2018 Recommended Immunizations for Adults: By Health Condition in Easy-to-read Format
• = Recommended For You: This vaccine is recommended for you unless your healthcare professional tells you that you cannot safely receive it or that you do not need it.
§ = May Be Recommended For You: This vaccine is recommended for you if you have certain risk factors due to your health condition. Talk to your health care professional to see if you need this vaccine.
⇒ = You should not get this vaccine.
|If you have this health condition||talk to your health care professional about these vaccines|
|Td or Tdap
Tetanus Diphtheria, pertussis
|Hepatitis A||Hepatitis B||Hib
Haemophilus influenzae type b
|RZV||ZVL||PCV13||PPSV23||MenACWY||MenB||for women||for men|
|Pregnancy||•||•||⇒SHOULD NOT GET VACCINE||§||§||§||⇒SHOULD NOT GET VACCINE||⇒SHOULD NOT GET VACCINE||§||§|
|Weakened Immune System||•||•||•||•||•|
|HIV: CD4 count less than 200||•||•||§|
|HIV: CD4 count 200 or greater||•||•|
|Kidney disease or
poor kidney function
|Spleen removed or does not work well||•||•||§||•|
Chronic lung disease;
(Type 1 or Type 2)
|Chronic Liver Disease||•|
|More Information:||You should get flu vaccine every year.||You should get 1 dose of Tdap if you did not get it as a child or adult. You should also get a Td booster every 10 years. Women should get 1 dose of Tdap vaccine during every pregnancy.||There are 2 types of zoster vaccine. You should get 2 doses of RZV at age 50 years or older (preferred) or 1 dose of ZVL at age 60 years or older, even if you had shingles before.||There are 2 types of pneumococcal vaccines. You should get 1 dose of PCV13 and at least 1 dose of PPSV23 depending on your age and health condition.||There are 2 types of meningococcal vaccines. You may need one or both types depending on your health condition.||You should get this vaccine if you did not get it when you were a child.||You should get Hib vaccine if you do not have a spleen, have sickle cell disease, or received a bone marrow transplant.|
|You should get HPV vaccine if you are a woman through age 26 years or a man through age 21 years and did not already complete the series.|
If you are traveling outside the United States, you may need additional vaccines.
Ask your health care professional about which vaccines you may need at least 6 weeks before you travel.
The recommendations in this schedule were approved by the Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices (ACIP), the American Academy of Family Physicians (AAFP), the American College of Physicians (ACP), the American
College of Obstetricians and Gynecologists (ACOG), and the American College of Nurse-Midwives (ACNM).
- Page last reviewed: February 6, 2018
- Page last updated: February 6, 2018
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