Availability of Updated COVID-19 Vaccines Varies by State in 2025

As the federal government faces challenges in providing consistent access to the latest COVID-19 vaccines, several states are proactively expanding availability this fall. Despite recent FDA approval of updated COVID-19 shots, access remains inconsistent across the country. The FDA has revised its recommendations, now primarily advising vaccination for individuals aged 65 and older or those younger with high-risk conditions. However, some states have taken additional steps to ensure broader access.

For instance, Massachusetts officials issued executive orders allowing residents of all ages to receive the vaccine at local pharmacies, even before the CDC's Advisory Committee on Immunization Practices (ACIP) met in September. Similarly, New York, Pennsylvania, Colorado, and New Mexico have followed suit by directing health departments and pharmacies to facilitate vaccine access, prioritizing convenience and coverage.

Despite the recent FDA approval, certain pharmacies like CVS initially indicated they wouldn't carry the vaccines in states where local regulations require CDC approval before distribution—such as Massachusetts and Pennsylvania. This has led to a patchwork of access, highlighting the importance of state-led initiatives.

Experts like Wendy E. Parmet from Northeastern University emphasize that these measures are not mandates but efforts to improve availability. She notes that increasing access is critical as public trust in vaccines fluctuates. States are working to make vaccines more reachable—through local clinics, insurance coverage, and pharmacy partnerships—so residents do not need to travel far or spend hours seeking doses.

Neil Maniar from Northeastern University adds that most COVID-19 vaccinations occur at pharmacies, and some states now allow pharmacists to administer vaccines without a doctor’s prescription, expanding reach. Massachusetts, which previously required vaccines to be on the ACIP list, now offers more flexible options to its residents.

This shift comes amid controversy over changes in scientific leadership and vaccination policies at the federal level. The recent removal and replacement of key officials in health agencies have sparked skepticism within parts of the medical and public health communities. Nevertheless, state governments continue to prioritize accessible vaccination, reinforcing their commitment to public health safety.

Source: https://medicalxpress.com/news/2025-09-covid-shot-state.html