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Immunization Schedules








Adult Immunization ScheduleRecommendations for Ages 19 Years or Older, United States, 2023						Print
																Related Pages
										< < Back to Adult Immunization Schedule by Age Group
¶ = Recommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack evidence of past infection
§ = Recommended vaccination for adults with an additional risk factor or another indication
± = Recommended vaccination based on shared clinical decision-making
⇒ = No recommendation/Not applicableadult vaccine schedule
Vaccine
19-26 years
27-49 years
50-64 years
≥65 yearsCOVID-19
2- or 3- dose primary series and booster (see notes)¶Influenza inactivated (IIV4) or
Influenza recombinant (RIV4)
¶1 dose annually OR¶more info icon.
Influenza live attenuated
(LAIV4)
1 dose annually¶
⇒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)
1 dose PCV15 followed by PPSV23
OR
1 dose PCV20 (see notes)§
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§Top of Page
							
					
							Last Reviewed:  February 10, 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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