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Recommended Immunization Schedule for Adults Aged 19 Years or Older, United States 2018

In October 2017, ACIP approved the 2018 immunization schedule for adults age 19 or older, effective February 2018.

The schedule has been approved by the Centers for Disease Control and Prevention (CDC), the American College of Physicians (ACP), the American Academy of Family Physicians (AAFP), the American College of Obstetricians and Gynecologists (ACOG), and the American College of Nurse-Midwives (ACNM).

The comprehensive summary of the ACIP recommended changes made to the adult immunization schedule can be found in the February 6, 2018 MMWR.

Changes to this Year’s Schedule

Tdap or Td vaccines

  • “Td/Tdap” has been replaced by “Tdap or Td” on Figures 1 and 2 and the text in the indication bar has been revised to “1 dose Tdap, then Td booster every 10 years.”

MMR vaccine

  • Administer 1 dose of MMR to adults who previously received ≤2 doses of mumps-containing vaccine and are identified by a public health authority to be at increased risk during a mumps outbreak.
  • The text in the indication bar for Figure 1 for MMR has been changed to “1 or 2 doses depending on indication (if born in 1957 or later).”

Zoster vaccines

  • Administer 2 doses of recombinant zoster vaccine (RZV) (Shingrix) 2–6 months apart to adults aged 50 years or older regardless of past episode of herpes zoster or receipt of zoster vaccine live (ZVL) (Zostavax).
  • Administer 2 doses of RZV 2–6 months apart to adults who previously received ZVL at least 2 months after ZVL.
  • For adults aged 60 years or older, administer either RZV or ZVL (RZV is preferred).
  • “ZVL” has replaced the term “HZV” (herpes zoster vaccine) that was used in past adult immunization schedules to refer to the live zoster vaccine. A row for RZV was added above the row for ZVL and a dashed line was used to separate RZV and ZVL rows to denote that the 2 zoster vaccines are recommended for the same purpose.

HPV vaccine

  • In Figure 1, the text in the indication bars for HPV vaccine for females and males has been revised to “2 or 3 doses depending on age at series initiation.”

MenACWY vaccine

  • In figures 1 and 2, the text in the indication bar for MenACWY (serogroups A, C, W, and Y meningococcal vaccine) has been revised to “1 or 2 doses depending on indication, then booster every 5 years if risk remains.”
  • MPSV4 (4-valent meningococcal polysaccharide vaccine) is no longer available and has been removed from the adult immunization schedule.

2018 Immunization Schedule

View or Print Schedule

Adult schedule

Adult Immunization Schedule, Comprehensive Version
(introduction, schedule by age group, medical and other indications, and footnotes)

Pocket-Size Schedule

The comprehensive adult immunization schedule is available in a smaller, laminated, portable format.

Display Immunization Schedules on Your Website

This method ensures schedules on your site will always be current; whenever CDC updates a schedule, your page will automatically display the same update. Visitors can print the schedule from your web page.  For steps to easily place the 2018 recommended immunization schedules and footnotes on your website, see display immunization schedules on your website.

See examples of how the schedules will appear on your website.

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CDC Vaccine Schedules App

Interactive Tools

Get the CDC Vaccine Schedules app for health care professionals for immediate access to the most up-to-date immunization schedule. View the full childhood/adolescent and adult schedules, including medical conditions and catch-up immunization schedules and footnotes, on your smartphone and tablet devices. Free downloads are available from the iTunes App Store and Google Play.

Note: If you previously downloaded the tool, check that you have version 5.0.2 with 2018 schedules and footnotes.


 Resources for Patients: Easy-to-Read Schedule and Quiz

Easy-to-Read Schedule

Easy-to-read Version for Patients
  • Recommended immunizations for adults by age and medical condition
    English | Spanish


Adult Vaccine Quiz

Patients can use the Adult Vaccine Quiz, an online assessment tool, to get a list of vaccines they may need. Patients are instructed to discuss these vaccines with their doctor or healthcare professional.

Español: Cuestionario breve sobre vacunas para adultos

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Note: To order the adult immunization schedule, go to CDC-INFO on Demand – Publications and pull down the menu for “Programs.” Select “Immunization and Vaccines (Schedules and Booklets)” and click “Search.”