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On October 6, 2025, the Centers for Disease Control and Prevention (CDC) made minor updates to recommendations for MMRV (Measles, Mumps, Rubella & Varicella) and COVID-19 vaccines.
A summary of updates based on CDC’s updated immunization schedule for children and adults is below. These CDC updates do not affect Virginia's school vaccine requirements.
People should talk with a healthcare provider about getting these vaccines.
MMRV (Measles, Mumps, Rubella & Varicella)
- Children under the age of 4 years should receive the measles, mumps, and rubella vaccine and the varicella vaccine separately (MMR+V).
- The combined MMRV vaccine is no longer recommended for children under the age of 4 years.
- Children aged 4 years and older can still receive the combined MMRV vaccine.
- The recommendation for this age group has not changed.
For more information on MMRV vaccines, please see our MMRV FAQ webpage.
COVID-19
- People aged 6 months and older can receive the vaccine based on shared clinical/individual-based decision making with a healthcare provider.
- Shared clinical/individual-based decision making are health care decisions that are individually based.
- They’re informed by a decision process between the healthcare provider and the patient or parent/guardian.
- Pharmacists can provide this kind of decision-making for COVID-19 vaccines.
- Shared clinical/individual-based decision making are health care decisions that are individually based.
- In Virginia, people aged 3 years and older may receive a COVID-19 vaccine at a pharmacy without a prescription.
- However, not all pharmacies vaccinate children. Please call ahead or check the website of your pharmacy to understand the age groups that they serve.
For more information on COVID-19 vaccines, please see our COVID-19 Vaccine FAQ webpage.
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Last Updated: October 10, 2025