RSV Protection for Eligible Groups - 2025/2026

​​​​​​Risk groups: A respiratory syncytial virus (RSV) infection is most severe in young babies and older adults and can sometimes lead to serious infections like pneumonia or bronchitis.

FREE protection for eligible groups: Ontario is once again offering publicly funded (FREE) protection against RSV  during the RSV season (October-April, peaking in December) for those who are eligible:

EVERYONE aged 75 and older - New for 2025-2026

  • Thunder Bay: RSV is available from health care providers. If you cannot get an appointment with your provider or you do not have one, you can make an appointment for the TBDHU clinic at 999 Balmoral Street by using the online booking form at TBDHU.com/vaxclinics.
  • District Communities: Visit the district vaccine clinic web page at TBDHU.com/districtvaccines to learn more about the clinics that are scheduled OR contact your nearest branch office.

Certain high-risk adults aged 60 to 74, such as residents of long-term care homes or retirement homes

  • These individuals will be offered vaccines through their facility. 

Infants up to eight months of age in their first RSV season 

  • See below for details.

High-risk children up to 24 months of age in their second season 

  • See below for details.

COVID-19 and flu vaccines: For more information on the other respiratory illness vaccines, visit TBDHU.com/covidvax and TBDHU.com/fluvax

Pneumococcal vaccine:  For more information on this vaccine often referred to as the "pneumonia vaccine", visit TBDHU.com/pneumo.

  • This vaccine is recommended for those who are 65 years and older and those of any age with specific underlying medical conditions. Individuals who are 65 years and older with certain underlying health conditions may be eligible for a second dose if it has been at least a year since their first dose.

 

For more information on the RSV program, please see below:

Where can I learn more about RSV, including signs and symptoms?

To learn more visit:

Protection for infants and high-risk children

Risk: A significant number of infants and children under 2 are hospitalized each year in Ontario during RSV season, with many cases requiring intensive care stays.

Options: There are two options to protect infants and high risk children under 2 years available for FREE to Ontario residents who are eligible:

  • Infants and high risk children: Medication called Beyfortus®
  • Pregnancy: Vaccine called AbrysvoTM
Beyfortus®
  • Medication: This medication is given by injection and contains monoclonal antibodies that mimic natural antibodies.
  • Infant eligibility: Infants born April 1, 2025 or after AND less than 8 months of age up to the end of the RSV season (March 31, 2026).
  • High-risk children eligibility: Beyfortus® is also available for children up to 24 months of age who remain vulnerable to severe RSV disease through their second RSV season, following discussion with a health care provider. The Ontario Ministry of Health Beyfortus® fact sheet will be posted here once available and includes  list of health conditions that make children vulnerable.
  • Receive as soon as available: It is strongly recommended to receive this protection as soon as it is available to maximize protection BEFORE the virus begins to circulate in the fall season.
  • Options to receive: See the section at the end of this web page.
  • More information: The Ontario Ministry of Health Beyfortus® fact sheets will be posted here once available.
AbrysvoTM
  • Eligibility: This vaccine is given to pregnant individuals between 32 and 36 weeks of pregnancy if they will deliver near the start of or during RSV season (November-April).
  • Options: Discuss options with a health care provider.
  • More information: See the Ontario Ministry of Health Beyfortus® fact sheet (PDF).
Recommendations
  • Beyforus® is recommended: The monoclonal antibody approach to protecting infants is recommended by Canadian immunization experts based on the safety profile of the medication, how well it works and how long the protection lasts over vaccination in pregnancy.
  • Receiving both not necessary: Receiving both AbrysvoTM and Beyfortus® (monoclonal antibody) is not necessary unless the infant is high-risk (e.g., certain medical conditions such as cardiac disease).
  • Options: Pregnant people should discuss their options with their health care provider.


