--- url: 'https://www.stagehia.healthinaging.org/tools-and-tips/learn-more-what-you-need-know-about-covid-19-vaccines-older-adults-age-65' title: 'Learn More: What You Need to Know About COVID-19 Vaccines for Older Adults (Age 65+)' author: name: 'Aimee Cegelka' url: 'https://www.stagehia.healthinaging.org/user/99' date: '2020-12-22T15:46:14+00:00' updated: '2023-10-13T18:58:23+00:00' type: resource summary: 'Vaccines developed by Pfizer-BioNTech and Moderna have been approved for use in the US. Both vaccines were 94 percent effective for preventing COVID-19 and both have started shipping. Here’s what you need to know about how a vaccine for COVID-19 will help protect you and your loved ones.' published: true --- ## [Learn More: What You Need to Know About COVID-19 Vaccines for Older Adults (Age 65+)](/tools-and-tips/learn-more-what-you-need-know-about-covid-19-vaccines-older-adults-age-65) **The best protection against COVID-19 is to get vaccinated.** **Adults 65 and older should receive a 2023-2024 updated COVID-19 vaccine: Pfizer-BioNTech, Moderna, or Novavax.** ## FDA Approvals (as of October2023) Three COVID-19 vaccine manufacturers, Pfizer-BioNTech, Moderna, and Novavax, have developed 2023-2024 updated COVID-19 vaccines. These updated COVID-19 vaccines protect us against the variant strain called XBB.1.5. The FDA has provided an Emergency Use Authorization (EUA) for all three updated vaccines. ## Getting a COVID-19 vaccination will protect you and others against the virus COVID-19 is the disease caused by a highly infectious virus called SARS-CoV-2. Sometimes cases of COVID-19 can be mild, but others can be more severe and even deadly. This is especially true for older adults or people with chronic health conditions. One in 100 older Americans have died from COVID-19 disease. The Centers for Disease Control and Prevention (CDC) recommends receiving the updated 2023-2024 COVID-19 vaccine. Getting the vaccine has many benefits: - It will lower your risk of getting sick if you are exposed to the coronavirus. - Even if you are up to date with the vaccine, it is still possible to get COVID-19. However, data from real-world use of COVID-19 vaccines shows that vaccination substantially lowers the risk of becoming seriously ill if you do get infected. - It helps protect the people you are around, especially people with a higher risk of getting seriously ill from COVID-19. This includes older people and people with chronic, underlying conditions. People who are immunocompromised or take medicine that affects the immune system are at higher risk of serious illness or death from COVID-19. It is especially important for immunocompromised people to receive COVID-19 vaccines. CDC Recommendations for 2023-2024 Updated COVID-19 Vaccines **COVID-19 Updated Vaccine Recommendations for Older Adults (65+) who have no problems with their immune system (immunocompentent)** **Adults 65 and older should receive a 2023-2024 updated COVID-19 vaccine: Pfizer-BioNTech, Moderna, or Novavax. None of the updated 2023-2024 COVID-19 vaccines is preferred over another.** There are different vaccine recommendations for immunocompromised older adults. A person is immunocompromised when their immune system is weak. These people may have more trouble fighting COVID-19 and are at higher risk of getting seriously sick or dying from COVID-19. You may have a weak immune system if you have cancer, diabetes, or heart condition, for example. These are just a few of the diseases that can make your immune system weak. Please check with your healthcare professional to see if you have a medical problem that makes your immune system weak. COVID-19 Updated Vaccine Recommendations for Older Adults (65+) who have problems with their immune system (immunocompromised) | Previous COVID-19 vaccination history | Which 2023-2024 Updated Vaccine is right for you | Number of Updated Vaccine Doses to Receive | Dosing schedule | |---|---|---|---| | If you have never received a COVID-19 vaccine before | Moderna, Pfizer-BioNTech, or Novavax | 2-3 | Moderna (3 doses) Doses 1 and 2: given 4 weeks apart Doses 2 and 3: given at least 4 weeks apart Pfizer-BioNTech (3 doses) Doses 1 and 2: given 3 weeks apart Doses 2 and 3: given at least 4 weeks apart Novavax (2 doses) Doses 1 and 2: given 3 weeks apart | | If you have previously received 1 