F.D.A. Poised to Restrict Access to Covid Vaccines

Agency leaders said there was evidence to justify approval only for older people and those with medical conditions. Many others may not be able to get the shots.
F.D.A. Poised to Restrict Access to Covid Vaccines

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Agency leaders said there was evidence to justify approval only for older people and those with medical conditions. Many others may not be able to get the shots.

Preparing Covid vaccine doses at an outdoor mobile vaccination site in San Francisco in 2021.Credit...Mike Kai Chen for The New York Times

May 20, 2025, 11:45 a.m. ET

The Food and Drug Administration may require data from additional clinical trials before approving updated Covid-19 vaccines for healthy Americans younger than 65, according to new rules detailed on Tuesday by agency officials.

New doses of the vaccines offer ā€œuncertainā€ benefit to those under 65 who have previously been vaccinated or have had Covid, the officials said in The New England Journal of Medicine.

Citing low uptake of recent Covid shots, ā€œthe American people, along with many health care providers, remain unconvinced,ā€ wrote Dr. Vinay Prasad, the F.D.A.’s vaccine division chief, and Dr. Martin Makary, the agency’s commissioner.

During the pandemic, both officials sharply criticized vaccine mandates and other public health measures intended to turn back the coronavirus.

ā€œThe F.D.A. will approve vaccines for high-risk persons and, at the same time, demand robust, gold-standard data on persons at low risk,ā€ Dr. Prasad and Dr. Makary wrote.

Robert F. Kennedy Jr., the health secretary, is a prominent vaccine skeptic who spent years campaigning against the Covid shots. Under his leadership, the Department of Health and Human Services has taken a more critical view of vaccines in general, raising questions about their safety and whether they should be so widely administered.

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