FDA to review Moderna’s mRNA flu vaccine after initial rejection


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Summary

mRNA flu shot

The FDA will review Moderna’s mRNA flu shot for those 50 and older, the pharmaceutical company announced Wednesday.

Back-and-forth

The decision comes about a week after the FDA refused to review Moderna’s vaccine, citing a lack of an “adequate and well-controlled” study.

Pending approval

The FDA is now reviewing the vaccine, targeted at folks 50 and older, with the goal of approving it for the 2026-27 flu season.


Full story

Moderna announced the Food and Drug Administration (FDA) will review its new mRNA flu vaccine, changing course less than two weeks after the agency said it refused to accept Moderna’s application. 

In an announcement on Wednesday, Moderna said the FDA had reversed course and would review the vaccine with a “revised regulatory approach.”

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FDA says it won’t review 

The process began last week, when Moderna submitted a review proposal to the FDA for a new mRNA seasonal flu vaccine. The vaccine would be the first of its kind following the rapid development of mRNA vaccines during the COVID-19 pandemic. 

In response to Moderna’s application, the FDA declined to review the proposal and stated that it lacked an “adequate and well-controlled” study. 

The decision left Moderna and other scientists stunned, with Moderna President Dr. Stephen Hoge telling CNN, “the complete stunner here is, at no point in any of this, did anybody say that it was not adequate.”

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The federal government distributed 977 million COVID-19 vaccine doses since the beginning of the COVID-19 pandemic.

Moderna conducted a 40,700-person clinical trial and said the FDA had previously agreed to the plan in 2024. But that was before Dr. Vinay Prasad was appointed to the FDA’s Center for Biologics Evaluation and Research, which oversees vaccine regulation.

Prasad has been an outspoken critic of the government’s response to the COVID-19 pandemic and its vaccines. He was appointed to his position in 2025. 

FDA changes course

After the refusal, Moderna reached out to the FDA for clarification on what was lacking, and “proposed a revised regulatory approach.” It amended its submission, seeking full approval for adults aged 50 to 64 and an accelerated approval for adults 65 and older.

The FDA accepted the amended application and will review the vaccine with the goal of approving it ahead of the 2026-27 flu season. 

“We appreciate the FDA’s engagement in a constructive Type A meeting and its agreement to advance our application for review,” Moderna CEO Stéphane Bancel said in a statement. “Pending FDA approval, we look forward to making our flu vaccine available later this year so that America’s seniors have access to a new option to protect themselves against flu.”

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Why this story matters

The FDA's initial rejection and subsequent acceptance of Moderna's mRNA flu vaccine application introduces uncertainty into the vaccine approval process that could affect availability of new medical options and reflects a shift in regulatory standards under new leadership.

Vaccine availability timeline affected

Americans waiting for new flu vaccine options now face a delayed and uncertain approval process, with availability pushed to the 2026-27 flu season at earliest instead of sooner.

Regulatory standards now less predictable

Companies that received prior FDA agreement on clinical trial designs can no longer assume those plans will be accepted, creating uncertainty about which medical products will reach market.

Leadership changes alter approval criteria

The appointment of Dr. Vinay Prasad, a critic of COVID-19 vaccine policies, to oversee vaccine regulation preceded the FDA's rejection of a previously agreed-upon study design.

Get the big picture

Synthesized coverage insights across 66 media outlets

Community reaction

According to William Schaffner, an infectious disease physician at Vanderbilt University Medical Center, the FDA's decision to backtrack is "good news" and important for giving new vaccines a fair assessment, especially for mRNA-based vaccines.

Global impact

Moderna has applied for the vaccine's approval in Europe, Canada and Australia. Health Canada accepted Moderna's mRNA influenza vaccine for review on Jan. 28, 2026, with a decision anticipated within 300 days after acceptance.

History lesson

MRNA technology was used during the coronavirus pandemic to develop vaccines that were ready within a year and were credited with saving millions of lives. The technology was praised as a "modern-day miracle" during President Trump's first term.

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Unbiased. Straight Facts.

Don’t just take our word for it.


Certified balanced reporting

According to media bias experts at AllSides

AllSides Certified Balanced May 2025

Transparent and credible

Awarded a perfect reliability rating from NewsGuard

100/100

Welcome back to trustworthy journalism.

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Bias comparison

  • Media outlets on the left frame the FDA's decision as a "dramatic reversal" of a "controversial refusal," highlighting scientific innovation and a public "dispute" while also noting figures like Robert F. Kennedy Jr.'s criticism of mRNA technology.
  • Media outlets in the center provide specific application details and critically assess the "chaos at the agency" and "volatility," describing the event as an "FDA pirouette.
  • Media outlets on the right portray the FDA's action as correcting an initial misstep, emphasizing positive market outcomes like "Moderna gains" and "stock rises.

Media landscape

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119 total sources

Key points from the Left

  • The U.S. Food and Drug Administration reversed its earlier refusal and will review Moderna's application for an mRNA seasonal flu vaccine after the company amended its proposal.
  • Moderna seeks full FDA approval for adults aged 50 to 64 and accelerated approval for adults 65 and older, with a requirement for a post-marketing study in older adults.
  • The FDA initially rejected the application due to flaws in Moderna's study design but did not raise safety or efficacy concerns.
  • If approved, the vaccine could be available for people aged 50 and older for the 2026-2027 flu season.

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Key points from the Center

  • The U.S. Food and Drug Administration on Feb 18, 2026 agreed to review Moderna's mRNA seasonal influenza vaccine after the company amended its application, reversing last week's refusal.
  • The FDA's "refuse-to-file" decision stemmed from Dr. Vinay Prasad citing issues with the control vaccine and study design in a trial of about 41,000 people.
  • Moderna proposed splitting approvals by age, seeking full approval for adults 50 to 64 and accelerated approval for adults 65 and older with a post-marketing study, while the FDA targets a decision by Aug. 5 for the 2026-2027 flu season.
  • Shares of Moderna rose more than 5% after the news amid intense mRNA scrutiny by Robert F. Kennedy Jr., U.S. Health Secretary, who canceled $500 million funding.
  • Regulators abroad are also reviewing the filing, with regulators in Europe, Canada and Australia assessing Moderna's vaccine while the company spent hundreds of millions and secured a $750 million Blackstone investment.

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Key points from the Right

  • The Food and Drug Administration reversed its previous decision and will review Moderna's new mRNA-based flu vaccine application.
  • Last week, the FDA refused to review the application, stating it lacked adequate research, which surprised Moderna's president Dr. Stephen Hoge.
  • Moderna proposed a split application seeking full approval for adults 50-64 and accelerated approval for adults 65 and older, with a study to follow.
  • The FDA aims to decide on approval by August, allowing seniors to receive the vaccine for the 2026-2027 flu season.

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