AAP updates vaccine guidance for young children

The American Academy of Pediatrics updates vaccine guidance to include Covid-19 shots for infants and children, diverging from CDC recommendations.

AAP backs Covid-19 vaccines for young children despite CDC stance

On Tuesday the American Academy of Pediatrics released updated immunization guidance, recommending Covid-19 vaccines for children in specific age groups and risk categories. The AAP says all children 6 months through 23 months should be vaccinated unless they have allergies to the vaccine or its ingredients, and it recommends a single dose for children 2 through 18 years who are at high risk, live in long-term care facilities, have never been vaccinated against Covid-19, or live with high-risk household members. The guidance is more prescriptive than the CDC’s current approach, which relies on shared clinical decision-making rather than a blanket requirement. The FDA has signaled that future Covid-19 shots could be limited to older or higher-risk groups and may not renew authorization for Pfizer’s vaccine for children under 5.

The split between the AAP and CDC highlights how medical groups manage uncertainty and political pressure while trying to protect public health. A more prescriptive stance can simplify counseling for clinicians but risks sparking confusion if families see shifting messages from national agencies. As fall approaches, the practical challenge will be turning guidance into ready access for families who must navigate eligibility and scheduling.

Highlights

Public health guidance must turn into practical protection for children, families, and communities.