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

Key messages

RSV Mother and Infant Protection Program

A nationally consistent immunisation program has been introduced in 2025 to protect infants from the Respiratory Syncytial Virus (RSV). The RSV-MIPP offers immunisation products to pregnant women, and infants at increased risk of severe RSV disease.

Vaccination for pregnant women

The maternal RSV vaccine (Abrysvo®) is available year-round under the National Immunisation Program (NIP)External Link

  • Recommended for pregnant women at 28-36 weeks gestation but may be given after 36 weeks based upon clinical advice.
  • Provides passive protection to newborns through transplacental antibody transfer, for up to 6 months.
  • Abrysvo® is the only RSV vaccine approved for use in pregnancy.
  • Abrysvo vaccine is not approved for use in infants and children.

Infant immunisation

The Victorian Government-funded infant RSV immunisation program will run from 1 April to 30 September 2025. The program provides Beyfortus™ (nirsevimab), a long-acting monoclonal antibody to eligible infants and young children.

  • Infant program ends on 30 September 2025.
  • Stock must be retained for use in the 2026 RSV season. Do not discard leftover doses.
  • 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 Abrysvo® and Arexvy® are not approved for administration in infants and children. Nirsevimab (Beyfortus™) is the only product approved for use in infants and children.

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 order Abrysvo® RSV vaccineExternal Link via Onelink online.

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 30 September 2025

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