Guidance around COVID-19 vaccines has once again shifted after the Food and Drug Administration on Aug. 27, 2025, approved updated shots^[1] for the fall season, but for a more limited group than in prior seasons.

These changes, announced on X^[2] by Secretary of Health and Human Services Robert F. Kennedy Jr., raise new questions about eligibility and availability of COVID-19 vaccines for children.

As a pediatrician and...