Changes in guidance out of Washington, D.C., have left many confused about the accessibility of COVID booster shots this fall. There are questions about eligibility, insurance, and even where a patient can get the vaccine.

Axios tried to unravel the mystery and found states falling into three categories (they used one pharmacy chain, CVS, as the test): unavailable, available without a prescription and prescription required for specific age groups. In West Virginia, a prescription is required.

In Ohio, the shots are available without a prescription, but those under age 65 MAY need to disclose a “high-risk” condition before receiving the vaccine. An Axios reporter whose story appeared online Sept. 8 wrote she tried three different large pharmacy chains in Ohio. Two required her to list a condition to book an appointment. Another let her schedule one without question.

Those who understand the importance and effectiveness of vaccines are usually starting to plan their appointments at about this time of year. Medical experts agree the shots are safe and help protect against diseases that could be deadly and also reduces the chances of those illnesses being spread to someone more vulnerable to the risks of infection.

According to the Associated Press, the American Academy of Pediatrics disagreed so strongly with Robert F. Kennedy Jr.’s take on vaccines that for the first time in 30 years it issued recommendations deviating from the federal government’s. It strongly recommends COVID vaccine shots for children ages 6 months to 2 years; and advises them for older children.

It is an unfortunate scenario to have such confusion stirred just as residents are making decisions about their health at the start of the cold and flu season. The best way to combat the confusion is to be informed.

Know your state’s general rules, then call your pharmacy. If necessary, call your doctor or your child’s pediatrician or your health insurance provider. Find out if you can get the shot, if you want it; don’t let a few extra hoops stop you.