, instead of 2 years. The indications in the notes section were also updated.
Where to find the current recommendations
Visit the updated Vaccine Recommendations webpage to find:
- Current Washington state immunization recommendations.
- The childhood and adolescent immunization schedule.
- The adult immunization schedule.
- Frequently asked questions.
- Related guidance for health care providers and local health jurisdictions.
Please review the updated schedules and use them when assessing patients and recommending vaccines.
Vaccine access
All vaccines recommended by DOH remain available at no cost for children under age 19 through Washington's Childhood Vaccine Program (CVP) at participating providers.
Uninsured adults ages 19 and older can receive recommended vaccines at no cost through the Adult Vaccine Program (AVP).
For questions about Washington's immunization recommendations, visit Vaccine Recommendations | Washington State Department of Health
As the seasons change and we move into the stormier months, please take a minute to review your facility's . The plan outlines what to do in an emergency and helps you to determine whether vaccines should be transported off-site or sheltered in place.
Remember - in an emergency, a transfer request does not need to be completed or require pre-approval for emergency transport. Emergency transport should be in accordance with your facility's Vaccine Management Plan.
If vaccines are exposed to out of range temperatures, contact the manufacturers to determine viability. If the guidance or determination is unclear, please contact us at WAAdultVaccines@doh.wa.gov before taking any additional action. Make sure to report the excursion in REDCap immediately.
You may find the following resources helpful:
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