Overview
We will keep this post updated as we move through the 2026/27 flu season. Lasted edited on August 28th.
- School vaccinations – there are a lot of changes this year. The HSE has issued new guidlines and we have introduced a new School Vaccination Hub and are retiring the process used last year.
- Authorised influenza vaccines – NIAC.
- HSE Winter Vaccination Program 2026/27 – vaccine details, eligibility groups.
- Preparation tips to get you ready for the season.
School Vaccinations
Everything has changed this year driven by new HSE guidelines.
Summary of the HSE Guidelines:
- Consent reviewed in advance, day-of forms refused — HSE state they’ll be “advising vaccinators not to accept consent forms given to them on the day of vaccination,” and providers must “ensure all consent forms are reviewed in advance of the vaccination clinic before attending the school.”
- Withdrawal contact route required — providers must “provide sufficient contact details… to allow parents/legal guardians to engage further or withdraw consent as required.”
- Identity double-checks for similar names — explicit requirement where a child “has a similar name to another child or identifies by a different name to that on the consent form.”
- Same-day records — providers must “enter vaccination records on to the respective ICT system on the day of vaccination.”
- Sign and produce on request — both parties “are required to sign the relevant section,” and providers “may be required to provide a copy of this agreement to the HSE on request.”
NEW School Vaccination Hub
Building on our three years of experience working with hundreds of pharmacies across nearly 1,000 schools, the NEW School Vaccination Hub distils real-world learning into a solution designed around how Irish pharmacies actually deliver school vaccination programmes.
The School Vaccination Hub is an end-to-end platform designed to make school vaccination clinics simpler, faster and more accurate—from Consent to Completion. It brings paperless parent consent, advance clinic preparation, class and student organisation, review of special considerations, clinic-day vaccination recording and post-clinic reconciliation into one streamlined workflow.
More details here.
We are Retiring Last Year’s School Booking Process
With the new season approaching, we’re retiring the workflow used for school vaccination bookings last year. If you ran school clinics in 2025/26, you’ll recognise the friction: there was no clean way to remove a child from the wait list once they’d registered — deleting the entry or setting an appointment time were the only options — so a parent withdrawing consent by phone often meant extra calls and follow-up on your end.
The class and teacher labels only got you part of the way to an organised clinic list, and because every school needed its own link and appointment type set up individually, there was always a risk of links or details getting crossed between schools.
On top of that, the HSE has tightened what’s expected for the coming season — consent now needs to be captured alongside medical screening, withdrawal has to be straightforward for parents at any point, and queries need to be resolved before clinic day rather than dealt with on the day. The 2025/26 process was built as a workaround on our general booking system, and it simply wasn’t designed to handle those requirements reliably as things scale. That’s why we’ve built a dedicated schools workflow for this season rather than stretching last year’s setup further.
PS: we will make accomodations for pharmacies who use the booking engine mainly for in-pharmacy appointments. Rather than a dedicated link per school, the consenting adult enters the school name into a free text field on the intake form. This really only suits pharmacies handling a handful of small schools. If that’s you, get in touch and we’ll set it up.
NIAC - Authorised Influenza Vaccines
Per NIAC, below are the authorised influenza vaccine types for Ireland
- Inactivated influenza vaccine (IIV) – standard-dose, egg-cultured
- Adjuvanted inactivated influenza vaccine (aIIV) – contains the MF59 adjuvant for an enhanced immune response
- Inactivated influenza vaccine high dose (HD-IIV) – contains a higher antigen dose (60mcg)
- Inactivated influenza vaccine recombinant (RIIV) – manufactured using recombinant proteins
- Inactivated influenza vaccine cell-based (ccIIV) – manufactured using mammalian cell culture
- Live attenuated influenza vaccine (LAIV) – given as a nasal spray
- Combined COVID-19 and influenza mRNA vaccine
NIAC has formally evaluated and issued recommendations for IIV, aIIV and LAIV specifically, while its review of the cell-based, recombinant and high-dose options is still ongoing.
For the 2026/27 season specifically, WHO has recommended trivalent formulations (dropping the B/Yamagata component, since that lineage hasn’t circulated since March 2020), and NIAC has adopted that guidance.
PS: not every vaccine authorised for use in Ireland is necessarily marketed/available here and at the time of writing (August 24th, 2026), the HSE has not issued its guidelines.
