Dining Table 1. Recommended Adult Immunization Schedule for a long time 19 years or older, usa, 2020

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Dining Table 1. Recommended Adult Immunization Schedule for a long time 19 years or older, usa, 2020

Constantly make suggestions by determining required vaccines according to age ( dining dining Table 1), evaluating for medical ailments as well as other indications ( dining Table 2), and reviewing special situations (records).

Dining Dining Table 1. By age

Dining Dining Table 2. By indications

Schedule Changes & Guidance

Resources for medical care providers

Resources for grownups

Download schedules app

  • 8.5″x11″ print color pdf 6 pages
  • 8.5″x11″ printing black and white pdf 6 pages
  • Compliant form of this routine
  • Vaccines when you look at the Adult Immunization Schedule
  • Learn to show schedules that are current your site.
  • Rough copies associated with the routine are for sale to free utilizing the CDC-info on need purchase type.


Suggested vaccination for adults whom meet age requirement, lack documentation of vaccination, or lack evidence of past infection

Suggested vaccination for grownups with a risk that is additional or any other indicator

Suggested vaccination predicated on shared decision-making that is clinical

No recommendation/Not applicable


Administer suggested vaccines if vaccination history is unknown or incomplete. Usually do not restart or include doses to vaccine series if you will find extended intervals between doses. The employment of trade names is actually for recognition purposes only and will not indicate recommendation because of the ACIP or CDC.

Recommended Adult Immunization Schedule for ages 19 years or older, usa, 2020

For vaccine suggestions for people age 0 through 18 years, look at young Child and Adolescent Immunization Schedule.

Haemophilus influenzae type b vaccination

Unique circumstances

  • Anatomical or practical asplenia (including sickle cellular infection): 1 dosage if formerly failed to get Hib; if elective splenectomy, 1 dosage, ideally at the least 2 weeks before splenectomy
  • Hematopoietic stem cell transplant (HSCT): 3-dose show 30 days aside beginning 6–12 months after effective transplant, no matter Hib vaccination history

Hepatitis A vaccination

Routine vaccination

  • Maybe maybe perhaps Not in danger but want security from hepatitis A (identification of danger element not necessary): 2-dose series HepA (Havrix 6–12 months aside or Vaqta 6–18 months aside minimum period: six months) or 3-dose series HepA-HepB (Twinrix at 0, 1, a few months minimum periods: 30 days between doses 1 and 2, 5 months between doses 2 and 3)

Special circumstances

  • At an increased risk for hepatitis A virus disease: 2-dose series HepA or 3-dose series HepA-HepB as above
    • Chronic liver illness ( ag e.g., individuals with hepatitis B, hepatitis C, cirrhosis, fatty liver infection, alcoholic liver condition, autoimmune hepatitis, alanine aminotransferase ALT or aspartate aminotransferase AST level more than twice the top of restriction of normal)
    • HIV infection
    • Guys that have intercourse with males
    • Noninjection or injection medication use
    • Individuals homelessness that is experiencing
    • Make use of hepatitis A virus in research laboratory or with nonhuman primates with hepatitis A virus disease
    • Travel in nations with a high or intermediate hepatitis that is endemic
    • Close, personal experience of international adoptee ( e.g., home or regular babysitting) in very very very first 60 times after arrival from nation with a high or intermediate endemic hepatitis A (administer dosage 1 the moment use is prepared, at the least two weeks before adoptee’s arrival)
    • Pregnancy if in danger for illness or serious result from disease during pregnancy
    • Settings for publicity, including healthcare settings focusing on solutions to injection or noninjection medication users or group houses and nonresidential time care facilities for developmentally disabled people (specific danger element screening not required)

Hepatitis B vaccination

  • Perhaps maybe Not at an increased risk but want protection from hepatitis B (recognition of danger factor not essential): 2- or 3-dose show (2-dose show Heplisav-B at the least 30 days apart 2-dose series HepB only is applicable whenever 2 doses of Heplisav-B are employed at the least four weeks aside or 3-dose show Engerix-B or Recombivax HB at 0, 1, six months minimum periods: 30 days between doses 1 and 2, 2 months between doses 2 and 3, 16 days between doses 1 and 3) or 3-dose series HepA-HepB (Twinrix at 0, 1, six months minimum periods: four weeks between doses 1 and 2, 5 months between doses 2 and 3)

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