COVID-19 vaccination surveillance in Northern Ireland: Spring end of programme report 2025

COVID-19 Spring Vaccination Surveillance in Northern Ireland End of Programme Report 2025

1 Summary

  • A total of 73,493 COVID-19 vaccinations were administered during the Spring COVID-19 vaccination programme, which commenced on 07 April 2025 and ended on 30 June 2025.
  • Uptake of COVID-19 vaccinations was highest in care home residents.
  • Vaccine uptake was highest in Ards and North Down Local Government District (LGD) in eligible adult cohorts reported by LGD; 75 years and over and individuals aged 18-74 years who were immunosuppressed. Vaccine uptake was lowest in Mid Ulster for the same eligible groups.
  • Vaccine uptake in Spring 2025 was lower compared to previous Spring programmes.

2 COVID-19 Spring Vaccination Programme 2025

The COVID-19 Spring Vaccination Programme commenced in Northern Ireland on 07 April 2025 and ended on 30 June 2025. The programme was delivered by a number of providers including GP, community pharmacy and Health and Social Care Trusts. The total number of vaccinations administered during the programme was 73,493. COVID-19 Spring vaccine uptake in 2025 was highest in care home residents at 67.5% (Figure 2.1).

COVID-19 Spring vaccination uptake by eligible group in Northern Ireland, 2025.

Figure 2.1: COVID-19 Spring vaccination uptake by eligible group in Northern Ireland, 2025.

3 Vaccine uptake in eligible groups

Vaccine uptake has decreased since Spring 2022 in all eligible groups. Vaccine uptake has remained highest in care home residents; however, uptake has declined during this time from 82.3% in Spring 2022 to 67.5% in 2025. (Figure 3.1).

COVID-19 Spring vaccination uptake in eligible groups in Northern Ireland, 2022 to 2025.

Figure 3.1: COVID-19 Spring vaccination uptake in eligible groups in Northern Ireland, 2022 to 2025.

3.1 75 years and over

3.1.1 75 years and over by Local Government District

Vaccine uptake in individuals aged 75 years and over varied by LGD. Vaccine uptake was highest in Ards and North Down (56.5%) and Lisburn and Castlereagh (55.8%). Vaccine uptake was lowest in Mid Ulster 28.9%. (Figure 3.2).

COVID-19 Spring vaccination uptake in individuals aged 75 years and older by Local Government District in Northern Ireland, 2025.

Figure 3.2: COVID-19 Spring vaccination uptake in individuals aged 75 years and older by Local Government District in Northern Ireland, 2025.

3.1.2 75 years and over by age band

Vaccine uptake in individuals aged 75 years and over improved with increasing age. Vaccine uptake increased from 37.1% in those aged 75-79 years to 46.4% in those aged 80 years and over (Figure 3.3).
COVID-19 Spring vaccination uptake in individuals aged 75 years and older by age band in Northern Ireland, 2025.

Figure 3.3: COVID-19 Spring vaccination uptake in individuals aged 75 years and older by age band in Northern Ireland, 2025.

3.2 18-74 years immunosuppressed

3.2.1 18-74 years immunosuppressed by Local Government District

Vaccine uptake in individuals aged 18-74 years who were immunosuppressed was highest in Ards and North Down at 33.3% and lowest in Mid Ulster at 9.7% (Figure 3.4).

COVID-19 Spring vaccination uptake in individuals aged 18 to 74 years who were immunosuppressed by Local Government District in Northern Ireland, 2025.

Figure 3.4: COVID-19 Spring vaccination uptake in individuals aged 18 to 74 years who were immunosuppressed by Local Government District in Northern Ireland, 2025.

3.2.2 18-74 years immunosuppressed by age band

Vaccine uptake in individuals aged 18-74 years who were immunosuppressed improved with increasing age. Vaccine uptake increased from 5.9% in those aged 18-24 years to 38.3% in those aged 70-74 years. (Figure 3.5).
COVID-19 Spring vaccination uptake in individuals aged 18 to 74 years who were immunosuppressed by age band in Northern Ireland, 2025.

Figure 3.5: COVID-19 Spring vaccination uptake in individuals aged 18 to 74 years who were immunosuppressed by age band in Northern Ireland, 2025.

3.3 Care Home residents

Vaccine uptake in care home residents differed across Health and Social Care (HSC) Trust area. Vaccine uptake was highest in South Eastern HSC Trust (SEHSCT) at 75.1%. Vaccine uptake in care home residents was lowest in Southern HSC Trust (SHSCT) and Western HSC Trust (WHSCT), 59.7% and 60.9% respectively (Figure 3.6).

COVID-19 Spring vaccination uptake in care home residents by Trust in Northern Ireland, 2025.

Figure 3.6: COVID-19 Spring vaccination uptake in care home residents by Trust in Northern Ireland, 2025.

4 Eligibility for vaccinations

The Green Book is published by UK Health Security Agency and provides information for public health professionals on immunisation, including COVID-19 vaccination (The Green Book | Immunisation againist infectious disease). Considering this advice and that of the Joint Committee on Vaccination and Immunisation (JCVI), the Chief Medical Officer in Northern Ireland issues a letter for the COVID-19 Spring programme outlining who is eligible for vaccination under the current programme. For more information on the vaccination programmes in Northern Ireland, including eligibility for vaccination, please visit Health NI | Spring 2025 Booster Vaccination Campaign.

5 Methods

Data is presented to the end of the COVID-19 Spring vaccination programme, 30 June 2025.

All vaccinations are recorded on the Northern Ireland Vaccine Management System (VMS).

Data is accurate at the time of extraction, 24 July 2025. Data lags exist between date of administration of the vaccine and date of recording on VMS.