Protection for eligible older adults
Received an RSV vaccine in the past?
  • Additional dose not needed: Anyone who received an RSV vaccine in the last two years does not need another dose.
  • Multi-year protection: Studies show multi-year protection. The timing for another dose is unknown at this time but studies are ongoing to determine how long the vaccines provide protection.
  • Products: There are two RSV products (Arexvy®  an Abrysvo®) available for FREE to those who are eligible.
  • Anyone 75 or older eligible: New for 2025-2026, anyone who is 75 or older is now eligible.
  • Those 60 to 74 who meet criteria eligible: Those who are 60 to 74 years of age AND also meet specific criteria are eligible:
    • residents of long-term care homes, Elder Care Lodges, or retirement homes including similar settings (e.g., co-located facilities).
    • patients in hospital receiving alternate level of care (ALC) including similar settings (for example, complex continuing care, hospital transitional programs)
    • patients with glomerulonephritis (GN) who are moderately to severely immunocompromised
    • patients receiving hemodialysis or peritoneal dialysis recipients of solid organ or hematopoietic stem cell transplants
    • individuals experiencing homelessness
    • individuals who identify as First Nations, Inuit, or Métis
  • Options to receive: See the section at the end of this web page.
  • More information: Visit the Ontario Ministry of Health web page for more information on the vaccine.

How to get protected if eligible

Please see details below based on eligibility.

75 and older - New for 2025-2026

This vaccine WILL NOT BE AVAILABLE from PHARMACIES.

Health Care Providers: 

  • Book an appointment with your health care provider 

TBDHU Clinics in Thunder Bay

  • Those who cannot book an appointment with their health care provider OR who do not have a provider can make an appointment for a TBDHU clinic at 999 Balmoral Street by booking online at TBDHU.com/vaxclinics

TBDHU District Communities

NOTE: Individuals in this age range living in a long-term care, retirement home or assisted living for seniors home have been eligible for the past two seasons. If they have not received the vaccine in the past, they will be offered again this year.

Infants

Available:

  • When: Early-October, 2025
  • Receive as soon as possible: It is strongly recommended to receive this protection as soon as it is available to maximize protection BEFORE the virus begins to circulate in the fall season.

How – Thunder Bay and surrounding rural communities:

  • TBRHSC: Offered at birth
  • Health care provider: Book an appointment with your provider
  • TBDHU: Book online in a TBDHU RSV clinic. Appointments will be available by mid-September.

How – District communities:

  • Health care provider: Contact your health care provider.
  • TBDHU: Families unable to access the vaccine through their provider should call their nearest branch office.
Pregnant
  • Pregnant individuals should discuss this option with their health care provider.
Long-term care residents
  • Available: Starting September 2025
  • Provider: Staff in long-term care homes will provide the vaccine to residents. Please ask staff for more information and a schedule.
Residents of retirement home and assisted living for seniors facility
  • Available: Starting September 2025
  • Provider: Community providers visiting the homes will provide the vaccine. Please ask staff for more information and a schedule
Patients in hospital receiving an alternate level of care (ALC)
  • More information will be available soon
Patients receiving hemodialysis or peritoneal dialysis
  • More information will be available soon
Transplant recipients (including stem cell transplants)
  • More information will be available soon
People experiencing homelessness
  • More information will be available soon
Indigenous people
  • More information will be available soon

RSV vaccine for pay; those who are 60 to 74 years
  • Not eligible for publicly funded: People who are not eligible for the publicly funded vaccines (as listed above) and are at least 60 years old can order the RSV vaccine and pay out of pocket with a prescription from their health care provider, even if they don’t belong to any of the priority groups listed above.
  • Private insurance: The Ontario Ministry of Health does not reimburse but some private insurers may cover all or part of the cost of the vaccine.
  • TBDHU will not administer: This vaccine CANNOT be brought to TBDHU to receive.
  • Pharmacist may be able to give: Your pharmacist may be able to administer it. Confirm with your pharmacy if they can administer the RSV vaccine to you.
  • Prescribing health care provider: If the pharmacist is not able to adminster, book a follow up appointment with the health care provider who prescribed the vaccine.

 

This page provides basic information only. It must not take the place of medical advice, diagnosis or treatment. Always talk to a health care professional about any health concerns.

 

 

For Further Information

Call (807) 625-5900 or toll-free 1-888-294-6630 to speak with a nurse about the vaccine options OR ask for an infectious disease nurse if you have questions about an RSV infection.

 

Health Topic
Diseases & Infections