Adult Immunization Schedule for Ages 19 Years or Older, United States, 2025

To make vaccination recommendations, healthcare providers should:

1. Determine recommended vaccine by age (Table 1 - By Age)
2. Assess need for additional recommended vaccinations by medical condition or other indication (Table 2 - By Medical Condition)
3. Review vaccine types, dosing frequencies and intervals, and considerations for special situations (Notes)
4. Review contraindications and precautions for vaccine types (Appendix)
5. Review new or updated ACIP guidance (Addendum)

Additional Information

This schedule is recommended by the Advisory Committee on Immunization Practices (ACIP) and approved by the Centers for Disease
Control and Prevention (CDC), American College of Physicians (ACP), American Academy of Family Physicians (AAFP), American College of Obstetricians and Gynecologists (ACOG), American College of Nurse-Midwives (ACNM), American Academy of Physician Associates (AAPA), American Pharmacists Association (APhA), and Society for Healthcare Epidemiology of America (SHEA).

Report

• Suspected cases of reportable vaccine-preventable diseases or outbreaks to your state or local health department
• Clinically significant adverse events to the Vaccine Adverse Event Reporting System (VAERS) at www.vaers.hhs.gov or (800-822-7967)

Questions or comments
Contact www.cdc.gov/cdc-info or 800-CDC-INFO (800-232-4636), in English or Spanish, 8 a.m.–8 p.m. ET, Monday through Friday, excluding holidays.

Helpful information

• Complete Advisory Committee on Immunization Practices (ACIP) recommendations
• ACIP Shared Clinical Decision-Making Recommendations
• General Best Practice Guidelines for Immunization (including contraindications and precautions)
• Vaccine information statements
• Manual for the Surveillance of Vaccine-Preventable Diseases
  (including case identification and outbreak response)

1. Precaution for LAIV3 does not apply to alcoholism.
2. See notes for influenza; hepatitis B; measles, mumps, and rubella; and varicella vaccinations.
3. Hematopoietic stem cell transplant.

1. Determine recommended vaccine by age (Table 1 - By Age)
2. Assess need for additional recommended vaccinations by medical condition or other indication (Table 2 - By Medical Condition)
3. Review vaccine types, dosing frequencies and intervals, and considerations for special situations (Notes)
4. Review contraindications and precautions for vaccine types (Appendix)
5. Review new or updated ACIP guidance (Addendum)

Additional Information

This schedule is recommended by the Advisory Committee on Immunization Practices (ACIP) and approved by the Centers for Disease
Control and Prevention (CDC), American College of Physicians (ACP), American Academy of Family Physicians (AAFP), American College of Obstetricians and Gynecologists (ACOG), American College of Nurse-Midwives (ACNM), American Academy of Physician Associates (AAPA), American Pharmacists Association (APhA), and Society for Healthcare Epidemiology of America (SHEA).

Report

• Suspected cases of reportable vaccine-preventable diseases or outbreaks to your state or local health department
• Clinically significant adverse events to the Vaccine Adverse Event Reporting System (VAERS) at www.vaers.hhs.gov or (800-822-7967)

Questions or comments
Contact www.cdc.gov/cdc-info or 800-CDC-INFO (800-232-4636), in English or Spanish, 8 a.m.–8 p.m. ET, Monday through Friday, excluding holidays.

Helpful information

• Complete Advisory Committee on Immunization Practices (ACIP) recommendations
• ACIP Shared Clinical Decision-Making Recommendations
• General Best Practice Guidelines for Immunization (including contraindications and precautions)
• Vaccine information statements
• Manual for the Surveillance of Vaccine-Preventable Diseases
  (including case identification and outbreak response)