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Adult Immunization Schedule by Medical Condition and Other IndicationRecommendations 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**
legend
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
**Always use this table in conjunction with Table 1 and the Notes that follow.** Medical conditions or indications are often not mutually exclusive. If multiple medical conditions or indications are present, refer to guidance in all relevant columns. See Notes for medical conditions or indications not listed.
adult conditions vaccine schedule
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 ≥200mm3COVID-19

**See notes**IIV4  or RIV4
**1 dose annually**more info icon.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**PneumococcalHepAHepB
**See notes****Age ≥ 60 years**MenACWYMenBHib

**HSCT: 3 dosesc**

**Asplenia: 1 dose**Mpox
**See notes**

**See notes**

**See notes**
Precaution for LAIV4 does not apply to alcoholism.
See notes for influenza; hepatitis B; measles, mumps, and rubella; and varicella vaccinations.
Hematopoietic stem cell transplant.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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