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Immunization Schedules








Adult Immunization Schedule by AgeRecommendations for Ages 19 Years or Older, United States, 2024						Print
																Related Pages
										Back to Adult Immunization Schedule home pageVaccines in the Adult Immunization Schedule
**How to use the schedule**
To make vaccination recommendations, healthcare providers should:
Determine recommended vaccine by age (**Table 1 – By Age**)
Assess need for additional recommended vaccinations by medical condition or other indication (**Table 2 – By Medical Condition**)
Review vaccine types, dosing frequencies and intervals, and considerations for special situations (**Notes**)
Review contraindications and precautions for vaccine types (**Appendix**)
Review new or updated ACIP guidance (**Addendum**)Get email updatesDownload the SchedulePrint the schedule, color
Print the schedule, black & white
Download the mobile appCompliant version of the schedule**Legend**
Recommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack evidence of immunity
Recommended vaccination for adults with an additional risk factor or another indication
Recommended vaccination based on shared clinical decision-making
No recommendation/Not applicable
adult vaccine schedule
Vaccine
19-26 years
27-49 years
50-64 years
≥65 yearsCOVID-19
**1 or more doses of updated (2023–2024 Formula) vaccine (See notes)**Influenza inactivated (IIV4) orInfluenza recombinant (RIV4)

**1 dose annually**more info icon.Influenza live attenuated
(LAIV4)

more info icon.**1 dose annually**Respiratory Syncytial Virus
(RSV)
**Seasonal administration during pregnancy. (See notes)**




**≥60 years**Tetanus, diphtheria, pertussis
(Tdap or Td)
**1 dose Tdap each pregnancy; 1 dose Td/Tdap for wound management (See notes)****1 dose Tdap, then Td or Tdap booster every 10 years**Measles, mumps, rubella
(MMR)
**1 or 2 doses depending on indication****(if born in 1957 or later)**
**For healthcare personnel,****(See notes)**Varicella
(VAR)
**2 doses****(if born in 1980 or later)**


**2 doses**Zoster recombinant
(RZV)
**2 doses for immunocompromising conditions (See notes)**
**2 doses**Human papillomavirus
(HPV)
**2 or 3 doses depending on age at initial vaccination or condition**
**27 through 45 years**Pneumococcal
(PCV15, PCV20, PPSV23)

**See Notes****See Notes**Hepatitis A
(HepA)
**2, 3, or 4 doses depending on vaccine**Hepatitis B
(HepB)
**2, 3, or 4 doses depending on vaccine or**
**condition**Meningococcal A, C, W, Y
(MenACWY)
**1 or 2 doses depending on indication, See notes for booster recommendations**Meningococcal B
(MenB)

**2 or 3 doses depending on vaccine and indication, See notes for booster recommendations****19 through 23 years***Haemophilus influenzae* type b
(Hib)
**1 or 3 doses depending on indication**Mpox
To make vaccination recommendations, healthcare providers should:
Determine recommended vaccine by age (**Table 1 – By Age**)
Assess need for additional recommended vaccinations by medical condition or other indication (**Table 2 – By Medical Condition**)
Review vaccine types, frequencies, intervals, and considerations for special situations (**Notes**)
Review contraindications and precautions for vaccine types (**Appendix**)
Review new or updated ACIP guidance (**Addendum**)
This schedule is recommended by the Advisory Committee on Immunization Practices  (ACIP) and approved by the Centers for Disease
Control and Prevention (CDC), American College of Physicians (ACP), American Academy of Family Physicians (AAFP), American College of Obstetricians and Gynecologists (ACOG), American College of Nurse-Midwives (ACNM), American Academy of Physician Associates (AAPA), American Pharmacists Association (APhA), and Society for Healthcare Epidemiology of America (SHEA).
The comprehensive summary of the ACIP recommended changes made to the adult immunization schedule can be found in the January 11, 2024 *MMWR*.
**Report**
Suspected cases of reportable vaccine-preventable diseases or outbreaks to your state or local health department
Clinically significant adverse events to the Vaccine Adverse Event Reporting System (VAERS) at www.vaers.hhs.gov or (800-822-7967)**Questions or comments**
Contact www.cdc.gov/cdc-info or 800-CDC-INFO (800-232-4636), in English or Spanish, 8 a.m.–8 p.m. ET, Monday through Friday, excluding holidays.
**Helpful information**
Complete Advisory Committee on Immunization Practices (ACIP) recommendations
ACIP Shared Clinical Decision-Making Recommendations
General Best Practice Guidelines for Immunization (including contraindications and precautions)
Vaccine information statements
Manual for the Surveillance of Vaccine-Preventable Diseases
(including case identification and outbreak response)Top of Page
							
					
							Last Reviewed:  November 16, 2023						Source: 	National Center for Immunization and Respiratory Diseases
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        Syndicate homeSchedules Home
For Healthcare Providersplus icon
Child & Adolescent Immunization Scheduleplus icon
Vaccines in the Schedule
Table 1 – By Age
Table 2 – Catch-up
Table 3 – By Medical Indication
Notes
Appendix
Addendum
Adult Immunization Scheduleplus icon
Vaccines in the Schedule
Table 1 – By Age
Table 2 – By Medical Indication
Notes
Appendix
Addendum
Schedule Changes & Guidance
Resourcesplus icon
Schedule-Related Resources
For You and Your Familyplus icon
Schedule for Infants and Children (Birth – 6 Years)
Schedule for Preteens and Teens (7 Years – 18 Years)


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