COVID-19 Information: People with Crohn's Disease or Ulcerative Colitis (IBD)

People with IBD may be at higher risk for flu-related complications, especially if they take corticosteroids (steroids) or anti-TNF medications. Vaccination is an important way to reduce the risk of serious illness.

 

Key Recommendations

  • Stay up to date with COVID-19 vaccines according to current public health recommendations.
  • These recommendations apply to both adults and children with IBD.

 

COVID-19 Vaccine Recommendations

  • COVID-19 vaccination is strongly recommended for everyone with IBD, including children and adolescents.
  • People who are pregnant and have IBD should also receive COVID-19 vaccines according to current recommendations.
  • Available COVID-19 vaccines have been shown to be effective at reducing the risk of severe illness, hospitalization, and death.

 

Safety

  • COVID-19 vaccines are safe for people with IBD and have not been shown to worsen IBD or increase disease activity.
  • The benefits of vaccination greatly outweigh the risks for most people with IBD.
     

Family Members and Caregivers

  • Household members and close contacts should stay up to date on COVID-19 vaccines to help protect people with IBD who may be immunocompromised.
  • Household contacts of people taking immune-modifying medications should receive the inactivated flu vaccine, not the live nasal spray vaccine.
     

Pediatric IBD

For children and adolescents with IBD:

  • Follow the recommended childhood schedule for COVID-19 vaccination.
  • Children receiving immunosuppressive medications should not receive the live nasal spray flu vaccine.

Updated: September 2026

Key Messages

For people with IBD, experts strongly recommend:

  1. Staying up to date with COVID-19 vaccination
  2. Avoiding the live nasal spray flu vaccine if taking immune-modifying medications
  3. Ensuring household members are vaccinated
  4. Discussing vaccine questions with your gastroenterology care team