COVID-19 vaccine is not routinely recommended for infants, children and adolescents aged 6 months– <18 years who do not have medical conditions that increase their risk of severe disease. This is because the risk of severe disease in this age group was very low both during and since the COVID-19 pandemic. The benefits of vaccination may not outweigh the risk of potentially extremely rare but serious adverse events such as myocarditis/pericarditis.1-3
In this cohort, an annual dose of COVID-19 vaccine can be considered when there is a strong preference for vaccination and following an individual risk-benefit assessment.