Children and adolescents with severe obesity or comorbidities should be offered primary COVID-19 vaccine series and a first booster.

However, the risk of severe disease and death due to COVID-19 is lowest in healthy people less than 18 years of age. This risk has also decreased substantially since the start of the pandemic thanks to immunity gained through natural infection and/or vaccination.

While some COVID-19 vaccines are approved for children and are offered in some countries, the priority should be to offer the vaccines to those most at risk and to ensure that all children receive all doses of routine childhood vaccinations.