Required Vaccinations

Table: Requirements for routine vaccination of adjustment of status applicants who are not fully vaccinated or lack documentation.

Vaccine Age
Birth-1 Month 2-11 Months 12 Months-6 Years 7-10 Years 11-17 Years 18-64 Years ≥65 Years
DTP/DTaP/DT NO YES NO
Td/Tdap NO YES, if 7 years and older (for Td); if 10 years through 64 years (for Tdap-see ACIP schedule); if 65 years and older (for Td)
IPV NO YES NO
MMR NO YES, if born in 1957 or later NO, if born before 1957
Rotavirus NO YES, if 6 weeks to 8 months NO
Hib NO YES, if 2 months through 59 months NO
Hepatitis A NO YES, if 12 months through 23 months NO
Hepatitis B YES, birth through 18 years NO
Meningococcal (MCV4) NO YES, if 11 years through 18 years NO
Varicella NO YES
Pneumococcal NO YES, if 2 months through 59 months (for PCV) NO YES (for PPV)
Influenza NO YES, 6 months and older (annually each flu season)

DTP=diphtheria and tetanus toxoids and pertussis vaccine; DTaP=diphtheria and tetanus toxoids and acellular pertussis vaccine; DT=pediatric formulation diphtheria and tetanus toxoids; Td=adult formulation tetanus and diphtheria toxoids; Tdap=adolescent and adult formulation tetanus and diphtheria toxoids and acellular pertussis vaccine (Boostrix for persons 10-64 years old; Adacel for persons 11-64 years old); IPV=inactivated poliovirus vaccine (killed); MMR=combined measles, mumps, and rubella vaccine; Hib=Haemophilus influenzae type b conjugate vaccine; MCV=meningococcal conjugate vaccine; PCV=pneumococcal conjugate vaccine; PPV=pneumococcal polysaccharide vaccine.

Adapted from ACIP recommendations.

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Glossary of Abbreviations

  • ACIP – Advisory Committee on Immunization Practices
  • CASA – Clinic Assessment Software Application
  • CDC – Centers for Disease Control and Prevention
  • CLIA – Clinical Laboratory Improvement Amendments
  • DGMQ – Division of Global Migration and Quarantine
  • DT – Diphtheria and tetanus toxoids
  • DTaP – Diphtheria and tetanus toxoids and acellular pertussis vaccine
  • DTP – Diphtheria and tetanus toxoids and pertussis vaccine
  • FDA – Food and Drug Administration
  • Hib – Haemophilus influenzae type b conjugate vaccine
  • INA – Immigration Nationality Act
  • INS – Immigration and Naturalization Services
  • MCV – Meningococcal conjugate vaccine
  • MMR – Measles, mumps, and rubella vaccine
  • MMRV – Measles, mumps, rubella, and varicella vaccine
  • MMWR – Morbidity and Mortality Weekly Report
  • MPSV – Meningococcal polysaccharide vaccine
  • NCIRD – National Center for Immunization and Respiratory Diseases
  • NCVIA – National Childhood Vaccine Injury Act
  • PCV – Pneumococcal conjugate vaccine
  • PPV – Pneumococcal polysaccharide vaccine
  • Td – Tetanus and diphtheria toxoids
  • Tdap – Tetanus and diphtheria toxoids and acellular pertussis vaccine
  • USCIS – United States Citizenship and Immigration Services
  • VAERS – Vaccine Adverse Event Reporting System
  • VIS – Vaccine Information Statement