Purpose
Compliant version of the Adult Immunization Schedule by Medical Condition and Other Indication.
Ages 19 Years or Older
< < Back to Adult Immunization Schedule by Medical Condition
¶ = Recommended for all adults who lack documentation of vaccination, OR lack evidence of immunity
§ = Not recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from disease
^ = Recommended based on shared clinical decision-making
| = Recommended for all adults, and additional doses may be necessary based on medical condition or other indications. See Notes.
± = Precaution: Might be indicated if benefit of protection outweighs risk of adverse reaction
# = Contraindicated or not recommended *Vaccinate after pregnancy, if indicated
• = No Guidance/Not Applicable
Vaccine | Pregnancy | Immuno-compromised (excluding HIV infection) |
HIV infection CD4 percentage and count |
Men who have sex with men | Asplenia, complement deficiency | Heart or lung disease | Kidney failure, End-stage renal disease or on dialysis | Chronic liver disease; alcoholisma | Diabetes | Healthcare Personnelb | |
---|---|---|---|---|---|---|---|---|---|---|---|
<15% or <200mm3 | ≥15% and ≥200mm3 | ||||||||||
COVID-19 | ¶ | See notes¶ | ¶ | ||||||||
IIV4 or RIV4 | 1 dose annually¶ | ||||||||||
LAIV4 | # | 1 dose annually if age 19-49 years§ | # | 1 dose annually if age 19-49± | years§ | ||||||
RSV | Seasonal administration. See notes¶ | See notes^ | ^ | See notes^ | |||||||
Tdap or Td | Tdap: 1 dose each pregnancy| | 1 dose Tdap, then Td or Tdap booster every 10 yrs¶ | |||||||||
MMR | *# | # | 1 or 2 doses depending on indication¶ | ||||||||
VAR | *# | # | See notes¶ | ¶ | |||||||
RZV | • | See notes¶ | § | ||||||||
HPV | *# | 3 dose series if indicated§ | § | ||||||||
Pneumococcal | • | ¶ | § | ¶ | § | ||||||
HepA | § | • | ¶ | • | ¶ | • | |||||
HepB | See notes¶ | § | ¶ | § | ¶ | ¶ | ¶ | ||||
Age ≥ 60 years^ | |||||||||||
MenACWY | • | | | • | | | • | ||||||
MenB | ± | • | | | • | |||||||
Hib | • | HSCT: 3 dosesc| | • | Asplenia: 1 dose¶ | • | ||||||
Mpox | See notes§ | § | See notes§ | § | See notes§ |