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Vaccine Information
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Key |
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ALL adults in age group should get the vaccine. |
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SOME adults in age group should get the vaccine. |
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Adults should talk to their health care provider to decide if this vaccine is right for them. |
Vaccine | 19-26 years | 27-49 years | 50-64 years | ≥65 years |
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COVID-19 |
At least 1 dose of the current COVID-19 vaccine
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65+: At least 2 doses.
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Influenza/Flu |
Every Year
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RSV |
If pregnant during RSV season
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If aged 75
years or older |
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Tdap/Td |
Tdap every pregnancy. Td/Tdap every 10 years for all
adults.
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MMR |
If aged 68 years or younger
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Chickenpox |
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Shingles |
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HPV |
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Aged 27–45 years
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Pneumococcal |
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Hepatitis A |
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Hepatitis B |
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Through 59 years
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Meningococcal |
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Hib |
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Mpox |
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Vaccine-Preventable Disease |
Disease complications | Number of Vaccine Doses |
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COVID-19 Contagious viral infection of the nose, throat, or lungs; may feel like a cold or flu |
Pneumonia, blood clots, liver, heart, or kidney damage, long COVID, death | 1 or more doses of the current COVID-19 vaccine depending on age or health status. For more information: www.cdc.gov/covidschedule |
Influenza (Flu) Contagious viral infection of the nose, throat, and sometimes lungs |
Pneumonia, sinus and ear infections, worsening of underlying health conditions like heart and lung disease, death | 1 dose each year |
RSV (Respiratory syncytial virus) Contagious viral infection of the nose, throat, and sometimes lungs |
Pneumonia, inflammation of the small airways in the lung; especially dangerous for infants, young children, and older adults | 1 dose |
Tetanus (Lockjaw)* Infection caused by bacterial spores found in soil and dust everywhere; spores enter the body through wounds or broken skin |
Sudden, involuntary muscle spasms, jaw cramping, seizures, broken bones, difficulty breathing, death |
3 doses if not already vaccinated
1 booster every 10 years
1 dose for dirty wounds
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Diphtheria* Illness caused by a toxin produced by bacteria that infects the nose, throat, and sometimes skin. |
Thick, gray, build up in throat or nose makes breathing and swallowing difficult, heart failure, brain injury, coma, death |
3 doses if not already vaccinated
1 booster every 10 years
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Pertussis (Whooping Cough)* Contagious bacterial infection of the lungs and airway |
Severe coughing fits, life-threatening pause in breathing, pneumonia, death; especially dangerous for babies |
3 doses if not already vaccinated
1 dose every pregnancy
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Measles (Rubeola)† Contagious viral infection that causes high fever, cough, red eyes, runny nose, and rash |
Brain swelling, pneumonia, death | 1 or 2 doses |
Mumps† Contagious viral infection that causes fever, tiredness, swollen cheeks, and tender swollen jaw |
Brain swelling, painful and swollen testicles or ovaries, deafness, death | 1 or 2 doses |
Rubella (German Measles)† Contagious viral infection that causes low-grade fever, sore throat, and rash |
Very dangerous in pregnant women; can cause miscarriage or stillbirth, premature delivery, severe birth defects | 1 or 2 doses |
Chickenpox (Varicella) Contagious viral infection that causes fever, headache, and an itchy, blistering rash |
Infected sores, brain swelling, pneumonia, death | 2 doses |
Shingles (Zoster) Caused by the chickenpox virus, which hides in the body and sometimes reactivates later in life |
Severe blistering rash on one side of the face or body; long-term nerve pain, hearing damage, blindness, death | 2 doses |
HPV (Human papillomavirus) Contagious viral infection spread by sexual contact; sometimes causes genital warts |
Many types of cancers including cancers of the cervix, vagina, penis, anus, and throat | 2 or 3 doses |
Pneumococcal Bacterial infections of ears, sinuses, lungs, or bloodstream |
