Sources and claim audit
Every claim the Vaccine Hawk checklist makes, the source it rests on, and what changed when it was checked. Claims were checked against AAFP, AAP, ACOG and WHO guidance, and wording that did not match was corrected.
1. Influenza (Flu)
| Claim on the site | Source | Notes |
|---|---|---|
| Annual flu vaccine recommended for everyone 6 months and older | AAFP 2025 Respiratory Vaccine Update | |
| Seasonal influenza causes millions of severe illnesses globally each year | WHO Influenza Fact Sheet: 3-5 million severe cases globally, 290k-650k deaths | Reworded from unsourced U.S. hospitalization claim. |
| 1 dose every year, ideally before flu season starts (September-October) | AAFP Seasonal Influenza Prevention & Control |
2. Tdap / Td (Tetanus, Diphtheria, Pertussis)
| Claim on the site | Source | Notes |
|---|---|---|
| Everyone needs a Tdap once if they haven't had one, then a Td or Tdap booster every 10 years | AAFP Adult Immunization Schedule | Corrected booster wording. |
| Recommended for all adults | AAFP Adult Immunization Schedule | |
| Pregnancy: 1 dose each pregnancy, preferably weeks 27-36 | AAFP Adult Immunization Schedule ACOG Tdap in Pregnancy |
3. MMR (Measles, Mumps, Rubella)
| Claim on the site | Source | Notes |
|---|---|---|
| Measles outbreaks are increasing, vaccination rates have dropped | WHO Measles Fact Sheet | |
| Adults born in 1957 or later without evidence of immunity generally need at least 1 dose | AAFP Adult Immunization Schedule | |
| Healthcare workers: 2 doses at least 4 weeks apart if no evidence of immunity | AAFP Adult Immunization Schedule | |
| MMR is contraindicated during pregnancy | AAFP Adult Immunization Schedule WHO Measles Fact Sheet |
4. HPV (Human Papillomavirus)
| Claim on the site | Source | Notes |
|---|---|---|
| Prevents cancers caused by HPV including cervical, throat, and other cancers | WHO HPV Position Paper | |
| Most effective when given before exposure to HPV | WHO HPV Paper | |
| Ages 18-26: 3 doses at 0, 1-2, and 6 months | AAFP HPV | |
| Under 15: 2 doses, 6-12 months apart | WHO HPV Paper AAP HPV Guidelines | |
| Ages 27-45: shared clinical decision-making | AAFP HPV ACP Guidelines | |
| Can start as early as age 9 | AAP HPV |
5. Shingles (Shingrix)
| Claim on the site | Source | Notes |
|---|---|---|
| Recommended for adults 50+ | AAFP Adult Immunization Schedule WHO Zoster Paper | |
| Recommended for immunocompromised adults age 19+ | AAFP Adult Immunization Schedule | Clarified adult age floor. |
| Over 90% effective | WHO Zoster Paper | Exact efficacy figure not yet matched against the paper. |
| 2 doses, 2-6 months apart | AAFP Shingles |
6. Pneumococcal (Pneumonia)
| Claim on the site | Source | Notes |
|---|---|---|
| Can cause pneumonia, meningitis, and bloodstream infections | WHO Pneumococcal Paper | |
| Routine adult vaccination starts at age 50; younger adults with risk factors may also need it | AAFP Adult Immunization Schedule | Updated to match current AAFP wording. |
| Depending on vaccine history: PCV20 or PCV21, or PCV15 followed by PPSV23 | AAFP Adult Immunization Schedule | Expanded from a PCV20-only simplification. |
7. RSV (Respiratory Syncytial Virus)
| Claim on the site | Source | Notes |
|---|---|---|
| Recommended for adults 75+ and adults 50-74 with risk factors | AAFP 2025 Respiratory Vaccine Update AAFP Adult Immunization Schedule | Updated age/risk wording. |
| Single dose (Arexvy, Abrysvo, or mResvia); additional doses not recommended | AAFP 2025 Respiratory Vaccine Update | Updated to include mResvia. |
| Pregnancy: 1 dose Abrysvo during weeks 32-36, September-January | AAFP 2025 Respiratory Vaccine Update |
8. COVID-19
| Claim on the site | Source | Notes |
|---|---|---|
| For this season's vaccine, check AAFP's current adult schedule | AAFP Adult Immunization Schedule | Replaced "Updated seasonal COVID vaccines are available" in October 2026 so the card makes no dated claim. The recommendation itself was not re-reviewed. |
| AAFP recommends COVID vaccination for adults 18+, with emphasis on older adults, immunocompromised people, and chronic conditions | AAFP 2025 Respiratory Vaccine Update | Updated source framing away from WHO-only language. |
