Guide to Clinical Preventive Services, 2006: Appendix Table: Recommended Adult Immunization Schedule, by Vaccine and Age Group

Recommended Adult Immunization Schedule, by Vaccine and Age Group

United States, October 2005 - September 2006

Vaccine	Age Group
Vaccine	19-49 years	50-64 years	> 65 years
Tetanus, Diphtheria (Td)*	1-dose booster every 10 years^a
Measles, Mumps, Rubella (MMR)*	1 or 2 doses^a	1 dose^b
Varicella*	2 doses (0, 4-8 weeks)^a	2 doses (0, 4-8 weeks)^b
Influenza*	1 dose annually^{b c}	1 dose annually^a
Pneumococcal (polysaccharide)	1-2 doses^{b c}		1 dose^a
Hepatitis A*	2 doses (0, 6-12 mos, or 0, 6-18 mos)^{b c}
Hepatitis B*	3 doses (0, 1-2, 4-6 mos)^{b c}
Meningococcal	1 or more doses^{b c}

* Covered by the Vaccine Injury Compensation Program.

Key and Footnotes

	(a) For all persons in this category who meet the age requirements and who lack evidence of immunity (e.g., lack documentation of vaccination or have no evidence of prior infection).
	(b) Recommended if some other risk factor is present (e.g., based on medical, occupational, lifestyle, or other indications).
	(c) Vaccines for selected populations: Influenza, 19-49 years old only; Pneumococcal (polysaccharide), 19-64 years old only; Hepatitis A; Hepatitis B; Meningococcal.

Note: These recommendations must be read along with the footnotes, available at: http://www.cdc.gov/nip/recs/adult-schedule.htm#print.

This schedule indicates the recommended age groups and medical indications for routine administration of currently licensed vaccines for persons aged >19 years. Licensed combination vaccines may be used whenever any components of the combination are indicated and when the vaccine's other components are not contraindicated. For detailed recommendations, consult the manufacturers' package inserts and the complete statements from the ACIP (www.cdc.gov/nip/publications/acip-list.htm). Report all clinically significant postvaccination reactions to the Vaccine Adverse Event Reporting System (VAERS). Reporting forms and instructions on filing a VAERS report are available by telephone, 800-822-7967, or from the VAERS website at www.vaers.hhs.gov. Information on how to file a Vaccine Injury Compensation Program claim is available at www.hrsa.gov/osp/vicp or by telephone, 800-338-2382. To file a claim for vaccine injury, contact the U.S. Court of Federal Claims, 717 Madison Place, N.W., Washington D.C. 20005, telephone 202-357-6400. Additional information about the vaccines listed above and contraindications for vaccination is also available at www.cdc.gov/nip or from the CDC-INFO Contact Center at 800-CDCINFO (232-4636) in English and Spanish, 24 hours a day, 7 days a week.

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