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Immunization Schedules








Adult Immunization Schedule by Medical Condition and Other IndicationRecommendations for Ages 19 Years or Older, United States, 2023						Print
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¶ = 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
| = Precaution—vaccination might be indicated if benefit of protection outweighs risk of adverse reaction
± = Contraindicated or not recommended—vaccine should not be administered. *Vaccinate after pregnancy.
• = No recommendation/ Not applicableadult conditions vaccine schedule
Vaccine
Pregnancy
Immuno-compromised
(excluding HIV infection)
HIV infection
CD4 count
Asplenia, complement deficiencies
End-stage renal disease, or on hemodialysis
Heart or
lung disease;
alcoholisma
Chronic
liver disease
Diabetes
Healthcare personnelb
Men who have sex with men<15% or <200mm3
≥15% and ≥200mm3COVID-19
¶
See notes ¶
¶IIV4  or RIV4
1 dose annually ¶Or icon.
LAIV4
Contraindicated ±
Precaution |
Or icon.
1 dose annually ¶Tdap or Td
1 dose Tdap each pregnancy ¶
1 dose Tdap, then Td or Tdap booster every 10 yrs ¶MMR
Contraindicated* ±
Contraindicated ±
1 or 2 doses depending on indication ¶VAR
Contraindicated* ±
Contraindicated ±
^
2 doses ¶RZV
•
2 doses at age ≥19 years ¶
2 doses at age ≥50 yrs ¶HPV
Not Recommended* ±
3 doses through age 26 yrs ¶
2 or 3 doses through age 26 years depending on age at initial vaccination or condition ¶Pneumococcal (PCV15, PCV20,PPSV23)
•
1 dose PCV15 followed by PPSV23 OR 1 dose PCV20 ¶
(see notes) §HepA
§
¶
2, 3, or 4 doses §
depending ¶
on vaccine §
¶HepB
3 doses (see notes) ¶
2, 3, or 4 doses depending on vaccine or condition ¶MenACWY
1 or 2 §
doses depending on indication, see notes ¶
for booster recommendations §MenB
Precaution |
2 or 3 doses §
depending on ¶
vaccine and indication, see notes for booster recommendations §Hib
•
3 doses HSCTc recipients only ¶
§
1 dose ¶
§
Precaution for LAIV does not apply to alcoholism.
See notes for influenza; hepatitis B; measles, mumps, and rubella; and varicella vaccinations.
Hematopoietic stem cell transplant.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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