# What Vaccines are Recommended for You

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Updated recommendations for meningococcal and mpox vaccination were voted on at the October 25-26, 2023 ACIP meeting. The content on this page will be updated to align with the new recommendations.

                - By Age
                - Life Events, Job, and Travel
                - By Health Conditions

## Adults need vaccines, too

Getting vaccinated is one of the safest ways for you to protect your health. Vaccines help prevent getting and spreading serious diseases that could result in poor health, missed work, medical bills, and not being able to care for family.

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### All adults need these routine vaccines

Everyone should make sure they’re up to date on these routine vaccines:
              - COVID-19 vaccine
              - Flu vaccine  (influenza)
              - Tdap vaccine  (tetanus, diphtheria, and whooping cough) or  Td  vaccine (tetanus, diphtheria)

### You may need other vaccines, too

Review the sections below to learn what other vaccines you may need based on:
              - Age
              - Life events, job, or travel
              - Health conditions

### Age

**Vaccines you need**All adults ages 19 to 26 years should make sure they’re up to date on these vaccines:
                          - Chickenpox vaccine  (varicella)
                          - COVID-19 vaccine
                          - Flu vaccine  (influenza)
                          - Hepatitis B vaccine
                          - HPV vaccine  (human papillomavirus)
                          - MMR vaccine  (measles, mumps, and rubella)
                          - Tdap vaccine  (Tetanus, diphtheria, and whooping cough) or  Td  (tetanus, diphtheria)

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your doctor to learn which vaccines are recommended for you. These may include:
                          - MenB vaccine  (meningococcal disease) – for adults up through 23 years of age

**Insurance coverage **Under the Affordable Care Act, insurance plans that cover children allow parents to add or keep children on the health insurance policy until they turn 26 years old. For more information, see How to get or stay on a parent’s plan.

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Vaccines you need**All adults ages 27 to 49 years should make sure they’re up to date on these vaccines:
                          - COVID-19 vaccine
                          - Flu vaccine  (influenza)
                          - Hepatitis B vaccine
                          - MMR vaccine  (measles, mumps, and rubella)
                          - Tdap vaccine  (Tetanus, diphtheria, and whooping cough) or  Td  (tetanus, diphtheria)

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your doctor to learn which vaccines are recommended for you. These may include:
                          - Chickenpox vaccine  (varicella) – if born 1980 or later
                          - HPV vaccine  (human papillomavirus)

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Vaccines you need**All adults ages 50 to 64 years should make sure they’re up to date on these vaccines:
                          - COVID-19 vaccine
                          - Flu vaccine  (influenza)
                          - Shingles vaccine  (zoster)
                          - Tdap  (tetanus, diphtheria, and whooping cough) or  Td  (tetanus and diphtheria)

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your doctor to learn which vaccines are recommended for you. These may include:
                          - Hepatitis B vaccine  – recommended for all adults up through 59 years of age
                          - MMR vaccine  (measles, mumps, and rubella)—if born 1957 or later
                          - RSV (respiratory syncytial virus)  – adults aged 60 years or older should talk to their healthcare provider about getting a single dose of RSV vaccine

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Vaccines you need**As we get older, our immune systems tend to weaken over time, putting us at higher risk for certain diseases. All adults ages 65 and older should make sure they’re up to date on these vaccines:
                          - COVID-19 vaccine
                          - Flu vaccine  (influenza)
                          - Pneumococcal vaccine
                          - Shingles vaccine  (zoster)
                          - Tdap  (tetanus, diphtheria, and whooping cough) or  Td  (tetanus and diphtheria)

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your doctor to learn which vaccines are recommended for you. This may include:
                          - RSV (respiratory syncytial virus)  – adults aged 60 years or older should talk to their healthcare provider about getting a single dose of RSV vaccine

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

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### Life Events, Job, and Travel

**Get the whooping cough vaccine during each pregnancy**
                          - Tdap vaccine  (Tetanus, diphtheria, and whooping cough) — between 27 and 36 weeks of pregnancy to help protect your baby against  whooping cough

**Make sure you’re up to date on other vaccines, too**
                          - COVID-19 vaccine
                          - Flu vaccine  (influenza) especially if you’re pregnant during flu season, which is October through May
                          - Hepatitis B vaccine

Talk with your ob-gyn or midwife to find out which vaccines are recommended to help protect you and your baby. Learn more about Vaccines for Pregnant Women.

