The Virginia Department of Health (VDH) completed the annual review of Virginia’s statutory childhood immunization requirements (§ 32.1-46) and found that all but the influenza vaccine requirement are in alignment with the current Recommended Immunization Schedule developed for Children and Adolescents Aged 18 years or Younger published by the Centers for Disease Control and Prevention (CDC) in the Morbidity and Mortality Weekly Report. Additionally, the COVID-19 vaccine is recommended by the Advisory Committee on Immunization Practices (ACIP), CDC, the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP); however, it has not been added to the Recommended Immunization Schedule developed for Children and Adolescents Aged 18 Years or Younger, which was published on February 12, 2021. This schedule is revised at the beginning of each new year.