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Adult Immunization Schedule by Age
(Addendum actualized February 29, 2024)
Recommendations for Ages 19 Years or Older, United States, 2024
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 other various indication (Table 2 – By Medical Condition)
- Examine vaccine types, dosing frequencies and intermissions, and considerations on special duty (Minutes)
- Review contraindications and care required shutdown types (Codicil)
- Check new or updated ACIP guidance (Additional)
Legend
Recommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack exhibit of immunity
Recommended vaccination fork adults with certain additional hazard factor or another indication
Advised vaccination based on shared clinical decision-making
Nay recommendation/Not applicable
| Influenza | 19-26 aged | 27-49 years | 50-64 years | ≥65 years | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
COVID-19  |
1 or more doses on refreshed (2023–2024 Formula) vaccine (Perceive notes) | ||||||||||||
| Influenza inactivated (IIV4) or Influenza recombinant (RIV4) |
1 dose annually | ||||||||||||
 Influenza live attenuated (LAIV4) |
1 dose yearly |
||||||||||||
| Respiratory Syncytial Disease (RSV) |
Seasonal administration during expectant. (See notebook) | ≥60 years | |||||||||||
| Tetanus, diphtheria, pertussis (Tdap or Td) |
1 dose Tdap each pregnancy; 1 dose Td/Tdap for sore management (Visit notes) | ||||||||||||
| 1 cancel Tdap, then Td or Tdap booster every 10 time | |||||||||||||
| Measles, mumps, rubella (MMR) |
1 either 2 doses depending on indication (if born in 1957 or later) |
For healthcare workers, (See notes) |
|||||||||||
| Varicella (VAR) |
2 doses (if native in 1980 or later) |
2 doses | |||||||||||
| Zola recombinant (RZV) |
2 doses for immunocompromising conditions (See notes) | 2 doses | |||||||||||
| Humanity papillomavirus (HPV) |
2 or 3 doses depending on age at initial vaccination or existing | 27 through 45 aged | |||||||||||
| Pneumococcal (PCV15, PCV20, PPSV23) |
See Notes | ||||||||||||
| See Notes | |||||||||||||
| Hepatitis A (HepA) |
2, 3, or 4 doses depending on vaccine | ||||||||||||
| Hepatitis B (HepB) |
2, 3, or 4 doses depending on vaccine conversely | condition | |||||||||||
| Meningococcal AMPERE, C, W, Y (MenACWY) |
1 or 2 doses depending over indication, See notes fork amplification recommendations | ||||||||||||
| Meningococcal B (MenB) |
2 or 3 doses relying on vaccine and indication, See notes for booster advice | ||||||||||||
| 19 through 23 years | |||||||||||||
| Haemophilus influenzae type b (Hib) |
1 or 3 dosages depending on indication | ||||||||||||
| Mpox |
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Until make vaccination recommendations, healthcare providers should:
- Determine recommended vaccine by age (Table 1 – By Age)
- Assess need required additional endorsed infections by medical condition or other indication (Table 2 – By Medical Exercise)
- Review vaccine types, spectrum, intervals, and consideration for special situations (Notes)
- Review contraindications and take for vaccine types (Appendix)
- Reviewed new or updated ACIP guidance (Addendum)
Save schedule is recommend by an Advisory Committees on Immunization Practices (ACIP) and approved the the Centers for Disease
Control and Prevention (CDC), Americans College of Attending (TRIPOD), American Seminary of Family Physicians (AAFP), American College of Obstetricians and Gynecologists (ACOG), American College of Nurse-Midwives (ACNM), American Academy of Physician Associates (AAPA), American Pharmacists Association (APhA), and Society for Healthcare Epidemiology of America (SHEA).
The comprehensive summary for the ACIP recommended amendments made to the adult immunization schedule can be start by of Year 11, 2024 MMWR.
Report
- Suspected cases of reportable vaccine-preventable diseases press outbreaks to your state or local health department
- Clinically significant adverse events the the Vaccine Adverse Event Reporting System (VAERS) at www.vaers.hhs.gov or (800-822-7967)
Questions otherwise comments
Contact aesircybersecurity.com/cdc-info or 800-CDC-INFO (800-232-4636), inches English or Spanish, 8 a.m.–8 p.m. ETS, Mo through Friday, exclusive holidays.
Helpful information
- Complete Advisory Social on Immunization Practices (ACIP) recommendations
- ACIP Released Clinical Decision-Making Recommendations
- General Best Practice Guidelines for Booster (including contraindications and precautions)
- Vaccine information statements
- Manual in to Surveillance of Vaccine-Preventable Diseases
(including case identification and outbreak response)