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Vaccines you need**If you work directly with patients or handle material that could spread infection, you should get appropriate vaccines to reduce the chance that you will get or spread vaccine-preventable diseases. All healthcare workers should make sure they’re up to date on these vaccines:
                          - COVID-19 vaccine
                          - Chickenpox vaccine  (varicella)
                          - Flu vaccine  (influenza)
                          - Hepatitis B vaccine
                          - Meningococcal vaccine  – especially lab workers who work with  Neisseria Meningitidis
                          - MMR vaccine  (measles, mumps, and rubella)
                          - Tdap  (tetanus, diphtheria, and whooping cough) or  Td  (tetanus and diphtheria)

**You may need other vaccines, too**Healthcare workers should make sure they’re up to date on any other vaccines routinely recommended for them based on age or other factors. Talk with your doctor to learn which vaccines are recommended for you. These may include:
                          - HPV vaccine  (human papillomavirus) – recommended for adults ages 18 through 26 years and adults ages 27 through 45 years based on shared clinical decision-making
                          - Shingles vaccine  (zoster) – recommended for all adults 50 years of age and older

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Get vaccinated before you travel**The vaccines recommended or required for an international traveler depend on several factors, including age, health, and itinerary.

Take these steps to make sure you are prepared for your trip:
                          - Make sure you are up-to-date with all recommended vaccines. Talk with your healthcare provider and get any vaccines that you may have missed.  Take a short quiz and get a list of vaccines  you may need based on your lifestyle, travel habits, and other factors.
                          - Learn the recommended and required vaccines for your destination. Visit  Travelers’ Health: Destinations  for more information about recommendations and requirements for the locations you will be visiting during your travel.
                          -  Get vaccinated at least 4 to 6 weeks before your trip. Planning ahead will give you enough time to build up immunity and get best protection.

**Find a travel clinic:** Many state and local health departments provide travel vaccinations. Get more travel vaccination information as well as where to find travel vaccinations at CDC’s Travelers’ Health Clinic page.

**Immigrants**Whether you are applying for an immigrant visa overseas or for legal permanent residence within the United States, you need to meet the Vaccination criteria for U.S. immigration.

**Refugees**Refugees are not required to have vaccinations before arrival in the United States, but you can start getting certain vaccinations through the Vaccination program for U.S.-bound refugees.

**International adoptions**
                          - Adoptees 10 years of age and under: Immigration law allows for adoptive parents to sign an affidavit stating they will be vaccinated after arrival to the United States.
                          - Adoptees over 10 years of age: Immigration law requires proof of vaccination during the overseas medical examination.
                          - Parents or close contacts traveling internationally to adopt a child: Make sure you are fully vaccinated according to CDC’s ACIP recommendations. Some vaccine-preventable diseases,  such as hepatitis A , are more common in other countries than the United States.
                          - Get more  International adoption health guidance .

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### Health conditions

**Vaccines you need**Vaccines are especially critical for people with chronic health conditions such as asplenia to protect them from vaccine-preventable diseases. In addition to vaccines recommended for all adults (COVID-19,Flu (influenza), and Tdap or Td), make sure you’re up to date on these vaccines:
                          - Hib vaccine  ( Haemophilus influenzae  type b)
                          - Meningococcal vaccines  – both MenACWY and MenB
                          - Pneumococcal vaccine

