Here‘s What We Know: How Vaccines Help Prevent Disease

From eradicating deadly diseases to preventing seasonal outbreaks, vaccines continue to protect individuals and strengthen communities.  

"Without a doubt, vaccines are one of the greatest achievements of modern medicine," says Dr. Trip Gulick, Chief of the Division of Infectious Diseases at Weill Cornell Medicine. Through their widespread use, vaccines are credited with saving millions of lives and transforming public health across the globe. 

As new vaccines are introduced and recommendations evolve, it’s important to understand their history, safety and relevance—especially for parents and caregivers as they strive to make informed decisions around their families’ health. 

The historical impact of vaccines 

Vaccines have played a pivotal role in reducing and even eliminating some of the world’s deadliest diseases: 

  • Smallpox was eradicated globally in 1980 through a coordinated vaccination campaign. 
  • Cases of polio have declined by over 99 percent since 1988, thanks to widespread immunization. 
  • Measles, rubella and diphtheria, once common and sometimes life-threatening, are now rare in countries with strong vaccination programs. 

These milestones demonstrate how vaccines not only protect individuals but also contribute to herd immunity, reducing the spread of disease and protecting those who cannot be vaccinated due to their age, immunocompromised status or underlying medical conditions. 

Ensuring vaccine efficacy and safety 

Vaccines undergo a rigorous development and approval process before they are made available to the public. Major steps in the process include: 

  • Preclinical testing in laboratories and animal models  
  • Clinical trials in humans, starting with small numbers of participants and followed by large-scale testing 
  • Review by agencies such as the FDA and CDC 
  • Ongoing monitoring for long-term safety 

Most vaccine side effects are mild and temporary, such as soreness at the injection site, a low-grade fever, or febrile seizures in children. Serious adverse events are rare and are closely monitored through systems like the Vaccine Adverse Event Reporting System (VAERS). 

The role of expert committees and insurance coverage 

Normally, the Advisory Committee on Immunization Practices (ACIP) plays a critical role in shaping vaccine policy. This group of medical and public health experts reviews scientific data to make evidence-based recommendations on vaccine use and eligibility in various patient populations. 

The committee’s recommendations influence: 

  • Public health guidelines 
  • School immunization requirements 
  • Insurance coverage, including provisions under the Affordable Care Act that ensure recommended vaccines are covered without cost-sharing (the way the cost of care is split between you and your insurance company, including copays, your deductible, or co-insurance). 

The process also ensures that vaccines remain accessible and equitably distributed across all communities. When ACIP stops recommending a vaccine, insurers are no longer required by federal law to cover it. That could make a vaccine much more expensive and less available. 

“It is important that ACIP share its recommendation with the director of the Centers for Disease Control and Prevention (CDC) to help provide scientifically accurate guidance and mitigate any confusion,” says Dr. Laura Riley, Obstetrician and Gynecologist-in-Chief at NewYork-Presbyterian Hospital and Chair of the Department of Obstetrics and Gynecology at Weill Cornell Medicine. 

According to America's Health Insurance Plans (AHIP), health plans will continue to cover all ACIP-recommended immunizations that were recommended (as of September 1, 2025), including updated doses of the COVID-19 and flu vaccines, with no cost-sharing for patients through the end of 2026. If you are concerned or have questions on coverage, please check with your employer or insurance provider. 

Guidance for parents and families 

Parents are essential partners in public health. Vaccinating children not only protects them from serious illnesses but also helps prevent outbreaks in schools and neighborhoods. 

“If you have any questions, don’t hesitate to talk to your physicians, including your pediatrician or your obstetrician if pregnant,” says Dr. Sallie Permar, Chair of the Department of Pediatrics at Weill Cornell Medicine and Pediatrician-in-Chief at NewYork-Presbyterian Komansky Children’s Hospital. “Enormous care and effort have gone into the development of these vaccines in the way that they've been tested and shown to be effective and safe,” she emphasizes. 

