NEW YORK — The nation's top public health agency posted new recommendations that say healthy children may get COVID-19 vaccinations, removing language that said kids should get the shots.

The change comes days after U.S. Health Secretary Robert F. Kennedy Jr. announced that COVID-19 vaccines will no longer be recommended for healthy children and pregnant women.

But the updated guidance on the Centers for Disease Control and Prevention's website does not appear to end recommendations for vaccination of pregnant women, a change that was heavily criticized by medical and public health experts.

CDC and HHS officials did not immediately respond to questions about the new guidance.

Kennedy announced the coming changes in a 58-second video posted on the social media site X on Tuesday. No one from the CDC was in the video, and CDC officials referred questions about the announcement to Kennedy and the U.S. Department of Health and Human Services.

On Thursday, the CDC updated its website. The agency said that shots may be given to children ages 6 months to 17 years who do not have moderate or severe problems with their immune systems. Instead of recommending the shots, the CDC page now says parents may decide to get their children vaccinated in consultation with a doctor.

That kind of recommendation, known as shared decision-making, still means health insurers must pay for the vaccinations, according to the CDC. However, experts say vaccination rates tend to be lower when health authorities use that language and doctors are less emphatic with patients about getting shots.

Childhood vaccination rates for COVID-19 are already low — just 13% of children and 23% of adults have received the 2024-25 COVID-19 vaccine, according to CDC data.

Talk of changing the recommendations has been brewing. As the COVID-19 pandemic has waned, experts have discussed the possibility of focusing vaccination efforts on people 65 and older — who are among those most as risk for death and hospitalization.

A CDC advisory panel is set to meet in June to make recommendations about the fall shots. Among its options are suggesting shots for high-risk groups but still giving lower-risk people the choice to get vaccinated. A committee work group has endorsed the idea.

But Kennedy, a leading anti-vaccine advocate before becoming health secretary, decided not to wait for the scientific panel's review.