Eligible groups are not mutually exclusive and individuals may be counted in more than one group. Individuals may have more than one eligibility criterion for vaccination; however, most will only have one reason for vaccination recorded on VMS. This will impact estimates of vaccine uptake.

5.1 Definitions and data sources

Vaccine uptake (%) is defined as the number of vaccinations administered (numerator) divided by the eligible population (denominator). Vaccine uptake was included in this report for those eligible groups in which a denominator was available.

COVID-19 Spring 2025 vaccination was defined as any vaccination recorded on the VMS administered from 01 April 2025 to 30 June 2025.

5.1.1 Adult vaccinations by age group

Age for adult vaccinations was based on age at 30 June 2025. The age group based population was based on the NISRA mid-year estimate (2021).

5.1.2 Immunosuppressed individuals

Individuals who were ‘immunosuppressed’ were determined using the reason for vaccination ‘immunosuppressed’, as populated on the VMS. The population who are ‘immunosuppressed’ was determined using data from the national General Practice Intelligence Programme (GPIP) extracted at the beginning of the COVID-19 Autumn/Winter 2024/25 vaccination programme. Vaccine uptake for the adult ‘immunosuppressed’ population was estimated in this report.

5.1.3 Care home

Care home residents included those recorded as a care home resident with a valid RQIA care home registration number on VMS. The care home resident population was based on the beds occupied reported in the Northern Ireland RQIA Census of Bed Availability in Registered Care Homes in Northern Ireland (December 2023).

6 Supplementary tables

Table 1: Number of COVID-19 Spring vaccinations and cumulative vaccination uptake by eligible group in Northern Ireland, 2025.

Eligible Group

Number vaccinated

Population

Vaccine uptake (%)

75 years and over

63,988

151,548

42.2

18-74 years immunosuppressed

7,415

37,658

19.7

Care Home residents

9,102

13,490

67.5

Table 2: Number of COVID-19 Spring vaccinations and cumulative vaccination uptake eligible groups in Northern Ireland, 2022 to 2025.

Eligible Group

Programme

Number vaccinated

Population

Vaccine uptake (%)

75 years and over

2022

119,490

151,548

78.8

75 years and over

2023

96,252

151,548

63.5

75 years and over

2024

78,465

151,548

51.8

75 years and over

2025

63,988

151,548

42.2

18-74 years immunosuppressed

2024

10,699

34,152

31.3

18-74 years immunosuppressed

2025

7,415

37,658

19.7

Care Home Residents

2022

11,035

13,412

82.3

Care Home Residents

2023

10,737

13,690

78.4

Care Home Residents

2024

10,063

13,691

73.5

Care Home Residents

2025

9,102

13,490

67.5

Table 3: Number of COVID-19 Spring vaccinations and cumulative vaccination uptake in individuals aged 75 years and over by Local Government District in Northern Ireland, 2025.

LGD

Number vaccinated

Population

Vaccine uptake (%)

Antrim and Newtownabbey

5,976

11,798

50.7

Ards and North Down

9,703

17,172

56.5

Armagh City, Banbridge and Craigavon

6,212

16,371

37.9

Belfast

11,771

24,040

49.0

Causeway Coast and Glens

5,183

12,763

40.6

Derry City and Strabane

4,481

10,358

43.3

Fermanagh and Omagh

3,095

9,418

32.9

Lisburn and Castlereagh

7,144

12,795

55.8

Mid Ulster

2,973

10,286

28.9

Mid and East Antrim

6,261

12,962

48.3

Newry, Mourne and Down

5,726

13,585

42.1

Table 4: Number of COVID-19 Spring vaccinations and cumulative vaccination uptake in individuals aged 75 years and over by age band in Northern Ireland, 2025.

Age Band

Number vaccinated

Population

Vaccine uptake (%)

75-79

24,959

67,262

37.1

80+

39,068

84,286

46.4

Table 5: Number of COVID-19 Spring vaccinations and cumulative vaccination uptake in individuals aged 18 to 74 years who were immunosuppressed by Local Government District in Northern Ireland, 2025.

LGD

Number vaccinated

Population

Vaccine uptake (%)

Antrim and Newtownabbey

733

2,767

26.5

Ards and North Down

1,064

3,196

33.3

Armagh City, Banbridge and Craigavon

630

4,514

14.0

Belfast

1,217

7,183

16.9

Causeway Coast and Glens

593

2,686

22.1

Derry City and Strabane

509

2,516

20.2

Fermanagh and Omagh

287

2,151

13.3

Lisburn and Castlereagh

795

3,222

24.7

Mid Ulster

289

2,990

9.7

Mid and East Antrim

657

2,773

23.7

Newry, Mourne and Down

635

3,435

18.5

Table 6: Number of COVID-19 Spring vaccinations and cumulative vaccination uptake in individuals aged 18 to 74 years who were immunosuppressed by age band in Northern Ireland, 2025.

Age Band

Number vaccinated

Population

Vaccine uptake (%)

18-24

63

1,071

5.9

25-29

75

1,238

6.1

30-34

120

1,614

7.4

35-39

175

2,302

7.6

40-44

258

2,955

8.7

45-49

344

3,265

10.5

50-54

595

3,859

15.4

55-59

887

5,043

17.6

60-64

1,374

5,710

24.1

65-69

1,595

5,561

28.7

70-74

1,932

5,040

38.3

Table 7: Number of COVID-19 Spring vaccinations and cumulative vaccination uptake in care home residents by Trust in Northern Ireland, 2025.

Trust

Number vaccinated

Population

Vaccine uptake (%)

BHSCT

1,890

2,680

70.5

NHSCT

2,337

3,521

66.4

SEHSCT

2,405

3,201

75.1

SHSCT

1,328

2,224

59.7

WHSCT

1,136

1,864

60.9