The American Academy of Pediatrics (AAP) has released its updated immunization schedule for children and adolescents, providing new guidance for vaccines against influenza, respiratory syncytial virus (RSV), and COVID-19. The document, titled “Recommended Childhood and Adolescent Immunization Schedule: United States, 2025,” was published on August 19, 2025.
According to the AAP, this schedule is based on scientific evidence and aims to address the needs of children from birth through age 18. The organization states that it has a long history of working with the Centers for Disease Control and Prevention (CDC) to align vaccine recommendations but has decided to issue independent guidance in response to recent federal actions.
“Children deserve better,” the AAP said in its statement. The group explained that its recommendations focus on identifying ages and conditions where risk is highest while supporting access to vaccines for families.
A key difference between the AAP’s recommendations and those of the CDC concerns COVID-19 vaccination. The AAP advises vaccination for all children ages 6-23 months as well as older children in certain risk groups. It also supports making COVID-19 vaccines available to any child whose parent or guardian requests it.
The updated schedule also includes changes related to RSV and flu vaccinations.
However, insurance coverage is not guaranteed under these new recommendations. Unless insurers or policymakers update their policies to match the AAP’s advice, some families may have to pay out-of-pocket for immunizations.
The release comes after an announcement by the Food and Drug Administration (FDA) regarding COVID-19 vaccine approvals for children. For the 2025 fall season, Moderna’s vaccine is authorized for children aged 6 months and older, Pfizer’s for those 5 years and up, and Novavax’s for ages 12 years and older—each limited only to high-risk groups. The AAP described this move as “deeply troubling” because it narrows eligibility compared with previous years. Although pediatricians can administer vaccines off-label, supply limitations or confusion could reduce access.
Pediatricians are encouraged by the AAP to continue guiding families who have questions about immunizations or are hesitant about vaccines. According to the organization, healthcare providers play an important role in helping parents make informed decisions about protecting their children from infectious diseases.