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your doctor to find out which vaccines are recommended for you. These may include:
                          - Chickenpox vaccine  (varicella) – recommended for all adults born in 1980 or later
                          - Hepatitis B vaccine  – recommended for all adults up through 59 years of age, and for some adults 60 years of age and older with known risk factors
                          - HPV vaccine  (human papillomavirus) – recommended for all adults up through 26 years of age, and for some adults aged 27 through 45 years
                          - MMR vaccine  (measles, mumps, and rubella) – recommended for all adults born in 1957 or later
                          - Shingles vaccine  (zoster) – recommended for all adults 50 years of age and older

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Vaccines you need**People with diabetes (both type 1 and type 2) are at higher risk for serious problems, including hospitalization or death, from certain vaccine-preventable diseases. Vaccines are one of the safest ways for you to protect your health, even if you are taking prescription medications. In addition to vaccines recommended for all adults (COVID-19,Flu (influenza), and Tdap or Td), make sure you’re up to date on this vaccine:
                          - Pneumococcal vaccine

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your doctor to find out which vaccines are recommended for you. These may include:
                          - Chickenpox vaccine  (varicella) – recommended for all adults born in 1980 or later
                          - Hepatitis B vaccine  – recommended for all adults up through 59 years of age, and for some adults 60 years of age and older with known risk factors
                          - HPV vaccine  (human papillomavirus) – recommended for all adults up through 26 years of age, and for some adults aged 27 through 45 years
                          - MMR vaccine  (measles, mumps, and rubella) – recommended for all adults born in 1957 or later
                          - Shingles vaccine  (zoster) – recommended for all adults 50 years of age and older

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Vaccines you need**People with heart disease and those who have suffered stroke are at higher risk for serious problems or complications from certain vaccine preventable diseases. Other vaccine-preventable diseases, like the flu, can even increase the risk of another heart attack. In addition to vaccines recommended for all adults (COVID-19,Flu (influenza), and Tdap or Td), make sure you’re up to date on this vaccine:
                          - Pneumococcal vaccine

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your cardiologist or primary care doctor to find out which vaccines are recommended for you. These may include:
                          - Chickenpox vaccine  (varicella) – recommended for all adults born in 1980 or later
                          - Hepatitis B vaccine  – recommended for all adults up through 59 years of age, and for some adults 60 years of age and older with known risk factors
                          - HPV vaccine  (human papillomavirus) – recommended for all adults up through 26 years of age, and for some adults aged 27 through 45 years
                          - MMR vaccine (measles, mumps, and rubella) – recommended for all adults born in 1957 or later
                          - Shingles vaccine  (zoster) – recommended for all adults 50 years of age and older

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Vaccines you need**Vaccines are especially critical for people with chronic health conditions such as HIV infection. Vaccine recommendations may differ based on CD4 count. In addition to vaccines recommended for all adults (COVID-19, Flu (influenza), and Tdap or Td), make sure you’re up to date on these vaccines:
                          - Hepatitis A vaccine
                          - Hepatitis B vaccine
                          - Meningococcal conjugate vaccine (MenACWY)
                          - Pneumococcal vaccine
                          - Shingles vaccine  (zoster)

**If your CD4 count is 200 or greater1**In addition to the vaccines listed above, you may need these vaccines:
                          - Chickenpox vaccine  (varicella) – recommended for all adults born in 1980 or later
                          - MMR vaccine  (measles, mumps, and rubella) – recommended for all adults born in 1957 or later

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your doctor to find out which vaccines are recommended for you. This may include:
                          - HPV vaccine  (human papillomavirus) – recommended for all adults up through 26 years of age, and for some adults aged 27 through 45 years

**Footnote**

1If CD4 percentages are available, CD4 percentage should be 15% or greater.

