Recommendations for COVID-19 vaccination from September 1 2025

Swedish recommendations for COVID-19 vaccination focus on preventing severe illness and death. These national guidelines are regularly updated and adjusted in response to changes in the epidemiological situation and the risks associated with COVID-19. The following recommendations are valid starting September 1st 2025.

Target groups for vaccination

As of September 1 2025, The Public Health Agency of Sweden recommends a single dose of the COVID-19 vaccine, preferably administered during the autumn, to

  • All individuals aged 75 and above
  • All individuals aged 18 and above with immunosuppression due to medical treatment, organ transplantation, haematological malignancies or other immunosuppressive conditions such as chronic kidney disease stages 3–5.
  • Individuals aged 50-74 with at least one of the following underlying conditions that increase the risk of severe COVID-19:
    • Ischemic heart disease (excluding hypertension as the sole diagnosis).
    • Chronic pulmonary disease such as COPD or severe asthma.
    • Diabetes mellitus (type 1 and 2).
    • Liver failure.
    • Chronic kidney disease stages 3–5.
    • Conditions that reduce lung volume or respiratory capacity, such as obesity with BMI 40 or above.
    • Other diseases or conditions that significantly impact overall health and increase the risk of severe COVID-19, such as dementia, psychiatric disorders, or alcohol/drug abuse.
  • Individuals who are not covered by the recommendation as per the definition above, but have advanced illness or conditions that impair their health in a way that puts them at risk of severe COVID-19, are prescribed the vaccine by a doctor. Examples of such illnesses may include severe lung disease or pronounced frailty due to extensive comorbidities.

Age limits in the recommendations refer to the age attained during the current year. A recommendation for adults applies from the 18th birthday.

Individuals who are recommended a dose can opt out, without risk, of vaccination if they have already had confirmed COVID-19 during the current season.

Children under 18 years old are recommended the COVID-19 vaccination if they are at increased risk of severe COVID-19, upon individual medical assessment. Vaccination in this case requires a doctor's prescription.