Depends on the part of the body infected, but can include pneumonia, blood poisoning, infection of the lining of the brain and spinal cord, death | 1 or 2 doses |
Hepatitis A Contagious viral infection of the liver spread by contaminated food or drink or close contact with an infected person |
Liver failure, yellow skin or eyes, stomach pain, vomiting, fever, diarrhea, fatigue, death | 2, 3, or 4 doses depending on vaccine used |
Hepatitis B Contagious viral infection of the liver spread through contact with infected body fluids such as blood or semen |
Liver failure, yellow skin or eyes, stomach pain, vomiting, fever, diarrhea, fatigue, death | 2, 3, or 4 doses depending on vaccine used |
Meningococcal Bacterial infection of the lining of the brain and spinal cord or the bloodstream |
Fever, headache, stiff neck, light sensitivity, confusion, loss of arm or leg, deafness, seizures, death | 1 or more doses depending on vaccine used, medical condition, where patient lives or works |
Hib (Haemophilus
influenzae type b) Bacterial infection that can attack the lungs, brain and spinal cord, or bloodstream |
Brain damage, hearing loss, loss of arm or leg, death | 1 or 3 doses depending on medical condition |
Mpox Contagious viral infection spread by sexual contact; causes a painful rash, fever, headache, tiredness, cough, runny nose, sore throat, swollen lymph nodes |
Infected sores, brain swelling, pneumonia, eye infection, blindness, death | 2 doses |
*Tdap |
*Td
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†MMR
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This easy-to-read schedule is recommended by the Advisory Committee on Immunization Practices (ACIP) and approved by the Centers for Disease Control and Prevention (CDC), American Academy of Family Physicians (AAFP), and American College of Physicians (ACP).
Pregnancy
Get the whooping cough vaccine during each pregnancy
- Tdap vaccine — 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 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 Pregnancy and Vaccination.
Healthcare workers
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
- Hepatitis B vaccine
- Meningococcal vaccine – especially lab workers who work with Neisseria Meningitidis
- MMR vaccine (measles, mumps, and rubella)
- Tdap or Td
International travelers
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.
- Learn the recommended and required vaccines for your destination.
- 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.
Immigrants, refugees and international adoptions
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.
Asplenia (without a functioning spleen)
Vaccines are especially critical for people with chronic health conditions such as asplenia to protect them from vaccine-preventable diseases. Make sure you're up to date on these vaccines:
- Hib vaccine (Haemophilus influenzae type b)
- Meningococcal vaccines – both MenACWY and MenB
- Pneumococcal vaccine
Diabetes, type 1 and type 2
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. Make sure you're up to date on this vaccine:
- Pneumococcal vaccine
Heart disease, stroke or other cardiovascular diseases
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. Make sure you're up to date on this vaccine:
- Pneumococcal vaccine
HIV infection
Vaccines are especially critical for people with chronic health conditions such as HIV infection. Vaccine recommendations may differ based on CD4 count. Make sure you're up to date on these vaccines:
If your CD4 count is 200 or greater: AIn addition to the vaccines listed above, you may need these vaccines:
- Hepatitis A vaccine
- Hepatitis B vaccine
- Meningococcal conjugate vaccine (MenACWY)
- Pneumococcal vaccine
- Shingles vaccine
- Chickenpox vaccine – recommended for all adults born in 1980 or later
- MMR vaccine – recommended for all adults born in 1957 or later
Liver disease
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. Make sure you're up to date on these vaccines:
- Hepatitis A vaccine
- Hepatitis B vaccine
- Pneumococcal vaccine
Lung disease (Including Asthma or COPD)
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. Make sure you're up to date on this vaccine:
- Pneumococcal vaccine
End-stage renal (kidney) disease
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. Make sure you're up to date on these vaccines:
- Hepatitis B vaccine
- Pneumococcal vaccine
Weakened immune system (excluding HIV infection)
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. 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 – 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
- Meningococcal vaccines (MenACWY and MenB) – Recommended for adults with complement deficiency, which is a specific type of immune deficiency
- Shingles vaccine
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 – 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 – recommended for all adults up through 26 years of age, and for some adults aged 27 through 45 years
- MMR vaccine – recommended for all adults born in 1957 or later
- Shingles vaccine – recommended for all adults 50 years of age and older
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