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Immunity Over Time: What Vaccines You Might be Missing

In the 1950s, staying healthy meant finishing your dinner and getting some fresh air. Maybe you lined up at school for a sugar cube with the polio vaccine dripped on it. Today, we know a lot more about our immune system and how it changes with age. That means older adults have new ways to protect themselves, starting with the right vaccines.

August is National Immunization Awareness Month, the perfect time to take a look at your own immunity. Whether you’re in your 50s, 60s, or 70s and beyond, here’s what your immune system may be missing.

In your 50s: Starting strong

Your immune system is still working hard, but this is the decade when certain risks begin to rise. Staying ahead now can make a big difference later.

Shingles vaccine (Shingrix)
If you had chickenpox as a kid, the virus is still in your body. Ninety-nine percent of people born before the 1980s have had chickenpox. The chickenpox virus can cause shingles, a painful rash that can flare up in adulthood. A two-dose vaccine, recommended for adults 50 and older, is the only way to protect yourself against the disease.

Flu shot
The flu can hit harder after 50. Annual vaccination reduces the risk of severe illness and helps protect those around you. The National Council on Aging suggests getting your flu shot at the beginning of flu season, in   mid-September or early October.

COVID-19 vaccine
You may feel healthy and strong, but COVID-19 can still lead to serious illness—especially if it’s been a long time since your last shot. Stay up to date with an annual booster every fall, just like the flu shot.

Tetanus booster (Tdap)
If it’s been more than 10 years since your last tetanus shot, it’s time to get a booster. It also helps guard against whooping cough and diphtheria.

Pneumococcal vaccine (Prevnar 20 or combination vaccines)
Protects against pneumonia, meningitis, and bloodstream infections. Recommended at age 50, or earlier for those with certain health conditions.

🗞️ Back in the day: Doctors made house calls, and a shot in the arm meant you got a lollipop. Some things have changed—but staying protected is still sweet. 

In your 60s: Strengthening your defenses

This is the time to reinforce your immune system. Your body may be a little slower to fight off infections, but the right vaccines can give you an extra layer of defense.

Flu shot (again!)
Don’t skip it. Seniors may benefit from high-dose or enhanced versions designed specifically for aging immune systems.

COVID-19 vaccine
By this age, your risk of complications goes up—especially with chronic conditions such as diabetes or heart disease. The CDC recommends an updated COVID-19 vaccine every fall, even if you’ve had previous doses.

Remember: It’s never too late to get up to date. If you missed any vaccinations in your 50s (or it’s been 10+ years since your last tetanus booster), talk to your healthcare provider about getting those vaccines.

In your 70s and beyond: Staying ahead

Even if you feel young at heart, your immune system has decades of wear and tear. A few more vaccines can help you stay active and independent.

RSV vaccine
This one is new. RSV, or respiratory syncytial virus, can lead to serious illness in older adults. Approved in 2023, this one-time vaccine is recommended for adults 75 and older and adults over 60 who are at an increased risk of severe RSV.

COVID-19 boosters

COVID-19 hasn’t gone away. Adults 65+ are more likely to experience severe symptoms, hospitalization, or a cluster of post-infection symptoms referred to as long COVID. One updated vaccine dose each fall is strongly encouraged, and your provider may recommend a second booster later in the year depending on your health.

📻 Radio advice from yesterday still rings true today: An ounce of prevention really is worth a pound of cure.

Where to get vaccinated in Providence

Need a quick place to check your records or get a vaccine? Here are a few local options:

• CVS Pharmacy and Walgreens – Several locations throughout Providence
• Rhode Island Free Clinic – For income-eligible adults
• Providence VA Medical Center – For veterans

Check with your healthcare provider to see the best place to get your vaccinations.

Charlesgate residents can lean on us to help get them protected. Our dedicated assisted living staff are available 24 hours per day to provide a special combination of dietary services, personal assistance, social and physical activities, arrangement of medical and supportive services, medication administration services and much more.

It’s not too late to check in with your doctor or care team and see what vaccines you might be missing.