This report from the Vaccine Integrity Project (established April 2025 by CIDRAP/University of Minnesota) synthesizes findings from facilitated stakeholder discussions held May 11–22, 2025, with representatives from public health, academia, industry, insurers, medical associations, and community organizations, examining threats to US vaccine policy integrity and potential non-governmental responses.
Eight priority recommendations emerged: strengthening communication, developing clinical tools and guidelines, building a coordinating coalition, maintaining vaccine infrastructure, stabilizing the vaccine safety system, supporting state/local health departments, safeguarding insurance coverage, and sustaining data flow for decision-making.
Stakeholder discussions were conducted under Chatham House Rules with a compressed two-week timeline, limiting sample diversity and verifiability; findings reflect qualitative consensus rather than quantitative evidence; no formal participant count or selection methodology is reported.
Clinicians should be aware that federal immunization guidance infrastructure is in flux—engage with professional society guidelines and state health departments as alternative sources of evidence-based vaccine recommendations. Frontline providers are seen as critical trusted messengers; proactive, informed patient counseling on influenza, RSV, and COVID-19 vaccines is especially important this season.
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