Gavin Newsom and state health officials released the recommendations as part of the state’s newly formed health alliance with Oregon, Washington and Hawaii. California’s guidance comes just two days ahead of a key meeting where a federal vaccine panel will review the updated COVID-19 vaccine. Typically, after the FDA approves a vaccine for use, this federal committee makes recommendations on who should be immunized. The state health department’s recommendations now take precedence. In addition to the COVID-19 vaccine, California’s immunization guidance also recommends that everyone 6 months and older get a flu shot.