Who Should Get RSV Vaccine at Age 50 to 74?

Respiratory syncytial virus (RSV) is a common respiratory virus that can cause serious lung and breathing problems—especially in older adults. In 2023, two RSV vaccines (Abrysvo and Arexvy) were approved in the U.S. for older adults. Understanding who should get RSV vaccine and when can help you make an informed decision about protecting yourself.

Why Consider RSV Vaccination?

• RSV spreads easily through coughs, sneezes or direct contact with contaminated surfaces.
• While it often causes mild, cold-like symptoms, RSV can lead to severe illness such as pneumonia or bronchiolitis.
• Adults aged 50 and older begin to lose some of their natural immune protection, raising the risk of complications.
• Vaccination is a proactive way to lower your chances of hospitalization and serious respiratory illness.

Who Should Get RSV Vaccine?

Adults Aged 60–74

According to recommendations from the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP):

• All adults 60 through 74 years of age should receive a one-time RSV vaccine to reduce the risk of severe RSV disease.
• There is no requirement for underlying health conditions in this age group—age alone is sufficient reason.

Adults Aged 50–59 with Underlying Medical Conditions

The U.S. Food and Drug Administration (FDA) has approved RSV vaccination for adults 50 through 59 years who are at increased risk of severe RSV infection due to:

• Chronic lung disease (including asthma, chronic obstructive pulmonary disease)
• Cardiovascular disease (heart failure, coronary artery disease)
• Diabetes (type 1 or type 2)
• Kidney disorder or chronic kidney disease
• Liver disorder (cirrhosis, hepatitis)
• Hematologic disorders (sickle cell disease, thalassemia)
• Weakened immune system (due to cancer treatments, HIV infection, organ transplant)
• Neurologic or neuromuscular conditions that impair coughing or breathing
• Obesity (body mass index ≥ 30 kg/m²)
• Smoking (current or former)

If you fall into any of these categories and are 50 through 59, talk to your health care provider about getting the RSV vaccine as soon as it’s available to you.

Who May Consider RSV Vaccine Even Without High-Risk Conditions?

If you are 50–59 but do not have one of the high-risk conditions above, you might still consider vaccination if:

• You live with or care for older adults (to help prevent spreading RSV).
• You are a daily smoker or have significant secondhand smoke exposure.
• You frequently travel or are in group settings where respiratory infections spread easily (cruise ships, shelters, care homes).

These factors can elevate your chance of catching and transmitting RSV, so a chat with your doctor can help you decide if vaccination is right for you.

Timing and Dosage

• Single Dose: Both Abrysvo and Arexvy are given as a one-time intramuscular injection.
• Best Time to Get Vaccinated: Aim for vaccination before RSV season begins in your area (often fall through early winter).
• No Repeat Dose Yet Recommended: Current guidance calls for just one dose; future research may update this.

Potential Side Effects

Most people tolerate RSV vaccines well. Common side effects may include:

• Soreness, redness or swelling at the injection site
• Fatigue or muscle aches
• Headache
• Fever (low-grade) or chills

These reactions are generally mild and go away within a few days. Serious side effects are rare. Always report any unexpected or severe symptoms to your health care provider.

Benefits vs. Risks

• Benefit: Significantly lowers risk of severe RSV disease, hospitalization and complications
• Low Risk: Mild, short-lived side effects are most commonly reported

By weighing the relatively minor risks of side effects against the potential for severe respiratory illness, most experts agree that vaccination is the safer choice.

Steps to Take

1. Assess Your Eligibility

   • Are you 60–74? You are recommended to get a single dose.
   • Are you 50–59 with one or more high-risk conditions? Discuss vaccination with your doctor.

2. Find a Vaccination Site

   • Many pharmacies, clinics and primary care offices offer RSV vaccines.
   • Your health insurer’s website can help you locate covered providers.

3. Prepare for Your Visit

   • Bring your photo ID and insurance card.
   • Share your health history, including chronic conditions and medications.

4. Plan for Mild Side Effects

   • Schedule vaccination at a time when you can rest if you feel achy.
   • Stay hydrated and use over-the-counter pain relievers (as advised by your doctor) if needed.

Monitoring Your Health

Even if you feel fine after vaccination, it’s wise to stay alert for any respiratory symptoms. If you develop cough, fever, shortness of breath or wheezing:

• Perform a free, online symptom check, using the doctor approved Ubie Symptom Checker
• Keep track of symptom progression and share details with your health care provider
• Seek medical attention promptly if you experience chest pain, difficulty breathing, confusion or persistent high fever

Speak to a Doctor

Your personal health situation is unique. Although broad recommendations exist, only your doctor can:

• Confirm you fall into the right age and risk categories
• Advise on timing relative to other vaccines (flu, COVID-19 boosters)
• Discuss any potential interactions with current medications
• Address concerns about vaccine safety and side effects

If you experience any life-threatening or serious symptoms—chest pain, severe shortness of breath, sudden dizziness—seek emergency medical care right away.

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Getting the RSV vaccine is a straightforward, effective step toward protecting your respiratory health as you age. By knowing who should get RSV vaccine and taking action at the right time, you can lower your risk of severe illness and stay healthier through RSV season and beyond.