Department of Health

Respiratory syncytial virus (RSV) immunisation

ATAGI recommendations, vaccine eligibility, resources and workforce authorisation information for immunisation providers.

Community immunisation information

The information on this page is aimed at immunisation providers. If you're looking for immunisation information for yourself, your family or someone you're caring for, visit Better Health Channel.

Immunisation information on Better Health Channel

Latest News

  • There are current media reports that there is a shortage of the RSV infant vaccine. Whilst there is limited supply of nirsevimab, there is not a shortage, and general practice clinics are being supplied as expected.
  • A Respiratory Syncytial Virus Mother and Infant Protection Program (RSV- MIPP) is available for pregnant women and eligible infants in 2025 for the prevention of RSV associated lower respiratory tract disease.
  • Refer to the RSV immunisation resources and the Respiratory syncytial virus (RSV) chapterExternal Link of the Australian Immunisation Handbook for all clinical guidance.
  • Information about authorised immunisers in Victoria and the RSV immunisation products they are authorised to administer is available at Immunisers in Victoria.

RSV Mother & Infant Protection Program (RSV-MIPP)

A nationally consistent immunisation program for mothers and babies has been introduced in 2025 to protect babies from Respiratory Syncytial Virus (RSV). The RSV Mother and Infant Protection Program (RSV-MIPP) offers immunisation products to pregnant women, and infants at increased risk of severe RSV.

Vaccination for pregnant women

The maternal RSV vaccine (Abrysvo®) is free under the National Immunisation Program (NIP)External Link for women at 28–36 weeks pregnancy to protect their baby.

Maternal RSV vaccine is administered to protect newborn infants, through the passing of RSV-specific antibodies from the mother to the unborn baby.

The RSV-MIPP prioritises uptake of the maternal Abrysvo® RSV vaccine, to provide the baby with passive protection against RSV during the first six months of infancy.

Note - Abrysvo® vaccine is the only RSV vaccine approved for use in pregnant women. Abrysvo® vaccine is not approved for use in infants and children.

Infant immunisation

The Victorian Department of Health is offering a complementary infant RSV immunisation program to protect infants most at risk from severe RSV disease. The program will run from 1 April to 30 September 2025.

Under the new program, a free long-acting RSV monoclonal antibody, Beyfortus™ (nirsevimab), will be offered to eligible infants and young children. Refer to the table below for detailed eligibility criteria for the infant immunisation:

  • Infants born between 1 April – 30 September 2025:

    • To mothers who did not receive maternal RSV vaccine during pregnancy, or where maternal RSV vaccine was administered less than 2 weeks before birth
    • with risk conditions for severe RSV disease (Australian Immunisation HandbookExternal Link ) regardless of maternal vaccination.
  • Infants born from 1 October 2024 – 31 March 2025:

    • (Up to 8 months of age only) to mothers who did not receive maternal RSV vaccine during pregnancy, or where maternal RSV vaccine was administered 2 weeks before birth, or
    • with risk conditions for severe RSV disease (Australian Immunisation HandbookExternal Link ) regardless of maternal vaccination.
  • Infants born on or after 1 October 2023 vulnerable to severe RSV:

Note - RSV vaccines are not approved for use in infants and children.

Please monitor this webpage for information and updates on the program implementation details including eligibility criteria, stock availability and clinical guidance.

Respiratory syncytial virus immunisation resources

Authorised RSV immunisers in Victoria

Medical practitioners, nurse practitioners and authorised midwives can administer RSV immunisation products without the need for additional authorisation.

Nurse immunisers, pharmacist immunisers and intern pharmacist immunisers, and Aboriginal and Torres Strait Island health practitioner immunisers in Victoria are authorised to possess and administer Schedule 4 poisons via Secretary Approvals made under the Drugs, Poisons and Controlled Substances Regulations 2017. The Secretary Approvals specify the immunisation products they are authorised to administer and the conditions of the approval.

The RSV immunisation products these immunisers are authorised to possess and administer is listed below.

