These are Canadian Immunization Guide schedules associated with this DIN. The right schedule depends on age, health, prior doses and reason for vaccination. Public health recommendations may differ from a product monograph's authorized schedule.
RSV — adults 75 and older, one dose
1 doseOne dose of RSV vaccine is recommended for all adults 75 years of age and older.
NACI recommends a single dose of RSV vaccine (AREXVY, ABRYSVO or MRESVIA) for all adults 75 years of age and older. Protection lasts at least 3 years; no repeat dose is currently recommended.
RSV — adults 65 to 74 at increased risk, one dose
1 doseOne dose is recommended for adults 65 to 74 with a condition that raises the risk of severe RSV disease.
NACI recommends a single dose for adults 65 to 74 who are at increased risk: chronic heart or lung disease (including COPD, asthma, cystic fibrosis), diabetes and metabolic disease, moderate or severe immunodeficiency, chronic kidney or liver disease, neurologic or neurodevelopmental conditions, class 3 obesity, or residence in a nursing home. Other adults 65 to 74 may consider it.
RSV — adults 18 to 64 at increased risk, one dose
1 doseOne dose is recommended for the highest-risk adults 18 and older, and may be considered for other adults at increased risk.
NACI recommends a single dose for adults 18 and older who live in a nursing home, have had a lung or stem-cell transplant, are on home oxygen or receive dialysis. Other adults 18 to 64 at increased risk of severe RSV disease may consider a single dose. AREXVY is authorized from 50 years; ABRYSVO and MRESVIA from 18.
RSV (ABRYSVO) in pregnancy — one dose
1 doseOne dose of ABRYSVO during pregnancy to protect the newborn; NACI recommends 28 to 36 weeks, the product is authorized for 32 to 36 weeks.
ABRYSVO only. NACI recommends one dose at 28 to 36 weeks of gestation, before or during the RSV season, at least 2 weeks before birth; Health Canada authorizes 32 to 36 weeks. There is no recommendation for a repeat dose in a later pregnancy; the infant can receive a monoclonal antibody instead.