RSV Vaccine Guide — Australia

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RSV Vaccine — What Australians Need to Know

Who should get it, which product, what's funded, and what RSV actually is. Based on ATAGI recommendations and the Australian Immunisation Handbook.

🇦🇺 AUATAGI guidelinesUpdated 1 October 2026
📋 Sources — all verified 1 October 2026:
1. Australian Immunisation Handbook (RSV chapter) — immunisationhandbook.health.gov.au ↗
2. Australian Government Department of Health and Aged Care — RSV Vaccine information ↗
3. NCIRS — RSV FAQs ↗. National Centre for Immunisation Research & Surveillance.
4. Immunisation Coalition — State/territory RSV funding information ↗
5. TGA — Australian Product Information for Arexvy and Abrysvo. tga.gov.au ↗
6. Australian Prescriber — Recombinant RSV vaccines for older adults and pregnant women (2024) ↗

8. DVA — Veteran Gold Card — covers clinically necessary treatment for all medical conditions. dva.gov.au.
9. DVA — Providing treatment to DVA clients. dva.gov.au.
Editorial independence: This page was written and fact-checked independently by AskMyGP (Digital Treasure Pty Ltd). No pharmaceutical company has had editorial input into, reviewed, or approved this content, and none has requested or received brand preference. Both RSV vaccines registered for adult use in Australia (Arexvy and Abrysvo) are described with equal prominence, consistent with ATAGI guidance that there is no brand preference for adults aged 60 and over. See our Editorial Independence & Funding policy.

💰 Is the RSV vaccine free for me?

Tap your situation for a quick guide to what’s funded. General information only — your GP confirms what’s right for you.

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This is general information, not personal medical advice — your GP confirms what’s right for you.

What is RSV?

Respiratory Syncytial Virus (RSV) is a common respiratory virus that causes cold-like symptoms in most healthy adults. In older adults, very young infants, and people with underlying health conditions, RSV can cause serious lower respiratory tract infection — pneumonia or bronchiolitis — requiring hospitalisation.

RSV is one of the leading causes of respiratory hospitalisation in adults aged 75 and over in Australia. Unlike influenza, there was no vaccine available for adults until 2024.

📋 Who should get the RSV vaccine?
src Australian Immunisation Handbook ↗ Dept of Health ↗

Recommended — high priority
• Adults aged 75 years and over — Free on the NIP
• Aboriginal and Torres Strait Islander adults aged 60 and over — Free on the NIP
• Adults aged 60–74 with medical conditions that increase risk of severe RSV disease — Not NIP funded — private ~$280–$350
Can consider — discuss with your GP
• Adults aged 60–74 without risk factors — lower risk than those 75+, but may still benefit
Recommended in pregnancy (to protect your baby)
• Pregnant women from 28 weeks gestation (ideally before 36 weeks) — the antibodies cross the placenta and protect the newborn for up to 6 months. Free under the NIP.

Medical conditions that increase risk of severe RSV disease in adults 60–74:

Chronic lung disease (COPD, asthma, bronchiectasis)
Chronic heart disease (heart failure, coronary artery disease)
Chronic neurological or neuromuscular conditions
Diabetes
Chronic liver disease
Immunocompromising conditions

This is not a complete list. Discuss your specific situation with your GP.

💉 Which vaccine — Arexvy or Abrysvo?

src Australian Immunisation Handbook ↗ TGA Product Information ↗
Arexvy (GSK)
Ages 60+ — adults aged 60 and over
Ages 50–59 — if medical risk conditions present
❌ Not for pregnant women
Single IM dose. Contains adjuvant (ASO1E).
Abrysvo (Pfizer)
Ages 60+ — adults aged 60 and over
Pregnancy — from 28 weeks, ideally before 36 (free under NIP)
✅ Only RSV vaccine approved in pregnancy
Single IM dose. No adjuvant.
ℹ️ For adults aged 60 and over: ATAGI states there is no brand preference — either Arexvy or Abrysvo may be used. Your GP or clinic will advise on availability. Protection lasts at least 2 years; the need for further doses has not yet been established.

💰 What does it cost?

src Dept of Health ↗ NCIRS ↗
Pregnant women — Abrysvo
Free under the National Immunisation Program (NIP). From 28 weeks (ideally before 36 weeks), every pregnancy.
Free
Adults 60+ nationally — private purchase
Not currently funded on the NIP. Requires a private prescription. Single dose.
~$280–$350
per dose (private)
Victoria — Arexvy for aged care residents 60+
Free for residents in public and Aboriginal community-controlled aged care services in Victoria.
Free
⚠️ Funding arrangements change. Check with your GP or state health department for the most current information. State/territory funding summary ↗
Thinking about getting it? Next steps
🔍 Find a bulk-billing GP near you 💉 Can I have it with my flu shot?

What to expect from the vaccine

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Single intramuscular injection in the upper arm. Takes about 10 minutes at your GP clinic.
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Effectiveness: Clinical trials showed Arexvy was about 83% effective against RSV-related lower respiratory tract disease in the first season; Abrysvo showed similar efficacy. Protection lasts at least 2 years.
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Can be given at the same time as influenza, COVID-19, and pneumococcal vaccines.
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No specific season requirement — can be given year-round, though vaccinating before the winter RSV season (March–August) is preferable.

