Free vaccines for older adults in Australia: RSV, flu, shingles and pneumococcal

Why vaccines matter more as we get older

As we age, our immune system responds less strongly to infections. Illnesses such as influenza, respiratory syncytial virus (RSV), pneumococcal disease and shingles are more likely to cause serious complications, hospital stays and loss of independence in older adults. Vaccination is one of the simplest ways to lower that risk.

The free RSV vaccine for older adults

RSV is a common respiratory virus. In older adults it can lead to bronchitis and pneumonia, and it can make heart and lung conditions worse. From 15 May 2026, a single dose of the RSV vaccine Arexvy is free and recommended under the National Immunisation Program for:

• all adults aged 75 years and over
• Aboriginal and Torres Strait Islander people aged 60 years and over

People outside these groups may still be recommended an RSV vaccine, for example if they have certain medical conditions, but would need to purchase it privately. If you have recently had RSV, you can be vaccinated once you have fully recovered.

The annual flu vaccine

Flu viruses change each year, so a yearly flu vaccine is recommended for everyone aged 6 months and over. It is free under the NIP for people aged 65 and over, as well as other eligible groups such as pregnant women, Aboriginal and Torres Strait Islander people and people with certain medical conditions. Older adults are offered vaccines designed to produce a stronger immune response. The best time is usually autumn, before flu season peaks, but it is still worth having later if you missed it.

Shingles vaccine

Shingles is a painful rash caused by the same virus as chickenpox reactivating later in life. It can lead to long-lasting nerve pain. A two-dose shingles vaccine is free under the NIP for people aged 65 and over, Aboriginal and Torres Strait Islander people aged 50 and over, and some younger adults with conditions that weaken the immune system.

Pneumococcal vaccine

Pneumococcal disease can cause pneumonia, blood infections and meningitis. Pneumococcal vaccination is free under the NIP for older adults and for people with certain medical risk conditions. Your GP can check your records and let you know whether you’re due.

Getting vaccinated in Delacombe

Many of these vaccines can be given at the same appointment, which saves extra trips. Bring your Medicare card and a list of your medicines, and let your GP or nurse know about any previous reactions. Vaccines are recorded on the Australian Immunisation Register, so your history is kept in one place.

If you’re 75 or over and haven’t had your free RSV vaccine yet, ask our reception team for an appointment with a GP or one of our practice nurses.

More about RSV in older adults

RSV spreads through droplets when someone coughs or sneezes, and by touching contaminated surfaces. In healthy younger adults it often feels like a cold, but in older adults it can become serious quickly, leading to pneumonia, worsening heart failure or a flare of lung conditions such as COPD. Older adults are much more likely than young children to die from RSV. Because RSV circulates most in the cooler months, being vaccinated before winter offers the best protection, although you can be vaccinated at any time.

What side effects should I expect?

Common side effects after these vaccines are usually mild and short-lived. They can include a sore arm, redness or swelling where the needle went in, tiredness, headache or muscle aches. These generally settle within a few days. Let your GP or nurse know if you have had a serious reaction to a vaccine before.

Is there a cost?

Vaccines on the National Immunisation Program are free for eligible people. Some providers may charge a consultation or service fee to give the vaccine. At a Medicare Bulk Billing Practice, eligible GP consultations are bulk billed for patients with a valid Medicare card. Ask reception if you are unsure.

For carers and family members

If you care for an older parent or grandparent in Delacombe or Ballarat, helping them keep up to date with vaccines is a practical way to support their health. You can view their immunisation history in their Medicare online account with permission, and help them book an appointment that covers several vaccines at once.

Vaccine checklist for older adults

• Flu vaccine every year, ideally before winter
• RSV vaccine once, if you’re aged 75 or over, or an Aboriginal or Torres Strait Islander person aged 60 or over
• Shingles vaccine, two doses, if eligible
• Pneumococcal vaccine, if eligible
• COVID-19 vaccine as recommended for your age and health

This article is general health information and is not a substitute for personalised medical advice. Information is current as at November 2026 and may change. Always speak with your GP about your own health. In an emergency, call 000.