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Adult Immunization Schedules

United States, 2014


Details for Healthcare Professionals

Each year, the Advisory Committee on Immunization Practices (ACIP) reviews the recommended adult (anyone over 18 years old) immunization schedule to ensure that the schedule reflects current recommendations for the licensed vaccines.

The recommended adult immunization schedule has been approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Family Physicians (AAFP), the American College of Obstetricians and Gynecologists (ACOG), the American College of Physicians (ACP), and the American College of Nurse-Midwives (ACNM).


View or Print Schedules

Adult Immunization Schedule.

Combined Version


thumbnail of 0-6 schedule.

Adult Schedule, by Vaccine and Age Group

Display and Print the Adult Schedule on Your Website


thumbnail of 0-6 schedule.

Medical Indications Schedule

Display and Print the Medical Indications Schedule on Your Website


Contraindications and Precautions.

Contraindications and Precautions

Display and Print the Contraindications and Precautions Table on Your Website

 


Easy-to-read Version for Patients

Recommended Immunization for Adults (those 19 years and older)

You can display the easy-to-read schedules for patients on your website. See how the adult schedule by age and the adult schedule by medical condition will appear on your website. For instructions, see Display Immunization Schedules on Your Website.

 

SmartPhone App

Download CDC Vaccine Schedules app.

2014 CDC Vaccine Schedules app for clinicians and other health care professionals offers you immediate access to CDC’s latest recommended immunization schedules. See childhood, adolescent, adult and catch-up vaccine schedules and footnotes on your smartphone and tablet devices. Download this free app from the iTunes App Store or from Google Play.


Pocket-size

Adult Immunization Schedule Pocket-size.

Combined version in smaller, portable format; includes Figure 1 (schedule by vaccine and age group) and Figure 2 (schedule based on medical and other indications) with footnotes applying to both.


Laminated


Spanish Version (en español)

The official MMWR version of the adult schedules is no longer available in Spanish. For a translation offered by Vaccines.gov, see Calendario para adultos.

 

Recommendations Published in MMWR


Changes in the Schedule Effective February 7, 2014

The Advisory Committee on Immunization Practices (ACIP) annually reviews the recommended Adult Immunization Schedule to ensure that the schedule reflects current recommendations for the licensed vaccines. The primary changes include:

Figure Changes

For Figures 1 and 2, a row for Hib vaccine was added and the PCV13 vaccine row was moved before PPSV23 as a reminder that PCV13 vaccines should be administered first among patients for whom both vaccines are recommended.

Footnote Changes

The Hib vaccine recommendations were updated. The vaccine is recommended for certain adults at increased risk for Hib who have not received the vaccine before. Adults who have had a successful hematopoietic stem cell transplant are recommended to receive a 3-dose series of Hib vaccine 6 to 12 months after the transplant regardless of prior Hib vaccination status. Prior Hib vaccine guidance recommended that Hib vaccination of persons infected with HIV be considered, but updated guidance no longer recommends Hib vaccination of previously unvaccinated adults with HIV infection because their risk for Hib infection is low.

Information on the RIV and the use of RIV and IIV among egg-allergic patients was added to the footnote and indicates that RIV or IIV can be used among persons with hives-only allergy to eggs. The RIV contains no egg protein and can be used among persons aged 18 to 49 years who have egg allergy of any severity.

The Td/Tdap vaccine footnote was edited to harmonize with the language used in the pediatric immunization schedule. A single dose of Tdap vaccine is recommended for previously unvaccinated persons aged 11 years or older, and Td booster should be administered every 10 years thereafter. Pregnant women continue to be recommended to receive a dose of Tdap vaccine during each pregnancy, preferably during 27 to 36 weeks’ gestation, regardless of the interval since the prior dose of Tdap or Td vaccination. Information was added to the HPV vaccine footnote to clarify the timing between the second and third doses and to harmonize language between the pediatric and adult immunization schedules; no changes in recommendations were made.

Both the HPV vaccine footnote and the zoster footnote were simplified, with removal of the bullet regarding health care personnel (HCP). Being a health care worker is not a specific indication for these vaccines, but they should be given to HCP and others who meet age and other indications for these vaccines. Information on HCP vaccination for all vaccines can be found in the MMWR “Immunization of Health-Care Personnel”.

Because PCV13 is recommended to be administered before PPSV23 among persons for whom both vaccines are recommended, the PCV13 footnote now precedes the PPSV23 footnote and includes wording to remind providers of the appropriate order of these vaccines when both are indicated.

The meningococcal vaccine footnote was edited to clarify which persons need either 1 or 2 doses of vaccine and to provide greater clarity regarding which patients should receive the meningococcal conjugate (MenACWY) versus the meningococcal polysaccharide (MPSV4) quadrivalent vaccines.

No changes or minor clarifications were made to the footnotes for the MMR, hepatitis A, or hepatitis B vaccines; no changes in recommendations were made.

Contraindications Table Changes

  • The contraindications and precautions table was updated to include information on RIV, an influenza vaccine that contains no egg protein and is indicated for persons aged 18 to 49 years.
  • The Hib vaccine was added to the table.

Presentation Graphics

These slides are only snapshots of the chart and footnote portions of the immunization schedule and are provided for use in PowerPoint Presentations:

PPT slides

 

Immunization Recommendations

Summary of Recommendations for Adult Immunization.


Note: To find the schedule in the CDC ordering system, do the following: Within the ‘programs’ box select ‘immunizations and vaccines (schedules and booklets)’ and click search button. At the bottom of each product is a ‘more information’ link you can click if you wish to see product before ordering.

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