Medical - Vaccine Guide 2022 - 20

Recommended Adult Immunization Schedule
for ages 19 years or older
How to use the adult immunization schedule
1
Determine
recommended
vaccinations by
age (Table 1)
2
Assess need
for additional
recommended
vaccinations by
medical condition
or other indication
(Table 2)
3
Vaccines in the Adult Immunization Schedule*
Vaccine
Haemophilus influenzae type b vaccine
Hepatitis A vaccine
Hepatitis A and hepatitis B vaccine
Hepatitis B vaccine
Human papillomavirus vaccine
Influenza vaccine (inactivated)
Influenza vaccine (live, attenuated)
Influenza vaccine (recombinant)
Measles, mumps, and rubella vaccine
Meningococcal serogroups A, C, W, Y vaccine
Meningococcal serogroup B vaccine
Pneumococcal 15-valent conjugate vaccine
Pneumococcal 20-valent conjugate vaccine
Pneumococcal 23-valent polysaccharide vaccine
Tetanus and diphtheria toxoids
Tetanus and diphtheria toxoids and acellular pertussis vaccine
Varicella vaccine
Zoster vaccine, recombinant
Review vaccine
types, frequencies,
intervals, and
considerations for
special situations
(Notes)
Abbreviation(s)
Hib
HepA
HepA-HepB
HepB
HPV
IIV4
LAIV4
RIV4
MMR
MenACWY-D
MenACWY-CRM
MenACWY-TT
MenB-4C
MenB-FHbp
PCV15
PCV20
PPSV23
Td
Tdap
VAR
RZV
4
Review
contraindications
and precautions
for vaccine types
(Appendix)
Trade name(s)
ActHIB®
Hiberix®
PedvaxHIB®
Havrix®
Vaqta®
Twinrix®
Engerix-B®
Recombivax HB®
Heplisav-B®
Gardasil 9®
Many brands
FluMist® Quadrivalent
Flublok® Quadrivalent
M-M-R II®
Menactra®
Menveo®
MenQuadfi®
Bexsero®
Trumenba®
Vaxneuvance™
Prevnar 20™
Pneumovax 23®
Tenivac®
Tdvax™
Adacel®
Boostrix®
Varivax®
Shingrix
* Administer recommended vaccines if vaccination history is incomplete or unknown. Do not restart or add doses to vaccine
series if there are extended intervals between doses. The use of trade names is for identification purposes only and does not
imply endorsement by the ACIP or CDC.
CS310021-A
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UNITED STATES
2022
Recommended by the Advisory Committee on Immunization Practices
(www.cdc.gov/vaccines/acip) and approved by the Centers for Disease
Control and Prevention (www.cdc.gov), American College of Physicians
(www.acponline.org), American Academy of Family Physicians (www.aafp.
org), American College of Obstetricians and Gynecologists (www.acog.org),
American College of Nurse-Midwives (www.midwife.org), and American
Academy of Physician Associates (www.aapa.org), and Society for Healthcare
Epidemiology of America (www.shea-online.org).
Report
y Suspected cases of reportable vaccine-preventable diseases or outbreaks to
the local or state health department
y Clinically significant postvaccination reactions to the Vaccine Adverse Event
Reporting System at www.vaers.hhs.gov or 800-822-7967
Injury claims
All vaccines included in the adult immunization schedule except pneumococcal
23-valent polysaccharide (PPSV23) and zoster (RZV) vaccines are covered by the
Vaccine Injury Compensation Program. Information on how to file a vaccine injury
claim is available at www.hrsa.gov/vaccinecompensation.
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.
Download the CDC Vaccine Schedules app for providers at
www.cdc.gov/vaccines/schedules/hcp/schedule-app.html.
Helpful information
y Complete Advisory Committee on Immunization Practices (ACIP) recommendations:
www.cdc.gov/vaccines/hcp/acip-recs/index.html
y General Best Practice Guidelines for Immunization
(including contraindications and precautions):
www.cdc.gov/vaccines/hcp/acip-recs/general-recs/index.html
y Vaccine information statements: www.cdc.gov/vaccines/hcp/vis/index.html
yManual for the Surveillance of Vaccine-Preventable Diseases
(including case identification and outbreak response):
www.cdc.gov/vaccines/pubs/surv-manual
y Travel vaccine recommendations: www.cdc.gov/travel
y Recommended Child and Adolescent Immunization Schedule, United States, 2022:
www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html
y ACIP Shared Clinical Decision-Making Recommendations:
www.cdc.gov/vaccines/acip/acip-scdm-faqs.html
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Medical - Vaccine Guide 2022

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