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Adult Immunization Schedule

Details For Health Care Professionals

Each year, the Advisory Committee on Immunization Practices (ACIP) reviews the recommended adult (anyone over 18 years old) immunization schedule to ensure that the schedule reflects current recommendations for the licensed vaccines.

The recommended adult immunization schedule has been approved by the Advisory Committee on Immunization Practices, the American Academy of Family Physicians, the American College of Obstetricians and Gynecologists, and the American College of Physicians.

Printable Schedules

Adult Immunization Schedule.

Easy-to-read Version for Patients

Available in English and Spanish.

Recommended Immunization for Adults (those 19 years and older)


Interactive Tool and SmartPhone Download

Adult Scheduler tool logo.

Interactive Tool: Adult Immunization Scheduler
Download this tool to determine the vaccines your patients need according to the Adult Immunization Schedule.

Download shots to palm/pocket-PCs.

"Shots by STFM" for your Mobile Device and Smartphone   File for Palm and Pocket PC handhelds
A FREE app is available for your iPhone, Android, and Palm Pre(WebOS) phones. Also available is a small-size schedule for your mobile device. These are to be used at your own risk and are provided courtesy of the Society of Teachers of Family Medicine (STFM). For information go to web site.


2012 Adult Immunization Schedule for persons ages 19 years and older.

Condensed Version

(Measures 6 inches wide by 4.5 inches in height. Card size prints front & back*.)


*Page 1 - Recommended adult immunization schedule, by vaccine and age group with footnotes on back side.
*Page 2 - Vaccines that might be indicated for adults based on medical and other indications with footnotes on back side.


Spanish Version (en español)

The official MMWR version of the schedules is no longer available in Spanish. An easy-to-read Spanish language version for parents will be posted when available. Get email updates if you want to be notified when it is available.

Changes in the Schedule Since Last Version

The Advisory Committee on Immunization Practices (ACIP) annually reviews the recommended Adult Immunization Schedule to ensure that the schedule reflects current recommendations for the licensed vaccines. These changes were published in MMWR and in brief, the primary changes include:

  • A new footnote to links for the full ACIP vaccine recommendations and where to find additional information on specific vaccine recommendations for travelers.
  • Table summarizing precautions and contraindications was added.
  • Tdap and Td vaccines - Footnote for updated to indicate:
    • Tdap vaccine is recommended for all persons who are close contacts of infants younger than 12 months of age (e.g., parents, grandparents, and child-care providers) and who have not received Tdap previously.
    • Tdap vaccine is recommended for pregnant women during later pregnancy (>20 weeks gestation).
    • Other adults who are close contacts of children younger than 12 months of age continue to be recommended to receive a one-time dose of Tdap vaccine.
  • HPV vaccine - Footnote updated to include routine vaccination of males 11–12 years of age, with catch-up vaccination recommended for males 13–21 years of age. Also now recommended for previously unvaccinated males 22–26 years of age who are immunocompromised, or who test positive for human immunodeficiency virus (HIV) infection, or who have sex with men.
  • Hep B vaccine - Footnote updated to include the recommendation to vaccinated adults younger than 60 years old who have diabetes, as soon as possible after diabetes is diagnosed. Also now recommended at the discretion of the treating clinician for adults with diabetes who are 60 years or older based on a patient’s likely need for assisted blood glucose monitoring, likelihood of acquiring hepatitis B, and likelihood of immune response to vaccination.
  • Zoster vaccine – Notes recently approved by FDA for administration to persons 50 years of age and older; however, ACIP continues to recommend that vaccination begin at age 60 years.
  • Influenza vaccine - Footnote revised to specify age indications for the different licensed formulations of trivalent inactivated influenza vaccine (TIV).
  • MMR vaccine - Footnote simplified to focus only on routine use of this vaccine in adults. Readers referred to ACIP MMR and health-care personnel recommendations regarding the use of MMR vaccine in outbreak settings.
  • MCV4 and MPSV4 vaccines - Specific information added about for specific age and risk groups.

Presentation Graphics

These images are only the chart portions of the immunization schedule and are provided for use in PowerPoint Presentations:

2012 jpg images

  • Chart 1 Image file [.jpg - 339KB] (by vaccine and age group)
  • Chart 2 Image file [.jpg - 406KB] (based on medical and other indications)


Immunization Recommendations

Summary of Recommendations for Adult Immunization.

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