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Reasons for Receiving or Not Receiving Bivalent COVID-19 Booster Vaccinations Among Adults — United States, November 1–December 10, 2022

Weekly / January 20, 2023 / 72(3);73–75

Alyssa H. Sinclair, MA1; Morgan K. Taylor, MA1; Joshua S. Weitz, PhD2,3,4; Stephen J. Beckett, PhD2; Gregory R. Samanez-Larkin, PhD1 (VIEW AUTHOR AFFILIATIONS)


What is already known about this topic?

Bivalent COVID-19 booster vaccines increase protection against infection and severe disease. However, few eligible U.S. residents have received a bivalent booster dose, and factors underlying low coverage are unclear.

What is added by this report?

An online opt-in survey of 1,200 previously vaccinated U.S. residents found that the most common reasons for not getting a bivalent booster dose were lack of awareness about eligibility or availability and overconfidence in immunity; reasons varied by age group.

What are the implications for public health practice?

All eligible adults should receive a bivalent COVID-19 booster vaccine. To help increase bivalent booster dose coverage, health care and public health professionals should use evidence-based strategies to inform persons about booster vaccine recommendations and waning immunity.

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