- Vaccine Integrity Project releases meta-analysis on the safety and effectiveness of HPV vaccine to support recommendation considerations
- Immunize.org reviews and updates “Ask the Experts: Vaccine Safety” questions and answers section
- Minnesota Department of Health offers three new American Sign Language videos on hepatitis B, measles, and pertussis
- Measles 2026: 1,842 confirmed measles cases so far this year; District of Columbia joins jurisdictions with cases in 2026
- Vaccines in the news
- Use Immunize Kansas Coalition’s HepB birth dose campaign during Hepatitis Awareness Month
- From the Immunize.org shop! Laminated VIS QR code tables deliver CDC VISs directly to your patients’ smartphone (Spanish translation version also available).
- Help Immunize.org reach more vaccinators through your social media networks. Follow us and share our posts on Facebook, Instagram, and LinkedIn!
- Needle anxiety is common at any age. Use Immunize.org’s clinical resources to offer a positive vaccination experience.
- Immunize.org lifetime immunization record cards available for patient-held records
- “Adjuvanted vs High-Dose Influenza Vaccines in Older US Adults” published in JAMA Network: Open
- “Post-Licensure Safety of Nirsevimab from the Canadian National Vaccine Safety (CANVAS) Network” published in Human Vaccines & Immunotherapeutics
- “Serologic Evidence of Highly Pathogenic Avian Influenza A(H5N1) Virus Infection in a Veterinary Professional Exposed to an Infected Domestic Cat—Los Angeles County, California, December 2024–January 2025” published in MMWR
- “Fatal Human Case of Highly Pathogenic Avian Influenza A(H5N5) in a Backyard Flock Owner—Washington, November 2025” published in MMWR
The University of Minnesota's Center for Infectious Disease Research and Policy (CIDRAP) launched the Vaccine Integrity Project (VIP) in 2025 to support U.S. vaccine policies and practices that are grounded in scientific evidence. The VIP engages with healthcare providers, public health professionals, and medical societies to provide science-based information for informed vaccine choices. Medical societies that release vaccine recommendations, such as the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians (AAFP), are using VIP meta-analyses, like this one, to inform their recommendation deliberations.
On May 5, the VIP released a systematic review and meta-analysis on the safety and effectiveness of the HPV vaccine. The conclusions section from the executive summary appears below:
Overall, the updated evidence continues to strongly support the safety and effectiveness of US-approved HPV vaccines and remains consistent with prior Cochrane reviews. The totality of evidence indicates no association between HPV vaccination and serious adverse events, while demonstrating substantial protection against cervical cancer, high-grade cervical lesions, and persistent HPV infection. Emerging evidence suggests that a single-dose schedule may offer protection comparable to two- and three-dose regimens for key outcomes in females, supporting ongoing policy discussions around dose reduction. However, important evidence gaps remain for male populations, non-cervical cancers, and long-term durability of single-dose protection, underscoring the need for continued surveillance and longer-term follow-up studies.
Related Links
- VIP: Safety and Effectiveness of Human Papillomavirus (HPV) Vaccine: A Systematic Review and Meta-Analysis (PDF)
- VIP: HPV Vaccine main page
- Immunize.org: Vaccines A–Z: HPV (Human Papillomavirus) main page
Immunize.org reviewed its Ask the Experts: Vaccine Safety section. No content required major changes. Several hyperlinks were updated.
Immunize.org’s Ask the Experts main page leads you to 30 web pages on various topics with more than 1,300 common or challenging questions and answers about vaccines and their administration. Immunize.org’s team of experts includes Kelly L. Moore, MD, MPH (team lead); Carolyn B. Bridges, MD, FACP; Iyabode Beysolow, MD, MPH; and Jane Zucker, MD, MSc
Related Links
- Immunize.org: Ask the Experts main page with more than 1,300 questions and answers
- Immunize.org: Ask the Experts: Vaccine Safety web page
Minnesota Department of Health offers three new American Sign Language videos on hepatitis B, measles, and pertussis
Immunization education resources in American Sign Language (ASL) are crucial for the Deaf and hard of hearing. The Minnesota Department of Health shares three new American Sign Language videos to help explain vaccine information on its Diseases and Conditions web page. Please share these important resources with the Deaf community and their advocates where you live. The videos include:
- Hepatitis B: Information for Pregnant Persons
- Measles (Rubeola)
- Pertussis: What Parents Need to Know
As of May 7, CDC reported 1,842 confirmed measles cases for 2026, 93% outbreak-associated. So far, 39 jurisdictions have reported measles cases in 2026. The District of Columbia Department of Health is responding to its first confirmed measles case of 2026 with at least 12 potential exposure sites across Washington, DC.
Measles outbreaks in the United States continue.
- The Arizona Department of Health and Human Services confirmed 311 cases in 2026, most linked to the Utah outbreak
- The Utah Department of Health and Human Services reports 638 cases since January 2026
- The Florida Department of Health confirmed 150 cases in 2026 as of May 2
Below is a map from CDC showing measles cases among U.S. residents as of May 7.

