CLEVELAND, Ohio — Last fall, all it took to get a COVID-19 vaccine was rolling up your sleeve. This year, pharmacies in Ohio and elsewhere will first ask if you’re 65 or older, or have underlying medical conditions putting you at risk for a severe case of the respiratory illness.

That’s because the U.S. Food and Drug Administration has restricted its recommendations for who should get the updated COVID-19 shot this fall.

Under the Trump administration’s new rules, the vaccine is only approved for adults ages 65 and up, and for all people six months and up who have one or more risk factors for severe COVID-19, which include cancer, stroke, chronic heart, liver, kidney and lung disease; cystic fibrosis, dementia, diabetes and having a weakened immune system.

The changes have prompted qu

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