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FDA Approves First mRNA Flu Shot for Adults 50 and Older

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The U.S. Food and Drug Administration has granted regulatory approval to Moderna’s mFLUSIVA, marking the nation’s first messenger RNA-based seasonal influenza vaccine. The historic decision authorizes full approval for adults aged 50 to 64 and grants accelerated approval for individuals aged 65 and older, contingent on post-marketing clinical studies.

The approval represents a major technological leap for public health defenses. Traditional flu shots rely on egg- or cell-based manufacturing processes that require six to eight months to update each year. By contrast, mRNA technology enables manufacturers to retool vaccines within weeks, allowing public health agencies to respond rapidly to emerging or mismatched seasonal flu strains. In Phase 3 clinical trials involving over 40,000 participants, mFLUSIVA demonstrated nearly 27 percent higher efficacy in preventing seasonal influenza compared to standard-dose flu shots.

Everything To Know About The Moderna COVID-19 Vaccine

The FDA’s endorsement comes despite fierce opposition and lingering skepticism from Health and Human Services Secretary Robert F. Kennedy Jr. Kennedy, a long-time critic of mRNA technology, previously canceled $500 million in federal mRNA research contracts in favor of traditional vaccine platforms. The shot also overcame earlier administrative resistance within the FDA after the agency initially issued a refusal-to-file letter regarding trial designs. However, the agency’s independent Vaccines and Related Biological Products Advisory Committee ultimately voted unanimously in favor of the shot, citing strong antibody generation and robust T-cell immune responses.

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Moderna expects mFLUSIVA to be available at select retail pharmacies ahead of the upcoming 2026–2027 respiratory virus season. Health officials emphasize that while mRNA shots carry slightly higher rates of temporary local side effects such as injection-site pain or fatigue, the dramatically expanded manufacturing speed and superior immune response offer vital new defenses for vulnerable older populations facing evolving annual influenza threats.


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