As you may know, second bivalent boosters are currently only approved for people 65+ or whom are immune compromised. As you also may know, the vast majority of the booster's effect only lasts about three months.
I scheduled it online- I just ticked yes for the first box for "are you taking any meds that may compromise your immune system." The same question is repeated a second time on another page but answering yes here requires you to enter information about the medication, so I entered no and it let me schedule it anyway.
If I was asked in person I was just going to say I use a steroid nasal spray (i don't) but the dude didn't say anything. Seemed happy to have someone getting a vax if anything.
Is this a different vax than the one last summer? or same formulation?
It's the most recent formulation (the one that was updated to better protect against omicron) and I think it started to roll out for the elderly/immune compromised group in mid-September 2022 and then to everyone about a month later.