Stay up to date with recommended childhood immunizations, including annual flu shot. You can also speak with your child’s doctor to learn if the COVID-19 vaccine is currently recommended for your little one. 

“The best way to stay safe is through what we call ‘cocooning’ your family members who may be at higher risk of illness by boosting everyone’s immunity through vaccination,” says Dr. Karen Acker, Assistant Professor of Clinical Pediatrics at Weill Cornell Medicine. 

Please discuss any concerns about your child’s vaccine schedule with your family physician or pediatrician. 

Current vaccine recommendations 

According to the CDC, please review the latest guidance for the following vaccinations: 

Respiratory syncytial virus (RSV) 

  • Pregnant women: The RSV vaccine is recommended during the third trimester (from 32 through 36 weeks of pregnancy). 
  • Infants: Protected through maternal vaccination or monoclonal antibody treatments. 
  • Older adults: The vaccine is recommended for all adults ages 75 and older and patients ages 50–74 who may have an increased risk of severe RSV, due to other health-related conditions. 

COVID-19 

  • Annual boosters are recommended for most people, especially those over 65 or with a compromised immune system or other health-related conditions. 
  • The American Academy of Pediatrics recommends the COVID-19 vaccine for babies and toddlers from 6 to 23 months old and for children and teens from 2 to 18. 
  • Updated formulations target current variants for improved protection. 

Hepatitis B 

  • Infants: Universal vaccination at birth. 
  • Children: Younger than 19 who have not been vaccinated. 
  • Adults aged 19–59: Recommended regardless of risk factors. 
  • Older adults aged 60 and older: With risk factors for hepatitis B. 
  • Catch-up vaccination is available for unvaccinated individuals of any age. 

More information about the COVID-19 vaccine and its impact 

Two of the three available COVID-19 vaccines—those produced by Pfizer/BioNTech and Moderna—were developed using mRNA technology. Since 2020, 13 billion COVID shots have been administered worldwide, saving more than 14 million lives. 

“We still see hospitalizations and deaths from COVID every year,” says Dr. Gulick, making it even more important to stay current with your COVID booster shots.  

The vaccine’s side effects include a sore arm and, in rare cases, inflammation of the heart muscle (myocarditis). The myths and misinformation surrounding its side effects have been thoroughly debunked, he adds. 

Review this updated list of underlying medical conditions that can lead to severe cases of COVID-19. It is important to talk with your healthcare provider about your own risk. 

Frequently asked questions (FAQs) 

Are vaccines safe for children? 

Yes. Vaccines are extensively tested and monitored. Pediatric vaccines are specifically designed to be safe and effective for young immune systems. 

Can vaccines cause the disease they’re meant to prevent? 

No. Most vaccines use inactivated or weakened viruses that cannot cause illness. They train the immune system without causing disease. 

Why do some vaccines require boosters? 

Boosters help maintain immunity over time, especially as viruses evolve or immunity wanes. 

What if my child missed a vaccine? 

Catch-up schedules are available. Talk to your healthcare provider to get back on track safely. 

Are vaccines covered by insurance? 

Yes. Most vaccines recommended by ACIP are covered by insurance, including Medicaid, Medicare and through the Affordable Care Act. 

Should pregnant people get vaccinated? 

Absolutely. Vaccines like Tdap, RSV and flu are recommended during pregnancy to protect both mother and baby. 

Final thoughts 

Vaccines are a cornerstone of public health, saving millions of lives each year by preventing hospitalization, serious disease and deaths. 

"We should all get vaccinated. Vaccines are the best way to avoid illness, or if you get the illness after vaccination, which can happen, it will be a milder version,” says Dr. Gulick. 

By staying informed, following expert recommendations and ensuring timely vaccinations for us and our families, we contribute to healthier, safer communities.

Learn more about Here's What We Know to explore how science is shaping tomorrow's care.