Vaccine coverage rates can vary considerably from community to community within a state. Pockets of unvaccinated people can accumulate in states with high vaccination coverage, creating conditions favorable for an outbreak if measles is introduced. Vaccination remains extremely effective. Immunize.org offers measles-related resources for the public on several of our affiliated websites:
- VaccineInformation.org: Measles web page
- LetsGetRealAboutVaccines.org: Measles web page
- Immunize.org: Vaccines A–Z: Measles main page
- AAP: Fact Checked: The MMR (Measles, Mumps and Rubella) Vaccine Is Safe and Effective web page
- CDC: Measles Cases and Outbreaks main page
- Common Health Coalition: More Illness, Greater Cost: Spotlight Brief; Childhood Immunizations (PDF)
- Johns Hopkins International Vaccine Access Center: U.S. Measles Tracker web page
- PopHIVE (Yale School of Public Health): Infectious Diseases Dashboard: Measles web page
- Health Canada: Measles and Rubella Weekly Monitoring Report
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
- The Guardian: World ‘Unprepared’ for Next Pandemic as Countries Fail to Agree on Sharing Information, Tests and Vaccines (5/5/26)
- CIDRAP: ‘The Hardest Thing I’ve Ever Gone Through’: Cervical Cancer Survivors Speak Out About Importance of HPV Vaccine (5/5/26)
- New York Times: F.D.A. Blocked Publication of Research Finding COVID and Shingles Vaccines Were Safe (5/5/26)
- MedPage Today: Addressing Risk Perception and Building Trust in Vaccine Conversations (5/4/26)
- Salt Lake Tribune: Andy Larsen: Utah’s Vaccine Foolishness Has Spread and Looks Impossible to Fix (5/2/26)
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Our newest website, LetsGetRealAboutVaccines.org, educates and equips families and healthcare professionals with tools to confidently advocate for childhood vaccination. This week we spotlight the pages Vaccination Schedule and Common Questions, which are found under the “Learn About Children’s Vaccines” menu.
The Vaccination Schedule page (also in Spanish) explains how the recommended vaccine schedule is intentionally timed to match how a child’s immune system responds. It is also important to vaccinate before the child is likely to be exposed to vaccine-preventable diseases. The page includes a 45-second video, "Thinking About Delaying a Routine Vaccine for Your Child?”
The Common Questions page (also in Spanish) answers questions about these topics:
- Vaccines and immunity basics
- Timing my child’s vaccination
- Vaccine safety
- Preparing for vaccination appointments

For a guided tour, watch a recording of our live training video (20:44) to see how LetsGetRealAboutVaccines.org can support confident conversations about childhood vaccination.
Immunize.org released the April 28 version of its Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools. The April 28 version is updated with the most current dates of COVID-19 resources, with links refreshed. This checklist adds links to the 2026 immunization schedules from the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), and American College of Obstetricians and Gynecologists (ACOG) that now include COVID-19 vaccination. All resources continue to reflect use of the 2025–2026 formulation.
Immunize Kansas Coalition, in collaboration with the Kansas Chapter of American Academy of Pediatrics and the Kansas Hospital Association, launched a new campaign for Hepatitis B Awareness Month. The campaign helps healthcare providers, public health professionals, and coalition partners explain the benefits of the HepB birth dose.
Spanish messaging and graphics will be available soon.