| 65+: 2 doses of the current season's vaccine | AAFP Adult Immunization Schedule | |
| Source cited: AAFP seasonal COVID guidance | AAFP 2025 Respiratory Vaccine Update |
9. Hepatitis B
| Claim on the site | Source | Notes |
|---|---|---|
| Can cause chronic liver disease and liver cancer | WHO Hep B Fact Sheet | |
| Recommended for all adults through age 59; adults 60+ may also receive it based on risk or preference | AAFP Adult Immunization Schedule | |
| 2-dose series (Heplisav-B, 4 weeks apart) or 3-dose series (Engerix-B at 0, 1, 6 months) | AAFP Hep B |
10. Hepatitis A
| Claim on the site | Source | Notes |
|---|---|---|
| Spread through contaminated food/water | WHO Hep A Fact Sheet | |
| 2 doses, 6-18 months apart | AAFP Hep A |
11. Varicella (Chickenpox)
| Claim on the site | Source | Notes |
|---|---|---|
| Chickenpox in adults can be severe | WHO Varicella Paper | |
| 2 doses, 4-8 weeks apart, if no evidence of immunity | AAFP Varicella | |
| Usually surfaced for younger adults because most U.S.-born adults before 1980 are presumed immune; exceptions still apply | AAFP Adult Immunization Schedule | Reframed from a hard age cutoff. |
12. Meningococcal (MenACWY)
| Claim on the site | Source | Notes |
|---|---|---|
| Can cause meningitis and blood infections | WHO Meningococcal Paper | |
| Important for college students living in dorms | AAFP Meningococcal | |
| Immunocompromised: 2-dose primary series, boosted every 5 years | AAFP Adult Immunization Schedule | |
| Non-immunocompromised adults: consider if first-year college student in a dorm, military recruit, traveler, or another high-risk group | AAFP Adult Immunization Schedule | Corrected overly broad 18-26 claim. |
13. Childhood Schedule (0-17)
| Claim on the site | Source | Notes |
|---|---|---|
| Lists: DTaP, IPV (polio), Hep B, Hib, PCV, rotavirus, varicella, MMR, Hep A, HPV, meningococcal, flu | WHO Routine Immunization Tables AAP Immunizations | |
| HPV recommended starting at age 11-12 | AAP HPV |
14. Logic / Targeting Accuracy
| Claim on the site | Source | Notes |
|---|---|---|
| MMR now includes a birth-year/immunity note instead of being suppressed for all 50+ | AAFP Adult Immunization Schedule | Logic corrected. |
| HPV not shown for 50+ (correct per guidelines) | AAFP and ACP: HPV shared decision-making up to age 45 only | |
| Shingles shown for immunocompromised adults age 19+ | AAFP Adult Immunization Schedule | |
| Pneumococcal shown for 50-64 | AAFP Adult Immunization Schedule | Current AAFP guidance starts routine adult vaccination at 50. |
| RSV now appears for 50-64 when risk factors are selected; the 65+ card explains the 75+/risk-based split | AAFP 2025 Respiratory Vaccine Update | Logic corrected. |
| Hep B copy now notes that routine recommendation ends at 59 and adults 60+ may still receive it | AAFP Adult Immunization Schedule | Copy corrected. |
15. Site-Level Claims
| Claim on the site | Source | Notes |
|---|---|---|
| Disclaimer says sources are "AAFP, AAP, ACOG, WHO" | Site copy | Updated to match actual source set. |
| "Not medical advice. Consult your healthcare provider" | Site copy | Shown at the end of every checklist. |
| History: "checked 5,000+ ZIP codes against Walgreens' booking system during the 2021 rollout" | Project record: the 2021 scraper checked a list of 5,151 ZIP codes (scraper code has since been removed from the repo) | Updated from unsupported "locations" wording. |
| Removed dead ClearHealthCosts feature link | Old URL returned HTTP 404 on April 10, 2026 | Unsupported claim removed from footer. |
What the April 2026 review changed
- Source set: Updated to AAFP/AAP/ACOG/WHO only.
- RSV: Corrected the adult logic to reflect AAFP's 75+ universal recommendation and 50-74 risk-based recommendation, and added mResvia to the product list.
- Pneumococcal: Expanded the schedule text beyond PCV20-only wording to include PCV21 and PCV15 followed by PPSV23.
- MMR / meningococcal logic: Removed overly broad age-only shortcuts and replaced them with birth-year/immunity or risk-based wording.
- Footer history: Replaced unsupported "5,000+ Walgreens locations" and removed the dead ClearHealthCosts link.