Fall 2025 immunization update

October 2, 2025

Our seasonal immunizations have arrived, and we are scheduling appointments for influenza, RSV, and COVID vaccines. We will hold flu immunization clinics every Friday during October.

There are some important details about who can receive the various vaccines. Please read on below. 

Our flu vaccines have arrived and are now available! We will hold flu immunization clinics every Friday in October. Children 6 months of age to 18 years should get a yearly flu vaccine. Children with asthma, a history of wheezing, cystic fibrosis, diabetes, compromised immune systems, or other conditions are at higher risk for more severe illness or complications of the flu, but healthy children can also get seriously ill. For babies who are too young to be immunized, their families should receive the flu vaccine to help protect their infants.

As of October 1st, RSV immunizations are available for babies under 8 months old and for babies who meet certain high-risk criteria 8 months to 19 months old. We have doses to give to babies whose mothers were not given the RSV vaccine during pregnancy.

COVID vaccination for the 2025-2026 season is recommended by scientific consensus of the American Academy of Pediatrics for children 6 months to 23 months old, as well as any child who has a high-risk health condition or who has not been previously vaccinated. In addition, families should be able to request a vaccine for any child. This is different than the current FDA recommendations. 

At the ACIP meeting on September 19, 2025, recommendations were made for "shared decision-making" to administer the vaccine. We are briefly counseling families of the pros and cons of vaccination at vaccine appointments. It appears that most private insurers will continue to cover the cost of the dose, although this is not guaranteed. As of 9/29/2025, COVID vaccines for children under 18 with Medicaid insurance have not been released yet. We will provide them as soon as they are available for order.

Currently, you can call to schedule an appointment for vaccines as specified above. We will continue to provide steady, rational recommendations to keep our children and community healthy.

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Measles update

February 12, 2026
There have been cases of measles in NC, with exposures in Chapel Hill, Durham, and Wake County. We can give the MMR dose early to families who want it. This applies to infants 6-12 months who have not gotten a dose yet or kids under 4-5 years who have not gotten their second MMR dose. At this time, the NC DHHS and health departments are not recommending this unless traveling or living in an area with sustained transmission. Two doses of the MMR vaccine are highly effective (97%) at preventing measles infections. At CHCAC, children receive their first dose at 12 months of age and a second dose at 4 years of age, ensuring they are fully protected as soon as possible, in accordance with the most up-to-date AAP recommendations. Some infants aged 6 months to 11 months who travel internationally or in high-prevalence areas may need a dose to protect them; however, they still require the 1-year and 4-year-old doses as well. If you are ever concerned about a possible exposure to measles, please CALL before entering our office. DO NOT ENTER the office. NC DHHS keeps a list of areas with measles exposures here . This is a highly contagious illness, and special precautions must be taken to prevent spread. The virus can be present in the air for 2 hours after an infected person is in the room, and 90% of susceptible patients can be infected. As always, if you have questions, we are here to help make sense of it all!