  • RSV immunisation products approved for use

    • Arexvy (RSV PRE-F3) vaccine for RSV, as recommended in the Australian Immunisation Handbook
    • Abrysvo® (RSV PRE-F) vaccine for RSV, as recommended in the Australian Immunisation Handbook
    • Beyfortus™ (nirsevimab) RSV monoclonal antibody to eligible infants and children recommended for immunisation as listed in the infant immunisation section of this webpage (at the time of administration) and in accordance with the Australian Immunisation Handbook.

    Training, conditions and exclusions

    As specified in the Secretary Approval for nurse immunisers

    Additional training and competency requirements

    No additional training requirements

  • RSV immunisation products approved for use

    • Arexvy (RSV PRE-F3) vaccine for RSV, as recommended in the Australian Immunisation Handbook
    • Abrysvo® (RSV PRE-F) vaccine for RSV, as recommended in the Australian Immunisation Handbook

    Training, conditions and exclusions

    As specified in the Secretary Approval for pharmacist immunisers

    Additional training and competency requirements

    No additional training requirements

  • RSV immunisation products approved for use

    • Arexvy (RSV PRE-F3) vaccine for RSV, as recommended in the Australian Immunisation Handbook
    • Abrysvo® (RSV PRE-F) vaccine for RSV, as recommended in the Australian Immunisation Handbook

    Training, conditions and exclusions

    As specified in the Secretary Approval for intern pharmacist immunisers.

    Additional training and competency requirements

    No additional training requirements

  • RSV immunisation products approved for use

    • Arexvy (RSV PRE-F3) vaccine for RSV, as recommended in the Australian Immunisation Handbook
    • Abrysvo® (RSV PRE-F) vaccine for RSV, as recommended in the Australian Immunisation Handbook
    • Beyfortus™ (nirsevimab) RSV monoclonal antibody to eligible infants and children recommended for immunisation as listed in the infant immunisation section of this webpage (at the time of administration) and in accordance with the Australian Immunisation Handbook.

    Training, conditions and exclusions

    As specified in the Secretary Approval for ATSIHP immunisers

    Additional training and competency requirements

    No additional training requirements

Immunisers must always refer to their relevant Secretary Approval for the conditions associated with administration of the approved RSV immunisation products.

All immunisers must maintain competence and operate within their individual scope of practice by ensuring that they have the knowledge, skills and currency of practice for all immunisations that they provide.

Adverse Events Following Immunisation

Immunisation providers should report any adverse events following immunisation (AEFI). Refer to the Australian Immunisation HandbookExternal Link to find out more about common and rare AEFI of RSV vaccines.

Unexpected or serious AEFI, including vaccine administration errors, should be reported to SAEFVIC, Victoria’s safety surveillance partner. Refer to Adverse Events following Immunisation (AEFI) reporting.

RSV vaccine administration errors

Learn how to avoid vaccine errors and establish practices that can identify report and manager vaccine errors. Refer to Vaccine error management.

Refer to NCIRS clinical guidance on RSV immunisation product administration errorsExternal Link .

Storage, handling and preparation of RSV vaccines and nirsevimab

Immunisation providers must store and handle all vaccines according to the National Vaccine Storage Guidelines ‘Strive for 5'External Link

  • Store RSV vaccines and monoclonal antibodies in the original package to protect the product from light.
  • Abrysvo® vaccine must be reconstituted prior to administration. Special instructions are provided for the diluent and vial adaptor required for Abrysvo® vaccine.

Refer to Abrysvo® RSV vaccineExternal Link and Beyfortus™ (nirsevimab) monoclonal antibodyExternal Link product information.

Ordering RSV vaccines and nirsevimab

Registered immunisation providers in Victoria can now order both the Abrysvo® RSV vaccineExternal Link and Beyfortus™ (nirsevimab)External Link . Order limits apply to ensure equitable distribution.

Refer to ordering vaccines for details on how to order vaccines through Onelink Online.

Report to the Australian Immunisation Register (AIR)

It is mandatory to report all NIP immunisations, including Abrysvo® to the AIR. Additionally, providers are strongly encouraged to record all Beyfortus™ (nirsevimab) immunisations given on the AIR.

Please refer to the Uploading to AIR factsheet for full details.

Further information can be found at the Using the Australian Immunisation RegisterExternal Link webpage.

Reviewed 07 April 2025

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