Medical - Vaccine Guide 2022 - 22
Table 2 Recommended Adult Immunization Schedule by Medical Condition or Other Indication, United States, 2022
HIV infection CD4
ImmunoVaccine
IIV4
or RIV4
or
LAIV4
Tdap or Td
MMR
VAR
RZV
HPV
Pneumococcal
(PCV15, PCV20,
PPSV23)
HepA
HepB
MenACWY
MenB
Hib
Recommended vaccination
for adults who meet
age requirement, lack
documentation of
vaccination, or lack
evidence of past infection
henryschein.com/medical
3 doses
(see notes)
Not
Recommended*
1 dose Tdap each
pregnancy
Contraindicated*
Contraindicated*
Contraindicated
Contraindicated
2 doses at age ≥19 years
3 doses through age 26 years
Contraindicated
Pregnancy
compromised
(excluding HIV
infection)
percentage and count
<15% or
<200 mm3
≥15% and
≥200 mm3
Asplenia,
complement
deficiencies
End-stage
renal
disease, or on
hemodialysis
1 dose annually
or
Precaution
1 dose Tdap, then Td or Tdap booster every 10 years
1 or 2 doses depending on indication
2 doses
2 doses at age ≥50 years
2 or 3 doses through age 26 years depending on age at initial vaccination or condition
1 dose PCV15 followed by PPSV23 OR 1 dose PCV20 (see notes)
2 or 3 doses depending on vaccine
2, 3, or 4 doses depending on vaccine or condition
Precaution
1 or 2 doses depending on indication, see notes for booster recommendations
2 or 3 doses depending on vaccine and indication, see notes for booster recommendations
3 doses HSCT3
recipients only
Recommended vaccination
for adults with an additional
risk factor or another
indication
1 dose
Recommended vaccination
based on shared clinical
decision-making
22
Precaution-vaccination
might be indicated if
benefit of protection
outweighs risk of adverse
reaction
Contraindicated or not
recommended-vaccine
should not be administered.
*Vaccinate after pregnancy.
1. Precaution for LAIV4 does not apply to alcoholism. 2. See notes for influenza; hepatitis B; measles, mumps, and rubella; and varicella vaccinations. 3. Hematopoietic stem cell transplant.
22MS6015
No recommendation/
Not applicable
1 dose annually
Heart or
lung disease;
alcoholism1
Chronic liver
disease
Diabetes
Health care
personnel2
Men who
have sex
with men
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Medical - Vaccine Guide 2022
Table of Contents for the Digital Edition of Medical - Vaccine Guide 2022
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Medical - Vaccine Guide 2022 - Cover4
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