Vaccines

Are you protected from preventable disease and caught up on any missed vaccinations?
 Learn what vaccines every adult should have and where to receive your vaccinations.

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Bridge Access Program for Covid-19 Vaccines & Treatments

The Bridge Access Program is a temporary bridge to maintain broad access to COVID-19 vaccines for underinsured and uninsured Americans once commercialized
 
This program is going to end in December 2024 when hopefully there is a Vaccines for Adults program, similar to Vaccines for Children. 
 
Bridge funding will be available to local health providers, local health centers, and pharmacies
 

Click the green button for more information or reach out to the ISD Bridge Program inbox: PolicyISDBridge@cdc.gov

The 25-30 million adults without insurance, in addition to those whose insurance does not provide cost-free coverage for COVID-19 vaccines and treatments.
 
CFI is planning to schedule webinars to enroll independent pharmacies and HRSA supported health centers.  

Post Your Vaccine Event to the Public Calendar

Is your organization hosting a vaccine clinic, health fair, or educational vaccine workshop? Add your event to the Vaccine Calendar:

Printable Brochures Available

5 Reasons for 5 Vaccines

Click for a printable PDF brochure

Vaccine information updated October 9, 2023.

CDC Resources

If MEALS ON WHEELS comes to your home, you can request information and, if available in your area, receive transportation to a vaccination clinic near you. Ask your driver for more information.

Flu (influenza) – once every year

COVID-19 booster – 2-3 doses

Click here for a list of Maryland Covid-19 vaccine sites

Shingles (Shingrix) – 2 doses, 2 to 6 months apart

Pneumococcal Vaccine (Pneumovax 23, Prevnar 20)

Hepatitis B (Heplisav-B) – 2 doses; at least 4 weeks apart

Click here for a list of Maryland County Resources

Pursuant to Md. Code Ann., Health Occ. § 12-508(a)(3) and COMAR 10.34.32.03B-2, a licensed pharmacist registered with the Board may administer a vaccination listed on the Center for Disease Control and Prevention’s (“CDC”) Recommended Immunization Schedule to an adult without a prescription, subject to certain requirements.

On September 22, 2023, the CDC released an addendum to the Schedule adding the RSV vaccine for pregnant people during weeks 32 to 36 of gestation and adults 60 years of age and older, as recommended by ACIP and adopted by the CDC. As such, a licensed pharmacist’s vaccination administration authority for adults currently includes the RSV vaccine administered to a pregnant person during weeks 32 to 36 of gestation or to an adult 60 years of age or older.

As of 10/6/23, the CDC has updated its recommendations for COVID-19 vaccines in the U.S. to include mRNA and Novavax options. On 2/28/24, the CDC released updated recommendations for individuals that are 65+. This guide covers updated vaccine recommendations for COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) for the fall and winter (2023-2024) seasons.

Click to read the Guide

Answers to Your Questions

Click the green — to close the paragraph, and the green + to read more.

  1. Vaccines Have Saved Lives for Over 100 Years—But Serious Disease Is Still a Threat

People all over the world—including in the United States—still become seriously ill or even die from diseases that vaccines can help prevent. It is important that you stay up to date on recommended vaccines. The best defense against many infectious diseases is to get vaccinated.

  1. Vaccines Are the Best Way to Protect Yourself and Your Loved Ones from Preventable Disease

By getting vaccinated, you can protect yourself and also avoid spreading preventable diseases to other people in your community. Vaccines help your body create protective antibodies—proteins that help it fight off infections. You are less likely to get and you are less likely to get others sick.

  1. Vaccines Can Prevent Serious Illness

Some vaccine-preventable diseases can have serious complications or even lead to later illnesses. For them, vaccination provides protection not only against the disease itself but also against the dangerous complications or consequences that it can bring. For example:

 

  • Seasonal influenza (flu) is a respiratory virus that sickens tens of millions of people every year in the United States. The annual flu vaccine helps you avoid infection and reduces your chances of being hospitalized or dying if you do become infected. Flu vaccine also protects you from flu-related pneumonia and flu-related heart attacks or stroke—complications that can affect anyone but are especially dangerous for persons with diabetes or chronic heart or lung conditions.
  • Hepatitis B is a serious, potentially deadly infection of the liver caused by the hepatitis B virus (HBV). There is no cure, but vaccination prevents HBV infection as well as the chronic liver damage and cancer that hepatitis B can cause.
  1. The Vaccines You Receive Are Safe

Vaccine safety is a high priority. The vaccines we have in the United States are safe and have been rigorously tested.  The CDC and other experts carefully review safety data before recommending any vaccine, then continually monitor vaccine safety after approval.

Vaccines can have side effects, but most people experience only mild side effects—if any—after vaccination. The most common side effects are fever, tiredness, body aches, or redness, swelling, and tenderness where the shot was given. Mild reactions usually go away on their own within a few days. Serious or long-lasting side effects are extremely rare, and vaccine safety is continually monitored.

  1. Vaccines May Be Required

Adults who live together in rehabilitation or care centers need to be vaccinated against diseases that circulate in close quarters. If one person gets infected in these close quarters, they can get sick and infect many others in the same setting.