Side effects

Common (usually mild, resolve within a few days): Injection site pain, redness, or swelling; fatigue; headache; muscle aches; fever.

Rare but important: A very small possible risk of Guillain-Barré syndrome (GBS) has been noted internationally in people aged 60 and over, based on overseas data. No GBS cases have been reported in Australia to date. Your GP will discuss risks and benefits with you. TGA safety information ↗

👶 Protecting babies and infants from RSV

src Australian Immunisation Handbook ↗ NCIRS ↗

RSV is most serious in very young babies. In Australia a baby can be protected in one of two ways — and most babies are covered by the first.

1. During pregnancy (the main way)
A dose of Abrysvo from 28 weeks (ideally before 36) lets your antibodies cross the placenta and protect your baby for up to 6 months after birth. Free on the NIP. If you had it in time, your baby usually needs nothing further.
2. A dose for the baby (nirsevimab / Beyfortus)
A long-acting antibody given to the baby (not a vaccine you get in pregnancy), usually in the first 8 months of life. For babies not protected through pregnancy — if you weren’t vaccinated, or had it less than 2 weeks before birth — or for babies and young children (up to 2 years) with a health condition that raises their RSV risk. One dose protects for at least 5 months. Eligible babies are often offered it before leaving the birthing hospital; if not, your GP or immunisation provider can give it.
✅ A baby born to a parent who was vaccinated in time usually doesn’t need the extra nirsevimab dose — though a small number still may, so your GP or midwife will let you know.

Is it free?

The pregnancy vaccine (Abrysvo) is free on the NIP, which is linked to Medicare eligibility. Nirsevimab for babies is different: it isn’t funded nationally — it’s provided free through state and territory programs that vary by where you live. Worth knowing: in some states (for example Queensland) eligibility for the baby’s nirsevimab dose isn’t linked to Medicare status, even though the NIP vaccines are — so check your own state’s rules. For Queensland, see Queensland-funded vaccines. For NSW, see NSW-funded vaccines. For other states, see free vaccines by state.

🇦🇺 health.gov.au — RSV vaccine & infant protection (national) ↗ QLD — Paediatric RSV Prevention Program (example state program) ↗

Other states and territories run their own infant nirsevimab programs, and eligibility and dates change each season. Ask your GP, midwife or child health nurse, or your state or territory health department, for what applies to you. This is general information, not personal medical advice.

💳 DVA card holders

src DVA — Veteran Gold Card ↗ DVA — Treatment for DVA clients ↗
✅ Gold Card
The DVA Gold Card covers clinically necessary treatment for all medical conditions — not just service-related ones. The RSV vaccine is clinically necessary treatment for an eligible medical condition, and is covered under the Gold Card. Show your Gold Card at your GP clinic. No out-of-pocket cost.
⚠️ White Card
The DVA White Card covers treatment for accepted service-related conditions only. The RSV vaccine may be covered if you have an accepted respiratory or cardiac condition on your White Card (e.g. COPD, chronic lung disease, heart failure). Check your accepted conditions list in MyService, or call DVA on 1800 838 372.

DVA entitlements depend on your individual circumstances and card type. For definitive advice contact DVA directly. dva.gov.au/access-benefits/veteran-card ↗

Common questions

Yes, once you have recovered. Natural RSV infection does not provide long-lasting immunity. The vaccine is still recommended after recovery from RSV infection. Source: Australian Immunisation Handbook ↗

No — currently RSV vaccination is a single dose. Clinical data shows protection for at least 2 years. The need for re-vaccination has not yet been established. This may change as longer-term data becomes available. Your GP will advise based on current recommendations.

No booster is currently recommended. If you have already had an RSV vaccine (Arexvy or Abrysvo) — including one you paid for before the free program started on 15 May 2026 — there is no recommendation for another dose, even if you are now in a group that can get it free. Protection lasts at least 2 years, and the advice will be updated if longer-term data show a booster is needed. Your GP can check your immunisation history for the date and brand of your earlier dose. Source: NCIRS RSV FAQs ↗; Australian Immunisation Handbook ↗

Abrysvo only — from 28 weeks gestation, ideally before 36 weeks. Free under the NIP. Arexvy must NOT be given during pregnancy. The antibodies you produce are passed to your baby through the placenta, protecting them for up to 6 months after birth. If you reach 36 weeks without it, you can and should still have it as soon as possible — though given less than 2 weeks before delivery it provides your baby less protection.

Abrysvo can be given at the same visit as dTpa (whooping cough) and influenza vaccines. Source: Australian Immunisation Handbook ↗

If maternal RSV vaccination wasn't possible, or the baby was born less than 2 weeks after vaccination, infants may be eligible for nirsevimab (Beyfortus) — a long-acting monoclonal antibody that provides direct RSV protection. Eligibility varies by state. Ask your GP or midwife. Source: Dept of Health ↗

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⚠ This page provides general information only — not personal medical advice. Whether the RSV vaccine is right for you depends on your age, health conditions, and individual circumstances. Speak with your GP before deciding on any vaccination.