View the campaign toolkit.
From the Immunize.org shop! Laminated VIS QR code tables deliver CDC VISs directly to your patients’ smartphone (Spanish translation version also available).
The Immunize.org team is pleased to offer durable, laminated tables of QR codes linking to VISs for vaccines given to children and adults. VISs explain both risks and benefits of vaccination. Federal law requires you to document provision of CDC’s current VIS before administering any vaccine covered by the Vaccine Injury Compensation Program. CDC recommends VISs accompany other vaccines, too. An easy, paperless way to comply with the law is for patients to scan a QR code and access the VIS from a smartphone or tablet.
CDC produces official VISs only in English. CDC does not produce or certify available translations, so the official CDC VIS should accompany any translation.
These new tables belong in any room where vaccinations are given. Key features include:
- Never out-of-date: Any time a VIS or translation is updated, the QR code will direct to the new VIS.
- Use as a booklet or poster: The laminated table arrives folded like a newspaper. It is suitable for desk use as an 8.5" x 11" booklet or wall mounted as an 11" x 17" poster.
- One version for official CDC VISs and one for Spanish translations: The table of official CDC VISs in English is sold individually. The table of Spanish translations is sold as a bundle with the table of official VISs so it is easy to make both available.
- Spanish version usable by non-Spanish speakers: The Spanish QR code table has side-by-side text in English to support its use by non-Spanish speakers.
- Easy access to all available translations: Both versions include a QR code link to the Immunize.org index of all VIS translations available in dozens of languages.
- Bonus content: The reverse side of the QR code poster includes links to Immunize.org's “Addressing Vaccination Anxiety” resources and additional VIS content.
Pricing (includes all shipping and handling costs)
Laminated CDC VIS QR Code Table (English)
1 copy: $14.00
2 copies: $9.00 each
3–4 copies: $6.50 each
5–9 copies: $5.00 each
10–19 copies: $4.00 each
20–59 copies: $3.00 each
60+ copies: $2.50 each
Bundle: Laminated CDC (English) + Spanish Translation VIS QR Code Tables
(each bundle includes 1 CDC VIS table and 1 table of Spanish translations)
1 bundle: $20.00
2 bundles: $16.00 each
3–4 bundles: $12.00 each
5–9 bundles: $8.50 each
10–19 bundles: $7.00 each
20–59 bundles: $6.00 each
60+ bundles: $5.00 each

Visit the Shop Immunize.org: Laminated VIS QR Code Tables web page to view images and order today! For additional information, call 651-647-9009 or email admininfo@immunize.org.
Help Immunize.org reach more vaccinators through your social media networks. Follow us and share our posts on Facebook, Instagram, and LinkedIn!
Immunize.org offers a social media program to highlight our educational resources for a broad audience of vaccinators. Our social media channels now feature our most popular printable resources and Ask the Experts questions, as well as announcements important to frontline vaccinators. Please view and share our newest feature, the Ask the Experts Video Series.

Like, follow, and share Immunize.org’s social media accounts and encourage colleagues and others interested in vaccination to do likewise:
- Facebook at ImmunizeOrg
- Instagram at ImmunizeOrg
- LinkedIn at Immunize.org
- YouTube at ImmunizeOrg
In Clinical Resources: Improving the Vaccination Experience, Immunize.org provides print and video tools to create a positive vaccination experience and ease injection anxiety in children and adults. Links to additional resources from trusted partner organizations are also provided.
The web page links to eight printable resources on addressing vaccination anxiety (four for providers, four for recipients; each available in English and Spanish), two in-depth webinars, and six brief videos (listed below). As with all Immunize.org resources, these are free to download, link, copy, and share.

