Adult Immunization Schedule

VACCINE	TIMING OF IMMUNIZATIONS
Hepatitis A *	1st dose (for international travelers, at least 4 weeks before departure)	2nd dose 6-12 months after 1st dose
Hepatitis B	1st dose	2nd dose at least 1 month after 1st dose	3rd dose at least 5 months after 2nd dose
Influenza	One dose given annually, usually September through December, to adults >=50 years of age and those younger with chronic illness/at high risk.*
Measles, Mumps, Rubella **	1st dose		2nd dose 28 days or more after 1st dose
Pneumococcal	One dose given to those >= 65 years of age. 1st dose for those 2-64 years of age with chronic illness/at high risk.*	One "booster" dose given 5 years after the first dose (only applies to persons who were 2-64 years of age at the time of the 1st dose).
Tetanus, Diphtheria (Td)	Three dose initial series (if not given in childhood):			Booster series:
	1st dose	2nd dose 1-2 months after 1st dose	3rd dose 6-12 months after 2nd dose	Every 10 years thereafter
Varicella * for susceptible individuals **	1st dose		2nd dose 28 days or more after 1st dose

Refer to ACIP guidelines for specific vaccine recommendations.

* Consult your doctor to determine your level of risk.
** Should not be given to pregnant women; pregnancy should be avoided for 3 months following receipt of MMR vaccine.
*** Should not be given to pregnant women; pregnancy should be avoided for 1 month following receipt of varicella vaccine.
**** Susceptible individuals include adults who have not been immunized previously and who do not have a reliable history of chickenpox.

Based on the Recommendations of the Advisory Committee on Immunization Practices, Centers for Disease Control and Prevention

Updated 4/00

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