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FDA Approves Moderna’s mNEXSPIKE for High-Risk Populations

Rollout is planned for the 2025-26 respiratory virus season under a new policy limiting COVID-19 boosters to high-risk groups.

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Not all children are eligible for the new Moderna COVID shots.
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A dose of COVID-19 vaccine from a vaccination clinic in the Kansas City area.

Overview

  • Approval covers adults 65 and older plus individuals aged 12 to 64 with at least one underlying risk factor who have received prior COVID-19 vaccination.
  • Phase 3 data showed 9.3% higher relative efficacy in participants 12 and older and 13.5% higher efficacy in adults 65 and older compared with Moderna’s original vaccine.
  • mNEXSPIKE uses one-fifth of the dose of Spikevax and demonstrated comparable systemic safety with fewer local reactions in clinical trials.
  • The limited authorization follows a similar FDA approval of Novavax’s vaccine under a policy shift to focus booster recommendations on vulnerable groups.
  • Despite Health Secretary Robert F. Kennedy Jr.’s efforts to narrow immunization guidelines, the CDC has kept COVID-19 vaccines on the schedule for healthy children aged six months and older.