The video topics include:
- How to Administer Multiple Intramuscular Vaccines to Adults During One Visit (3:47)
- Using Enhanced Screening Checklists for Contraindications to Vaccination (3:10)
- Addressing Vaccination Anxiety for Infants: Strategies for Vaccine Recipients and Caregivers (4:07)
- Addressing Vaccination Anxiety: Strategies for Healthcare Professionals (3:29)
- Fainting Related to Vaccination: What You Need to Know (3:24)
- Addressing Vaccination Anxiety for Children: Strategies for Vaccine Recipients and Caregivers (3:26)
Related Links
- Immunize.org: Clinical Resources: Addressing Vaccination Anxiety main page
- Immunize.org: Clinical Resources: Vaccine Confidence main page
Immunize.org offers wallet-sized Lifetime Immunization Record Cards, printed on rip-proof, smudge-proof, waterproof paper designed to last a lifetime. Sold in boxes of 250.

To purchase record cards, please visit the Immunize.org Shop.
Related Link
- Immunize.org: Shop Immunize.org main page
In its May 4 issue, JAMA Network: Open published Adjuvanted vs High-Dose Influenza Vaccines in Older US Adults. The results support the equivalency of adjuvanted and high-dose influenza vaccines for people age 65 years and older. A portion of the key points appears below.
Findings This cluster randomized crossover study of 429 595 individuals found that adjuvanted and high-dose influenza vaccines did not differ in effectiveness against laboratory-confirmed influenza during the 2023 to 2024 influenza season.
“Post-Licensure Safety of Nirsevimab from the Canadian National Vaccine Safety (CANVAS) Network” published in Human Vaccines & Immunotherapeutics
In its April 28 issue, Human Vaccines & Immunotherapeutics published Post-Licensure Safety of Nirsevimab from the Canadian National Vaccine Safety (CANVAS) Network. Nirsevimab (Beyfortus, Sanofi) was well tolerated, with low incidence of adverse events within 7 days of immunization. Portions of the abstract appear below.
This study describes parent-reported health events occurring within seven days of nirsevimab administration. Post-licensure, active, safety surveillance was conducted during the 2024–25 viral season in Canada, using parent-completed questionnaires distributed 8 days after immunization. Parents or caregivers of 1,559 children completed the survey. A third (454/1,559) of children had received nirsevimab co-administered with routine vaccines. Local injection-site reactions were reported in 140 children . . . 17.4% . . . when nirsevimab was co-administered and . . . 5.5% . . . when nirsevimab was given alone. Injection-site reactions extending beyond the closest joint were uncommon (6/1,559, 0.4%). Health events that prevented daily activities or required healthcare consultation were reported in . . . 3.4% . . . with nirsevimab administered alone and . . . 4.2% . . . with nirsevimab co-administered. The most reported symptoms were rhinorrhea: 1.8%, cough: 1.7%, feeding/eating changes: 1.6%, fever: 1.6% and diarrhea or change in bowel habits: 1.5%. Rash occurred in 10 children (0.6%). No cases of anaphylaxis were reported. Overall, in this study nirsevimab was well tolerated, with low incidence of health events within seven days of immunization. Results after co-administration support the incorporation of nirsevimab into the routine vaccination schedule.
CDC published Serologic Evidence of Highly Pathogenic Avian Influenza A(H5N1) Virus Infection in a Veterinary Professional Exposed to an Infected Domestic Cat—Los Angeles County, California, December 2024–January 2025 on May 7 in MMWR. Although not a vaccine-preventable infection at this time, transmission of HPAI from animals to humans is investigated closely because these influenza viruses could adapt to humans and trigger pandemics. A portion of the summary appears below.
Transmission of influenza A(H5N1) viruses from domestic cats to humans has not been documented. . . .
During November 2024–January 2025, a total of 139 persons exposed to 19 A(H5N1)-infected domestic cats that consumed raw animal products were identified in Los Angeles County, California. Among 25 exposed persons who received serologic testing, one asymptomatic veterinary professional had serologic evidence of A(H5N1) infection after occupational exposure to an A(H5N1)-infected cat. . . .
These findings provide evidence of zoonotic transmission of influenza A(H5N1) virus from domestic cats to humans. Pet owners are advised not to feed raw animal products to cats. Veterinary professionals should be aware of infection risks, use appropriate personal protective equipment, and adhere to recommended infection control practices to reduce the risk for zoonotic transmission of influenza A(H5N1).

