Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

Recommended Immunization Schedule for Adults Aged 19 Years or Older by Medical Conditions and Other Indications, United States, 2018

< < Back to Adult Immunization Schedule by Age Group

This figure should be read with should be read with the footnotes and additional considerations that follow. This figure and the footnotes describe indications for which vaccines, if not previously administered, should be administered unless noted otherwise.

* = Recommended for adults who meet the age requirement, lack documentation of vaccination, or lack evidence of past infection § = Recommended for adults with other indications • = Contraindicated ⇒ = No recommendation
adult conditions vaccine schedule
Vaccine Pregnancy 1-6 Immunocompromised
(excluding HIV infection)3-7, 11
HIV infection
CD4+ count (cells/µL) 3-7, 9-10
Asplenia, complement deficiencies7,10, 11 End-stage renal disease, on hemodialysis7, 9 Heart or lung disease, alcoholism7 Chronic
liver disease7-9
Diabetes 7, 9 Health care personnel 3,4, 9 Men who have sex with men6, 8, 9
<200 ≥200
Influenza1 *1 dose annually
Tdap2 or Td2 *1 dose Tdap each pregnancy *1 dose Tdap, then Td booster every 10 yrs
MMR3 •Contraindicated *1 or 2 doses depending on indication
VAR4 •Contraindicated *2 doses
RZV5 (preferred) 2 doses RZV at age ≥50 yrs (preferred)
or
ZVL5
•Contraindicated or
1 dose ZVL at age ≥60 yrs
HPV–Female6 *3 doses through age 26 yrs *2 or 3 doses through age 26 yrs
HPV–Male6 *3 doses through age 26 yrs *2 or 3 doses through age 21 yrs *2 or 3 doses through age 26 yrs
PCV137 *1 §dose
PPSV237 § *1, 2,or 3 doses depending §on indication
HepA8 §2 or 3 doses *depending §on vaccine
HepB9 § * § * §3 *doses
MenACWY10 § *1 or more doses depending §on indication, then booster every 5 yrs if risk remains
MenB10 § *2 or 3 doses §depending on vaccine
Hib11 *3 doses HSCT recipients only § *1 §dose
TOP