Recommended Adult Immunization Schedule for ages 19 …

Recommended Adult Immunization Schedule

for ages 19 years or older

UNITED STATES

2022

How to use the adult immunization schedule

1 Determine recommended vaccinations by age (Table 1)

2 Assess need for additional recommended vaccinations by medical condition or other indication (Table 2)

3 Review vaccine types, frequencies, intervals, and considerations for special situations (Notes)

4 Review contraindications and precautions for vaccine types (Appendix)

Vaccines in the Adult Immunization Schedule*

Vaccine Haemophilus influenzae type b vaccine

Abbreviation(s) Hib

Trade name(s)

ActHIB? Hiberix? PedvaxHIB?

Hepatitis A vaccine

Hepatitis A and hepatitis B vaccine Hepatitis B vaccine

Human papillomavirus vaccine Influenza vaccine (inactivated) Influenza vaccine (live, attenuated) Influenza vaccine (recombinant) Measles, mumps, and rubella vaccine Meningococcal serogroups A, C, W, Y vaccine

Meningococcal serogroup B vaccine

Pneumococcal 15-valent conjugate vaccine

HepA

HepA-HepB HepB

HPV IIV4 LAIV4 RIV4 MMR MenACWY-D MenACWY-CRM MenACWY-TT MenB-4C MenB-FHbp PCV15

Havrix? Vaqta?

Twinrix?

Engerix-B? Recombivax HB? Heplisav-B?

Gardasil 9?

Many brands

FluMist? Quadrivalent

Flublok? Quadrivalent

M-M-R II?

Menactra? Menveo? MenQuadfi?

Bexsero? Trumenba?

VaxneuvanceTM

Pneumococcal 20-valent conjugate vaccine Pneumococcal 23-valent polysaccharide vaccine Tetanus and diphtheria toxoids

PCV20 PPSV23 Td

Prevnar 20TM Pneumovax 23? Tenivac? TdvaxTM

Tetanus and diphtheria toxoids and acellular pertussis vaccine

Tdap

Adacel? Boostrix?

Varicella vaccine Zoster vaccine, recombinant

VAR

Varivax?

RZV

Shingrix

*Administer recommended vaccines if vaccination history is incomplete or unknown. Do not restart or add doses to vaccine series if there are extended intervals between doses. The use of trade names is for identification purposes only and does not imply endorsement by the ACIP or CDC.

Recommended by the Advisory Committee on Immunization Practices (vaccines/acip) and approved by the Centers for Disease Control and Prevention (), American College of Physicians (), American Academy of Family Physicians (aafp. org), American College of Obstetricians and Gynecologists (), American College of Nurse-Midwives (), and American Academy of Physician Associates (), and Society for Healthcare Epidemiology of America (shea-).

Report

y Suspected cases of reportable vaccine-preventable diseases or outbreaks to the local or state health department

y Clinically significant postvaccination reactions to the Vaccine Adverse Event Reporting System at vaers. or 8008227967

Injury claims

All vaccines included in the adult immunization schedule except pneumococcal 23-valent polysaccharide (PPSV23) and zoster (RZV) vaccines are covered by the Vaccine Injury Compensation Program. Information on how to file a vaccine injury claim is available at vaccinecompensation.

Questions or comments

Contact 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.

Download the CDC Vaccine Schedules app for providers at vaccines/schedules/hcp/schedule-app.html.

Helpful information

y Complete Advisory Committee on Immunization Practices (ACIP) recommendations:

vaccines/hcp/acip-recs/index.html

y General Best Practice Guidelines for Immunization

(including contraindications and precautions):

vaccines/hcp/acip-recs/general-recs/index.html

y Vaccine information statements: vaccines/hcp/vis/index.html

y Manual for the Surveillance of Vaccine-Preventable Diseases

(including case identification and outbreak response):

vaccines/pubs/surv-manual

y Travel vaccine recommendations: travel

y Recommended Child and Adolescent Immunization Schedule, United States, 2022:

vaccines/schedules/hcp/child-adolescent.html

y ACIP Shared Clinical Decision-Making Recommendations: vaccines/acip/acip-scdm-faqs.html

Scan QR code for access to online schedule

CS310021-A

Table 1 Recommended Adult Immunization Schedule by Age Group, United States, 2022

Vaccine

19?26 years

27?49 years

50?64 years

65 years

Influenza inactivated (IIV4) or Influenza recombinant (RIV4)

or Influenza live, attenuated (LAIV4)

Tetanus, diphtheria, pertussis (Tdap or Td)

Measles, mumps, rubella (MMR)

1 dose annually or

1 dose annually

1 dose Tdap each pregnancy; 1 dose Td/Tdap for wound management (see notes) 1 dose Tdap, then Td or Tdap booster every 10 years

1 or 2 doses depending on indication (if born in 1957 or later)

Varicella (VAR)

2 doses (if born in 1980 or later)

2 doses

Zoster recombinant (RZV)

2 doses for immunocompromising conditions (see notes)

2 doses

Human papillomavirus (HPV)

Pneumococcal (PCV15, PCV20, PPSV23)

Hepatitis A (HepA)

2 or 3 doses depending on age at initial vaccination or condition

27 through 45 years

1 dose PCV15 followed by PPSV23 OR

1 dose PCV20 (see notes)

2 or 3 doses depending on vaccine

1 dose PCV15 followed by PPSV23 OR

1 dose PCV20

Hepatitis B (HepB)

2, 3, or 4 doses dependi2n,g3o, norv4acdcoinsesodrecpoenndditiinognon vaccine or condition

Meningococcal A, C, W, Y (MenACWY)

1 or 2 doses depending on indication, see notes for booster recommendations

Meningococcal B (MenB)

2 or 3 doses depending on vaccine and indication, see notes for booster recommendations 19 through 23 years

Haemophilus influenzae type b (Hib)

1 or 3 doses depending on indication

Recommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack evidence of past infection

Recommended vaccination for adults with an additional risk factor or another indication

Recommended vaccination based on shared clinical decision-making

No recommendation/ Not applicable

Table 2 Recommended Adult Immunization Schedule by Medical Condition or Other Indication, United States, 2022

Vaccine

IIV4 or RIV4 or

LAIV4

Pregnancy

Immunocompromised (excluding HIV

infection)

HIV infection CD4 percentage and count

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download