dose of the Moderna or Pfizer- BioNTech COVID-19 vaccine | Same manufacturer of your previous vaccine | 2 | Dose 1: at least 4 weeks after the last dose (Moderna) Dose 1: at least 3 weeks after the last dose (Pfizer-BioNTech) Doses 1 and 2: given at least 4 weeks apart | | If you have previously received 2 doses of the Moderna or Pfizer- BioNTech COVID-19 vaccine | Same manufacturer of your previous vaccines | 1 | Dose 1: at least 4 weeks after the last dose | | If you have previously received 3 doses of the Pfizer-BioNTech or Moderna COVID-19 vaccine | Moderna, Pfizer-BioNTech, or Novavax | 1 | Dose 1: at least 8 weeks after the last dose | | If you have previously received 1 or more doses of the Novavax or Janssen COVID-19 vaccine (including in combination with any mRNA vaccines) | Moderna, Pfizer-BioNTech, or Novavax | 1 | Dose 1: at least 8 weeks after the last dose | Differences Between the Vaccines The Moderna and Pfizer-BioNTech vaccines are mRNA vaccines. That means that the mRNA in the vaccine teaches our cells how to trigger the immune response against the COVID-19 virus. Novavax is a protein subunit vaccine. This means that it contains proteins of the virus that causes COVID-19. Your immune system learns how to respond to the protein in the vaccine so it can respond to the actual virus and protect you against COVID-19. The Centers for Disease Control and Prevention (CDC) has no preference for which vaccine you should receive. Vaccine Safety Safety has been key in developing and approving COVID-19 vaccines. There were many steps taken to make sure the COVID-19 vaccines were safe before they were made available to the public. - **First**, clinical trials were carefully designed and controlled to find out how safe and effective the vaccines are. Tens of thousands of people participated in the clinical trials. - **After** the clinical trials proved the vaccines were safe and effective, then the FDA and independent expert advisory boards reviewed the safety data to make sure they were correct. If the vaccine trials met requirement for efficacy and safety, the FDA authorizes the vaccine for use in the US. - **Then**, the Advisory Committee on Immunization Practices (ACIP) at the CDC reviewed all safety data before recommending any COVID-19 vaccine for use. - **Finally**, the FDA and CDC monitor the safety of vaccines post-authorization and recommendation via several system including the Vaccine Adverse Event Reporting System, Vaccine Safety Datalink, V-safe program and others. The CDC and other partners assess the effectiveness and safety of the COVID-19 vaccines under real-world conditions after FDA approval. Talk to your Primary Care Clinician or Vaccine Provider The FDA fact sheets for the [Pfizer-BioNTech](https://www.fda.gov/media/167212/download), [Moderna](https://www.fda.gov/media/159310/download), and [Novavax](https://www.fda.gov/media/159898/download) 2023-2024 updated vaccines have more information about the benefits and risks of each vaccine. We recommend that you discuss the risks and benefits of getting vaccinated with your primary care clinician or vaccine provider before getting the shots. Tell your vaccination provider about all your medical conditions, including if you: - Have any allergies - Have a fever - Have a bleeding disorder or take blood-thinning drugs - Are immunocompromised or take medicine that affects your immune system - Have received another COVID-19 vaccine They will discuss any other factors you need to know before receiving a COVID-19 vaccine based on your unique circumstances. How to Get the COVID-19 Vaccine **FDA-approved vaccines are currently available at no cost to you:** - If you have Medicare, you will not have to pay to get vaccinated. - Medicaid and private health insurance plans cover all vaccine costs. - If you are uninsured you can get free vaccines. **Vaccines are available at many locations:** - Most drug stores - Community health centers - State or local health departments **Find a COVID-19 vaccine location near you:** - Ask your doctor or healthcare provider - Call 1-800-232-0233 - Text your zip code to 438829 or visit [vaccines.gov](https://www.vaccines.gov/ "Vaccines.gov") Last Updated October 2023 [Get the Basics: COVID-19 Vaccines for Older Adults (Age 65+)](/tools-and-tips/get-basics-covid-19-vaccines-older-adults-age-65)