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Recommendations for Ages 19 Years or Older, United States, 2025
Purpose
Guide health care providers in determining recommended vaccines for specific medical or other indications.
How to use the schedule
Vaccines in the Adult Immunization 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)
Download the Schedule
Compliant version of the schedule
Ages 19 Years or Older
Legend
| 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; alcoholism a | Diabetes | Health care Personnel b |
|---|---|---|---|---|---|---|---|---|---|---|
| <15% or <200/mm 3 | ≥15% and ≥200/mm 3 |
| | See Notes | | | | | | | | |
| Influenza inactivated Influenza recombinant
| | Solid organ transplant (See Notes ) | 1 dose annually | | | | | | | |
| LAIV3
| | 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 | Liver disease (See Notes ) | See Notes | | | | |
| Tdap or Td
| Tdap: 1 dose each pregnancy | 1 dose Tdap, then Td or Tdap booster every 10 yrs | | | | | | | | |
| MMR
| * | | | | | | | | | |
| VAR
| * | | See Notes | | | | | | | |
| RZV
| | See Notes | | | | | | | | |
| HPV
| * | 3-dose series if indicated | | | | | | | | |
| Pneumococcal
| | | | | | | | | | |
| HepA
| | | | | | | | | | |
| HepB
| See Notes | | | | | | | | | |
| Age ≥ 60 years | | | | | | | | | | |
| MenACWY
| | | | | | | | | | |
| MenB
| | | | | | | | | | |
| Hib
| | HSCT: 3 doses c | | Asplenia: 1 dose | | | | | | |
| Mpox
| See Notes | | See Notes | | See Notes | | | | | |
| IPV
| | Complete 3-dose series if incompletely vaccinated. Self–report of previous doses acceptable (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, 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)
Additional Information
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)
Where this page came from
This page was imported from Centers for Disease Control and Prevention. Material produced by the Centers for Disease Control and Prevention is a work of the United States government and is in the public domain.
Nobody has written it yet — it is the source material at a new address, which is why search engines are asked to skip it and why no one earns from it. It is up for grabs: take it on, and it is yours to rewrite and to earn from.
Licença: CC0 1.0 (domínio público) · Adaptado de www.cdc.gov
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