1. COVID-19

COVID-19 vaccines available in the United States are effective at protecting people from getting seriously ill, being hospitalized, and dying. The CDC recommends you receive your primary COVID-19 vaccine as 2 doses and 1 updated bivalent booster 6 months later. The updated bivalent booster now protects against the original virus that causes COVID-19 and the Omicron variants.

It is very important that older adults and people with weakened immune systems (immunocompromised conditions) receive the updated bivalent booster as these individuals are at higher risk of infection with the COVID-19 virus.

On Feb. 28, 2024, the CDC recommended adults ages 65 years and older to receive an additional updated 2023-2024 COVID-19 vaccine dose. The recommendation acknowledges the increased risk of severe disease from COVID-19 in older adults, along with the currently available data on vaccine effectiveness. Click here to read more.

2. Seasonal Flu (Influenza)

All adults need a seasonal flu (influenza) vaccine every year. Flu vaccine is especially important for people with chronic health conditions and older adults. The flu vaccine is updated every year to provide protection against circulating viruses.

3. Shingles

Almost 1 in 3 people in the United States will develop shingles in their lifetime. Your risk of shingles increases as you grow older. Shingles causes a painful, itchy rash that crusts over and can last for 2 to 4 weeks. It can be followed by severe pain that can continue even long after their rash clears up (called post-herpetic neuralgia) or they may suffer from other painful complications that could persist for years.   

Shingles vaccine, protects against shingles and the complications from the disease. Shingles vaccine is recommended for healthy adults 50 years and older.

4. Pneumococcal Vaccine

Pneumococcal disease is caused by bacteria and can range from ear and sinus infections to more serious lung and blood infections. When pneumococcal bacteria spread from the nose and throat to ears or sinuses, it generally causes mild infections. When the bacteria spread into other parts of the body, it leads to severe health problems, such as infections of the lungs (pneumonia), blood (bacteremia), and the lining of the brain and spinal cord (meningitis). In some cases, pneumococcal disease can be life-threatening or result in long-term problems, like brain damage, hearing loss, or loss of arms or legs.

Pneumococcal vaccine protects against serious pneumococcal disease and pneumonia and is recommended for all adults 65 years or older.  Older adults have a higher risk of developing pneumonia if they get pneumococcal disease.

5. Hepatitis B

Hepatitis B vaccine protects from hepatitis B which causes a flu-like illness with loss of appetite, nausea, vomiting, rashes, joint pain, and jaundice. The virus stays in the liver of some people for the rest of their lives and can cause serious health problems including liver damage, cirrhosis, liver cancer, and even death.

Hepatitis B vaccine is recommended in adults 60 years or older with risk factors, such as chronic liver disease, HIV infection, sexual exposure risk, injectable drug use, incarceration, travel to countries with high or intermediate hepatitis B risk.  Adults over 60 years without any known risk factors can receive hepatitis B vaccine.

More information about recommended vaccines is available through the CDC.  Please click here for access to the Vaccine Information Sheets.

The United States has safe, rigorously tested vaccines go through a careful review and approval process before they become available. 

Vaccines can have side effects, but most people experience only mild side effects—if any—after vaccination. The most common side effects are fever, tiredness, body aches, or redness, swelling, and tenderness where the shot was given. Mild reactions usually go away on their own within a few days. Serious or long-lasting side effects are extremely rare, and vaccine safety is continually monitored.

Vaccine Information Sheets outline safety information for each vaccine. Please click here for access to the Vaccine Information Sheets.

Vaccines may be available at private doctor offices, pharmacies, workplaces, community health clinics, health departments or other community locations, such as schools and religious centers.

Click here to find a vaccine clinic near you. 

Seasonal flu, COVID-19, pneumococcal vaccines and Hepatitis B are covered by Medicare Part B and can be given at private doctor offices as well as health centers, pharmacies, health departments, and vaccine clinics. Shingle vaccines are covered by Medicare Part D and are available at pharmacies and vaccine clinics. Most of these vaccines are available free of charge for people with Medicare coverage, but may need authorization on eligibility and coverage.

Maryland Living Well Center of Excellence (LWCE) was awarded vaccine funding from USAging to establish and leverage partnerships and engagement for older adults and people with disabilities who have been historically underserved and who face additional barriers to accessing vaccines. 

We are pleased to announce that we will work in collaboration with The Peter Lamy Center on Drug Therapy and Aging at the University of Maryland School of Pharmacy and community partners, Meals on Wheels of Central Maryland, and Maryland Primary Care Program (MDPCP) to perform an array of vaccination activities. 

Together we will focus efforts on individuals at high risk and with critical needs to increase vaccination awareness and uptake.   We will assist in planning and connecting to community vaccine clinics, arrange for in-home vaccinations, provide transportation to vaccination sites, and participate in health fairs and events to conduct outreach and education.

USAging’s work on the Aging and Disability Vaccination Collaborative is funded through a grant from the U.S. Administration for Community Living.

UMD School of Pharmacy Peter Lamy Center logo
US Aging Vaccination Collaborative logo
Meals on Wheels logo

This publication is supported by the Administration for Community Living (ACL, U.S. Department of Health and Human Services (HHS) through USAging as part of a financial assistance award to USAging totaling $74,999,835 with 100 percent funding by ACL/HHS. The contents are those of the author(s) and do not necessarily represent the official view of, nor an endorsement, by USAging, ACL/HHS, or the U.S. Government.