Child and Adolescent Immunization Schedule, New Pneumococcal Vaccine Recommendations for Adults Aged ≥65 Years Old, Prevention of Pertussis, Tetanus, and Diphtheria with Vaccines in the United States: Recommendations of the Advisory Committee on Immunization Practices (ACIP), General Best Practice Guidelines for Immunization, Manual for the Surveillance of Vaccine-Preventable Diseases, National Center for Immunization and Respiratory Diseases, 1 dose Tdap, then Td or Tdap booster every 10 yrs, 1 or 2 doses depending on indication (if born in 1957 or later), 2 or 3 doses depending on age at initial vaccination or condition. All vaccines included in the adult immunization schedule except pneumococcal 23-valent polysaccharide and zoster vaccines are covered by the Vaccine Injury Compensation Program. PCV13 and PPSV23 should not be administered during the same visit, For information on use of Td or Tdap as tetanus prophylaxis in wound management, see, Evidence of immunity: U.S.-born before 1980 (except for pregnant women and health care personnel [see below]), documentation of 2 doses varicella-containing vaccine at least 4 weeks apart, diagnosis or verification of history of varicella or herpes zoster by a health care provider, laboratory evidence of immunity or disease, Suspected cases of reportable vaccine-preventable diseases or outbreaks to the local or state health department, Clinically significant postvaccination reactions to the. For vaccine recommendations for persons age 0 through 18 years, see the Child and Adolescent Immunization Schedule. Information on how to file a vaccine injury claim is available at www.hrsa.gov/vaccinecompensation or 800-338-2382. Do not restart or add doses to vaccine series if there are extended intervals between doses. adult vaccine schedule; Vaccine 19-26 years 27-49 years 50-64 years ≥65 years; Influenza inactivated (IIV) or Influenza recombinant (RIV) 1 dose annually: Influenza live attenuated (LAIV) 1 dose annually: Tetanus, diphtheria, pertussis (Tdap or Td) 1 dose Tdap, then Td or Tdap booster every 10 yrs: Measles, mumps, rubella (MMR) Two doses of the vaccine should be given at least four weeks apart… Children are routinely recommended to receive the first dose at age 12 through 15 months and the second dose at age 4 through 6 years old. 2 or 3 doses depending on vaccine and indication, History of severe allergic reaction to any vaccine component (excluding egg) or to a previous dose of any influenza vaccine, Immunocompromised due to any cause (including medications and HIV infection), Cerebrospinal fluid-oropharyngeal communication, Close contacts or caregivers of severely immunosuppressed persons who require a protected environment, Received influenza antiviral medications within the previous 48 hours, If PPSV23 was administered prior to age 65 years, adminster 1 dose PPSV23 at least 5 years after previous dose, If both PCV13 and PPSV23 are to be administered, PCV13 should be administered first. Administer recommended vaccines if vaccination history is incomplete or unknown. Varicella Vaccination Information for Healthcare Professionals CDC recommends 2 doses of varicella (chickenpox) vaccine for children, adolescents, and adults to protect against varicella. 0.5 mL (1 dose), subcutaneously into the deltoid or anterolateral thighComments:-Administer 2 doses, a minimum of 4 weeks apartUse: Active immunization for the prevention of varicella in individuals 12 months of age and older Health care personnel with no evidence of immunity to varicella: 1 dose if previously received 1 dose varicella-containing vaccine; 2‑dose series 4–8 weeks apart if previously did not receive any varicella-containing vaccine, regardless of whether U.S.-born before 1980 All adults who have never had chickenpox or received the vaccination should be vaccinated against it. Recommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack evidence of past infection, Recommended vaccination for adults with an additional risk factor or another indication, Recommended vaccination based on shared clinical decision-making. Learn how to display current schedules from your website. Always make recommendations by determining needed vaccines based on age (Table 1), assessing for medical conditions and other indications (Table 2), and reviewing special situations (Notes). PCV13 and PPSV23 should be administered at least 1 year apart. Always make recommendations by determining needed vaccines based on age (, Vaccines in the Adult Immunization Schedule. The comprehensive summary of the ACIP recommended changes made to the adult immunization schedule can be found in the February 6, 2020 MMWR. The use of trade names is for identification purposes only and does not imply endorsement by the ACIP or CDC. 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 (ACPexternal), American Academy of Family Physicians (AAFPexternal), American College of Obstetricians and Gynecologists (ACOGexternal), and American College of Nurse-Midwives (ACNMexternal).

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