Pharmacists must stay updated on vaccine recommendations as COVID-19, influenza, RSV, and other viruses circulate. COVID-19 vaccines for 2024-2025 include mRNA from Moderna, Pfizer, and Novavax. ACIP recommends 1 dose for those 5 years and older, with additional doses for high-risk groups. Influenza vaccines have a new trivalent formulation, and RSV vaccination is crucial for older adults. Pneumococcal vaccination age has been lowered to 50, with new vaccines targeting prevalent serotypes.