# German vaccination recommendations for respiratory diseases

> Live situation record from CLSTR: https://clstr.news/situations/german-vaccination-recommendations-for-respiratory-diseases
> Updated: 2026-10-04T04:55:14.000Z. Sources: 17. Developments: 3.

Germany’s Standing Committee on Vaccination (Stiko) has issued updated guidance for the upcoming respiratory infection season, focusing on influenza, Covid-19, and RSV.

For influenza, annual vaccination is recommended for healthcare workers, residents of care facilities, pregnant women, individuals with chronic illnesses, and those aged 60 and older. 

Regarding Covid-19, Stiko has shifted its approach from recommending basic immunity for all adults over 18 to recommending booster shots for specific high-risk groups. These targeted groups include individuals aged 75 and older, residents of care facilities, pregnant women with specific risks, and individuals aged 6 months and older with certain pre-existing medical conditions. Medical experts noted that while many cases are mild, the virus can act as a “multisystem disease” affecting the lungs, heart, and blood vessels, potentially leading to long-term complications.

For the 2026/2027 season, vaccination strategies have evolved to include vaccines targeting two different virus variants. Following WHO recommendations for the Omicron subvariant LP.8.1 and EMA proposals for the XFG variant, the Robert Koch Institute (RKI) expects that vaccines for either variant will offer similar protection against severe illness. In Germany, Pfizer/BioNTech mRNA vaccines adapted to LP.8.1 are being prioritized for those aged 12 and older until February 28, 2027, after which XFG-adapted vaccines will be used for adolescents and adults.

Furthermore, Stiko updated its recommendations to note that healthy adults no longer need to specifically pursue three SARS-CoV-2 antigen contacts.

## Claims

- Medical professionals describe Covid-19 as a multisystem disease that can damage organs such as the heart and blood vessels. (corroborated by 2 sources)
- Stiko recommends vaccinations against Covid-19, influenza, and RSV for the upcoming respiratory season. (single source)
- Stiko no longer recommends basic immunity for all adults but instead advises booster shots for specific groups. (single source)
- Covid-19 vaccinations are recommended for individuals aged 75 and older, and for those aged 6 months and older with specific pre-existing conditions. (single source)

## Timeline

### 2026-10-04: Germany updates COVID-19 vaccination guidelines for 2026/2027 season

The 2026/2027 COVID-19 vaccination season introduces vaccines for two related variants, LP.8.1 and XFG, with updated Stiko recommendations for healthy adults.

3 sources. https://clstr.news/cluster/germany-updates-covid-19-vaccination-guidelines-for-20262027-season

### 2026-09-29: Stiko issues new vaccination recommendations for Covid-19, influenza, and RSV

Germany's Stiko recommends vaccinations against Covid-19, influenza, and RSV for high-risk groups as the respiratory season approaches.

3 sources. https://clstr.news/cluster/stiko-issues-new-vaccination-recommendations-for-covid-19-influenza-and-rsv

### 2026-09-26: Germany health authorities recommend influenza and Covid-19 vaccinations

German health authorities recommend annual influenza and Covid-19 vaccinations for high-risk groups, including seniors and those with chronic illnesses, as the autumn respiratory infection season approaches.

10 sources. https://clstr.news/cluster/germany-health-authorities-recommend-influenza-and-covid-19-vaccinations

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Cite as: German vaccination recommendations for respiratory diseases. CLSTR, https://clstr.news/situations/german-vaccination-recommendations-for-respiratory-diseases