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Vaccines you need**Vaccines are especially critical for people with health conditions such as liver disease. Getting vaccinated is one of the safest ways for you to protect your health, even if you are taking prescription medications for liver disease. In addition to vaccines recommended for all adults (COVID-19,Flu (influenza), and Tdap or Td), make sure you’re up to date on these vaccines:
                          - Hepatitis A vaccine
                          - Hepatitis B vaccine
                          - Pneumococcal vaccine

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your doctor to find out which vaccines are recommended for you. These may include:
                          - Chickenpox vaccine  (varicella) – recommended for all adults born in 1980 or later
                          - HPV vaccine  (human papillomavirus) – recommended for all adults up through 26 years of age, and for some adults aged 27 through 45 years
                          - MMR vaccine  (measles, mumps, and rubella) – recommended for all adults born in 1957 or later
                          - Shingles vaccine  (zoster) – recommended for all adults 50 years of age and older

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Vaccines you need**People with lung disease (including asthma or COPD) are at higher risk for serious problems, including hospitalization or death, from certain vaccine-preventable diseases. Getting vaccinated is one of the safest ways for you to protect your health, even if you are taking prescription medications for your condition. In addition to vaccines recommended for all adults (COVID-19,Flu (influenza), and Tdap or Td), make sure you’re up to date on this vaccine:
                          - Pneumococcal vaccine

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your doctor to find out which vaccines are recommended for you. These may include:
                          - Chickenpox vaccine  (varicella) – recommended for all adults born in 1980 or later
                          - Hepatitis B vaccine  – recommended for all adults up through 59 years of age, and for some adults 60 years of age and older with known risk factors
                          - HPV vaccine  (human papillomavirus) – recommended for all adults up through 26 years of age, and for some adults aged 27 through 45 years
                          - MMR vaccine  (measles, mumps, and rubella) – recommended for all adults born in 1957 or later
                          - Shingles vaccine  (zoster) – recommended for all adults 50 years of age and older

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Vaccines you need**Getting vaccinated is one of the safest ways for you to protect your health, even if you are taking prescription medications for end-stage renal (kidney) disease or on hemodialysis. In addition to vaccines recommended for all adults (COVID-19,Flu (influenza), and Tdap or Td), make sure you’re up to date on these vaccines:
                          - Hepatitis B vaccine
                          - Pneumococcal vaccine

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your doctor to find out which vaccines are recommended for you. These may include:
                          - Chickenpox vaccine  (varicella) – recommended for all adults born in 1980 or later
                          - HPV vaccine  (human papillomavirus) – recommended for all adults up through 26 years of age, and for some adults aged 27 through 45 years
                          - MMR vaccine  (measles, mumps, and rubella) – recommended for all adults born in 1957 or later
                          - Shingles vaccine  (zoster) – recommended for all adults 50 years of age and older

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

**Vaccines you need**Vaccines are especially critical for people with a weakened immune system from diseases such as cancer or patients taking immunosuppressive drugs. Having a weakened immune system means that it is more difficult to fight off infections or diseases in the body. In addition to vaccines recommended for all adults (COVID-19,Flu (influenza), and Tdap or Td), adults with weakened immune systems caused by immunocompromising conditions such as cancer should make sure they’re up to date on these vaccines:
                          - Hib vaccine  ( Haemophilus influenzae  type b) – Recommended for adults with complement deficiency, which is a specific type of immune deficiency, and for adults who have received a hematopoietic stem cell transplant (HSCT, or a bone marrow transplant)
                          - Pneumococcal vaccines  (PCV15 or PCV20, PPSV23)
                          - Meningococcal vaccines  (MenACWY and MenB) – Recommended for adults with complement deficiency, which is a specific type of immune deficiency
                          - Shingles vaccine  (zoster)

**You may need other vaccines, too**You may need other vaccines based on your age or other factors, too. Talk with your doctor to find out which vaccines are recommended for you. These may include:
                          - Hepatitis B vaccine  – recommended for all adults up through 59 years of age, and for some adults 60 years of age and older with known risk factors
                          - HPV vaccine  (human papillomavirus) – recommended for all adults up through 26 years of age, and for some adults aged 27 through 45 years

**Get personalized recommendations**Take a short quiz and get a list of vaccines you may need based on your lifestyle, travel habits, and other factors.

Top of Page

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September 8, 2023
National Center for Immunization and Respiratory Diseases

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