Access the MMWR article in HTML or PDF.
Related Link
- CDC: MMWR main page providing access to the MMWR family of publications
“Fatal Human Case of Highly Pathogenic Avian Influenza A(H5N5) in a Backyard Flock Owner—Washington, November 2025” published in MMWR
CDC published Fatal Human Case of Highly Pathogenic Avian Influenza A(H5N5) in a Backyard Flock Owner—Washington, November 2025 on May 7 in MMWR. Highly pathogenic avian influenza (HPAI) was detected in an apparently healthy backyard flock of ducks and sediment from a watering basin on the property of a human case of HPAI. Although not a vaccine-preventable infection at this time, HPAI infections in humans are investigated closely because these influenza viruses could adapt to humans and trigger a pandemic. A portion of the summary appears below.
Since 2022, highly pathogenic avian influenza (HPAI) A(H5) viruses have circulated among wild birds in the United States. Seventy human cases of influenza A(H5), most with mild illness, have been reported in the United States since 2024; 14 human influenza A(H5N1) cases were previously identified in Washington. . . .
In November 2025, Washington reported the first human case of HPAI A(H5N5) infection worldwide. A positive laboratory result was obtained from a lower respiratory sample after multiple negative upper respiratory sample results; the patient experienced respiratory failure and died 28 days after symptom onset. The public health investigation identified approximately 135 exposed persons. . . .
Symptom management and testing of exposed persons are critical to monitoring for human-to-human transmission of novel influenza infection. Environmental and animal investigations, including genomic analysis, can identify epidemiologic risk factors.

Access the MMWR article in HTML or PDF.
Related Link
- CDC: MMWR main page providing access to the MMWR family of publications
To learn simple tips and tricks for using our websites efficiently, please register for our next set of Website Office Hours on Wednesday, May 13, at 4:00 p.m. (ET) or Thursday, May 14, at 12:00 p.m. (ET). The same content will be covered in both sessions.
We will open each 30-minute session with a short, live demonstration on navigating our News & Updates website section. You can submit questions when you register or live on Zoom during the session.

Register today for Immunize.org Website Office Hours (content is the same for both):
The archive of previous Website Office Hours content is posted at Immunize.org's "Webinars & Videos" page.
Mark your calendar for future Immunize.org Website Office Hours.
For more upcoming events, visit our Calendar of Events.
About IZ Express
IZ Express is supported in part by Grant No. NH23IP922654 from CDC’s National Center for Immunization and Respiratory Diseases. Its contents are solely the responsibility of Immunize.org and do not necessarily represent the official views of CDC.
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Editorial Information
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Editor-in-ChiefKelly L. Moore, MD, MPH
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Managing EditorJohn D. Grabenstein, RPh, PhD
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Associate EditorSharon G. Humiston, MD, MPH
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Writer/Publication CoordinatorTaryn Chapman, MS
Courtnay Londo, MA -
Style and Copy EditorMarian Deegan, JD
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Web Edition ManagersArkady Shakhnovich
Jermaine Royes -
Technical ReviewerKayla Ohlde

