1. A New Definition of “Up to Date” for COVID-19 Vaccines

Federal guidance has clarified that being “up to date” on COVID-19 vaccination is no longer defined by the number of doses received over time—but rather by receipt of the most current, recommended COVID-19 vaccine appropriate for an individual’s age and health status.

According to the Centers for Disease Control and Prevention (CDC), individuals are considered up to date when they have received the latest COVID-19 vaccine formulation recommended for them, regardless of how many prior doses they received in earlier years. 

Why this matters for senior care:

• Simplifies vaccine status assessments for residents and staff
• Reduces confusion during audits, surveys, and reporting
• Reinforces the importance of ongoing COVID-19 vaccination for older adults

For high-risk populations—especially older adults and those with underlying conditions—alignment with the most current vaccine remains a key infection prevention strategy.

2. AAP Issues Pediatric Immunization Schedule That Differs from CDC

The American Academy of Pediatrics (AAP) has released an updated immunization schedule for children and adolescents that differs from federal guidance, particularly around COVID-19 vaccination.

The AAP continues to recommend routine COVID-19 vaccination for children, emphasizing protection against severe illness and the broader public health benefit. 

This divergence highlights a growing reality in healthcare: professional organizations may interpret emerging evidence differently, resulting in parallel—but not identical—recommendations.

Understanding where recommendations align—and where they diverge—helps providers respond confidently to questions from staff, families, and regulators.

Staying Aligned as Guidance Continues to Evolve

Vaccine guidance isn’t static—and neither is regulatory scrutiny. For long-term care providers, the takeaway is clear:

• “Up to date” for COVID-19 vaccination now means current, not cumulative
• COVID-19 vaccination remains a priority for older adults
• Differences in pediatric guidance reinforce the need for informed, evidence-based communication

Forum stays closely aligned with evolving guidance to help communities navigate vaccination planning, documentation, and compliance—without unnecessary complexity.