The Centers for Disease Control and Prevention (CDC) has revised its COVID-19 vaccine guidance for children and pregnant women, now urging families to consult with health care providers to make individual decisions based on personal risk.

The updated guidance says it supports a process called "shared clinical decision-making," giving families more control and discussing benefits and risks with their doctor.

“It appears on the CDC website now that this vaccine can be given through shared decision making,” said Rachel Buckwalter, a public health nurse in Tompkins County. “You sit down and talk to your doctor about your particular situation.”

A mother of three, Allison Racht has been outspoken about her decision to delay COVID-19 vaccination for her children, citing what she says is a lack of long-term safety data.

“In 2020, 2021, it didn’t matter what you went in for, they were pushing this COVID vaccine,” Racht said. “This shift gives us back the chance to make thoughtful decisions with our doctor, without shame.”

While the vaccine is still recommended for most people, health officials say the change doesn’t mean COVID-19 is no longer a risk, especially for vulnerable groups.

“The number one ER visits for COVID are for people over 65,” Buckwalter added. “But number two are infants under the age of one.”

Supporters of the change say it strikes a balance between public health and personal freedom, giving families room for discussion without government mandates. But the new language is also drawing criticism.

"I have two girls, 16 and 10. I've always, obviously as a public health nurse, had them fully vaccinated for everything," Buckwalter said. "I feel like this is a compassionate choice for them, keeping them healthy and keeping them in school."