Last Reviewed: September 09, 2025

If your calendar fills up fast once school and work routines return, you are not alone. Many of my midlife patients want a simple, confident plan for fall vaccines that avoids stacked side effects and last-minute scrambling. This guide walks you through what to get, when to get it, and how to combine or space appointments based on your health goals. We can help create a personalized vaccine calendar for you and provide telehealth support if you have any questions. If you are looking for adult vaccines in Horsham, a flu shot in Montgomery County, or clarification about the RSV vaccine in PA, you are in the right place.

What matters most this fall

Flu returns every season. For most adults, September and October are the best months to get vaccinated, so protection is in place before peak activity. Ideally, aim to be vaccinated by the end of October.
RSV vaccination is a single dose for eligible adults, not an annual series. The best window for first-time recipients is late summer through early fall, typically August to October.
COVID-19 vaccines are updated for the coming respiratory season. As of August 27, 2025, FDA approvals are currently limited to individuals aged 65 and older and those with specific health risks. That means eligibility is narrower this year than last, and federal guidance may continue to evolve. We will confirm your eligibility before scheduling.

Who needs which shots

Flu vaccine

Everyone 6 months and older should receive a flu vaccine each season, with rare exceptions. For adults in midlife, timing it in September or October strikes a balance between durability and convenience. If you miss that window, vaccinate as soon as possible, as influenza usually circulates well into spring. Flu shots are available in-office to members by appointment.

RSV vaccine

The CDC recommends one dose of the RSV vaccine for all adults 75 years and older. Adults 50 to 74 with increased risk for severe RSV are also recommended, for example, those with chronic heart or lung disease, immunocompromise, severe obesity, or residence in a nursing home. If you already received a dose in a prior season, you are considered complete for now. The ideal timing for first-time recipients is late summer or early fall.

COVID-19 vaccine

For fall 2025, FDA approval is currently limited to adults 65 and older and to people ages 5 through 64 who have underlying conditions that raise their risk for severe illness. If you qualify, we will schedule you as supply rolls out and help clarify coverage with your insurer. CDC and ACIP updates may modify availability; therefore, we will keep your plan aligned with the latest regulations.

Can I get more than one shot on the same day?

Often, yes. You can receive flu and COVID vaccines at the same visit if you are eligible for both and the timing makes sense. Vaccines given on the same day should go in separate spots at least one inch apart, either in different arms or spaced on the same arm. Receiving multiple vaccines at once can slightly increase minor side effects, such as fatigue or arm soreness; however, studies and CDC guidance support the safety of coadministration.

RSV and flu can also be given together. Data is limited since RSV vaccines are relatively new, and antibody levels may be slightly lower when RSV is coadministered; however, the clinical significance of this is uncertain. If you prefer to separate appointments to minimize side effects or better track any reactions, there is no required waiting period between these vaccines.

A simple timing ladder for midlife women

Think of this as a flexible template. We will customize it to your eligibility, travel, and health conditions.

Step 1: Lock in flu by the end of October.

Schedule your in-office flu shot for September or October so protection is in place before peak flu activity.

Step 2: Add RSV if you qualify and have not had it.

If you are 75 years old or older, schedule your RSV vaccination in August through October. If you are 50 to 74 and have risk factors, book it in the same window. You can pair it with the flu visit or place it one to two weeks apart if you are sensitive to side effects. Remember, the RSV vaccine is currently a one-time dose.

Step 3: Schedule a COVID-19 vaccine if you are eligible this season.

If you meet the current FDA criteria, you can receive the COVID-19 and flu vaccines in the same visit, or schedule them a week apart if you prefer. If you recently had COVID, timing decisions are personalized based on your risk and local activity. We can discuss with you the best timing based on your risk factors.

Pro tip for side effects: Use different arms if you are getting two vaccines on the same day. Plan to keep water, have a light dinner, and enjoy a quiet evening on your calendar. Most reactions are mild and short-lived.

How we keep it easy

In-office flu vaccination. We administer seasonal flu shots in our Horsham office to members by appointment.
Personalized vaccine calendar. We map out what you need, what you don't, and the best order for September and October.
Telehealth Q&A. If new guidance is released or you have questions about eligibility or interactions with current medications, we respond promptly so you are not left waiting.

Frequently asked questions

Can I get all three in one day if I am eligible?

Yes. Flu, COVID-19, and RSV vaccines may be given at the same visit if you qualify for each. Expect a higher chance of temporary local reactions, and use separate injection sites. If you prefer to space them, there is no minimum interval required.

What if I am worried about side effects or have a busy week ahead?

Choose one vaccine per week for two or three weeks. Flu first for most people, RSV next if you qualify, and COVID when eligible and available. This approach keeps protection moving forward without stacking reactions.

Is RSV really one and done?

For now, yes. Adults who have already received an RSV vaccine do not need an annual dose at this time. The CDC and ACIP continue to track durability and will update if the situation changes.

What if guidance changes again?

Public health recommendations can shift. We track updates daily and adjust your plan without you having to follow the headlines.

Reserve Your Spot and Start Fall Strong

If you're looking for a clear plan for adult vaccines in Horsham that respects your schedule and health goals, we can help. We will confirm eligibility, create a personalized order for flu, RSV, and COVID, and can assist you in booking appointments in a sequence that works for you. Same-week slots and telehealth Q&A are available.

Premier Medicine and Wellness | Primary Care and Menopause Care | Montgomery County, PA

Call: 267-207-3100

Please reserve your spot for our Fall Respiratory Vaccine Window, and we will create your personal calendar during the call.

Educational content only. Please consult your clinician for guidance based on your medical history.