RSV Vaccine Eligibility Expands - Summary - MDSpire

RSV Vaccine Eligibility Expands

  • By

  • Kathryn Wighton

  • March 13, 2026

  • 3 min

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Objective:

To inform about the expanded eligibility for the RSV vaccine, Arexvy, specifically for adults aged 18 to 49 years at increased risk.

Key Findings:
  • 21 million adults under 50 in the US have at least one risk factor for severe RSV infection.
  • RSV accounts for approximately 17,000 hospitalizations, 277,000 emergency department visits, and nearly 2 million outpatient visits annually among adults aged 18 to 49.
  • Common adverse events included injection site pain, fatigue, and headache, which were generally mild to moderate.
Interpretation:

The expanded eligibility reflects the significant RSV burden among younger adults with risk factors, emphasizing the critical need for vaccination in this demographic.

Limitations:
  • The vaccine is not indicated for use during pregnancy.
  • The trial primarily focused on adults with increased risk, limiting generalizability to the broader population.
Conclusion:

The expansion of the RSV vaccine eligibility is a crucial step in addressing the health needs of younger adults at risk for severe RSV disease, particularly those with chronic conditions.

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