The (U.S.) Centers for Disease Control has not gotten around to issuing vaccine recommendations this fall, and if they do their credibility has been severely, possibly terminally damaged. The better source seems to be the American Medical Association, which doesn’t actually create recommendations itself but aggegrates the recommendations of four professional societies considered authoritative.
I’ll summarize below, but obviously I am not qualified to give medical advice (my credentials: I have an environmental engineering degree and took precisely one micro-biology course). The standard advice is always “talk to your doctor”. But in our broken health care system (although “broken” would seem to imply that it worked at some point in the past), many people do not have “a doctor” that they have consistent access to, and even if they do it is often impossible to communicate with this person informally. If you have to make an appointment sometimes far in the future, waste half a day, and spend a crazy amount of money to ask a one minute question, most people are just not going to do that. Tele-medicine helps slightly with the appointment and time wasting part, I guess. And insurance companies sometimes have a free nurse hotline who might be allowed to give this type of advice.
Theoretically, you could ask a pharmacist for advice, but the only people I know who do this are ones that happen to be married to a pharmacist. Marrying a pharmacist is not a terrible idea because they are one of the highest-paid occupations. And although they probably know a lot about untraceable poisons, they do not have a strong incentive to murder you for your money because they most likely have a lot more money than you.
Many people I know also aren’t going to consult or heed the official recommendations, relying instead on “trusted messengers” such as acquaintances, ethno-nationalist politicians, internet randos, or just hunches of unclear origin. So without further ado, here is my summary of the recommendations, which you should verify for yourself. I’ve thrown in RSV for good measure. My daughter had a nasty run-in with RSV as a baby so I can personally attest to this one.
- Babies under 6 months – flu and Covid no, RSV (under 8 months) yes
- Children 6 months to 2 years – flu yes, Covid yes, RSV maybe (they should have already had RSV at this point, but if not the answer is a strong yes before 8 months and “talk to your doctor” after that)
- Children 2 to 18 years – flu yes, Covid only if there is some risk factor, RSV no
- Adults 19-49 – flu yes, Covid yes, RSV no
- Adults 50+ – flu yes, Covid yes (specific formulations for 65+), RSV at 75+, 50-74 only if there is some risk factor
- There are some nuances for pregnant women, immunocompromised people, and health care workers. At least, these people might have consistent access to a doctor they can ask for advice.