Available Influenza Vaccines under the HSE 2026/27 Programme
Per HSE letter on August 28th, the following 4 vaccines are available for Influenza under the 2026/2027 HSE seasonal flu vaccination programme:
- A Live Attenuated Influenza Vaccine (LAIV), a nasal spray influenza vaccine called Fluenz supplied by
AstraZeneca recommended by NIAC for children aged 2 to 17 years - An adjuvanted (enhanced) inactivated influenza vaccine (aIIV) called Fluad supplied by Seqirus. This is an
injectable vaccine recommended by the National Immunisation Advisory Committee (NIAC) only for those aged 65 years and older. - Standard inactivated influenza vaccines (IIV) called Influvac supplied by Viatris, or Vaxigrip supplied by Sanofi. IIVs are injectable influenza vaccines for:
- All adults aged 60-64 years
- Children aged 6 months to less than 2 years, children aged 2 to 17 years with a contraindication to
receiving LAIV, and adults aged 18-59 in eligible groups.
Eligible Groups for the 2026/27 HSE Influenza Vaccination Programme
Per HSE letter on August 28th, the following 4 vaccines are available for Influenza under the 2026/2027 HSE seasonal flu vaccination programme:
- All aged 60 years and older
- All those aged 18 years and older living in residential care facilities for older people and other long stay facilities
- where rapid spread is likely to follow the introduction of infection
- All aged 6 months and older who are at increased risk of influenza related complications:
- Cancer
- Chronic heart disease
- Chronic kidney disease
- Chronic liver disease,
- Chronic neurological disease
- Chronic respiratory disease
- Diabetes and other metabolic disorders, including inherited metabolic disorders, Haemoglobinopathies
- immunocompromise due to disease or treatment
- Body mass index over 40
- Serious mental health conditions
- Children and adults with Down syndrome
- Children with moderate to severe neurodevelopmental disorders
- Children on long term aspirin therapy
- All children and young people aged 2 to 17 years
- All healthcare workers
- All pregnant women (at any stage of pregnancy)
- Carers and household contacts of people at increased risk of influenza related complications
- People with close, regular contact with pigs, poultry or waterfowl
COVID-19 Vaccine and Recommendations
NIAC recommend antigenically updated COVID-19 mRNA vaccines for the autumn/winter programme in 2026/2027.
The vaccine available for all age groups will be Comirnaty XFG manufactured by Pfizer. For those aged 12 years and
older the vaccine is Comirnaty XFG 30 micrograms.
Groups recommended to get a COVID-19 vaccine in autumn/winter 2026/2027
- All aged 60 years and older
- All aged 18 years and older living in a long term care facility for older adults
- All aged 6 months and older with immunocompromise associated with a suboptimal response to vaccination
- All aged 6 months and older with a medical condition associated with a higher risk of hospitalisation, severe
disease or death due to COVID-19: - Cancer
- Chronic heart disease
- Chronic kidney disease
- Chronic liver disease
- Chronic neurological disease
- Chronic respiratory disease
- Diabetes and other metabolic disorders, including inherited metabolic disorders
- Haemoglobinopathies
- BMI over 40
- Serious mental health conditions
- Children and adults with Down syndrome
- Children with moderate to severe neurodevelopmental disorders
Healthcare workers and pregnant women who are in the groups listed above are recommended to get a COVID-19
vaccine in autumn/winter 2026/2027. Anyone aged over 18 years who is not in any of the groups listed above, can get
a COVID-19 vaccine if they choose to, following discussion with a healthcare provider.
There should be at least a 3 month interval between the last COVID-19 vaccine or the last COVID-19 infection
before getting vaccinated.Outside of the autumn/winter COVID-19 vaccination programme, COVID-19 vaccines should also be available where
clinically indicated, including but not limited to pregnancy, previously unvaccinated in eligible groups, or those
commencing a new period of immunosuppression.
Getting Ready for the Winter Vaccination Season 2026/27
- If you used the pharmacy services booking engine last year, please export all appointments. This ensures you have a local copy on your PC for future reference and audits.
- To export, click on the submenu icon (small square button with 3 lines in it to the right) and select Export Appointments as a CSV. How to export is on this Booking Engine Operations Quick Start Guide.
- Click on the wait list and see if you have anyone on the wait list from last year. To simplify this year’s wait list, consider deleting the old appointments on the wait list. To do this click on Wait List, select the bookings from last year and press Cancel button on the blue bar at the botton of the page. Please ensure they are not this years batch.
- We will be updating the following appointment types: adult flu; children 2-17 LAIV and adult COVID/flu appointment types as per the HSE information above. This will be completed on the week of Sept 1st.
- PS: All school appointments types made available in the 2025/26 season will NOT be updated with the latest guidance or information. As per our communications, we are retiring this process.
- Here is a quick refresher course on the booking engine and all quick start guides are on our support page.
Updates to the Booking Engine 2026/27
-
LAIV ages 2-17
-
Flu >18s
-
COVID-19
-
Combined Flu/COVID-19
