Vaccinations5 min readUpdated August 2026

Are COVID-19 Boosters Required for Immigration?

Quick Answer

COVID-19 vaccination is not required for adjustment-of-status applications pending on or after January 20, 2025. This means COVID-19 boosters are also not required for those pending cases. Our civil surgeon will review your vaccination record and advise you on what applies to your specific situation.

COVID-19 Booster Requirement — Policy Change Effective January 20, 2025

COVID-19 vaccination — including booster doses — is not required for adjustment-of-status applications pending on or after January 20, 2025. This represents a significant change from prior USCIS policy. If your application was pending on or after that date, COVID-19 booster requirements do not apply to your Form I-693.

Other Vaccination Requirements Still Apply

All other USCIS vaccination requirements for Form I-693 remain in effect. Requirements depend on your age, medical history, and current USCIS/CDC guidance. The civil surgeon will review your complete vaccination record at your appointment and advise you on any vaccines needed.

Medical Contraindications to COVID-19 Vaccines

If you have a documented medical contraindication to COVID-19 vaccine — such as a severe allergic reaction (anaphylaxis) to a prior COVID-19 vaccine dose or a vaccine component — the civil surgeon can document this on Form I-693 if relevant. Bring documentation of any prior adverse reactions to COVID-19 vaccine to your appointment.

Where to Find Current USCIS Guidance

Current USCIS vaccination requirements are available at uscis.gov/tools/designated-civil-surgeons/vaccination-requirements. Our office stays current with all USCIS guidance. Contact us before your appointment to confirm current requirements, as policies may change.

Frequently Asked Questions

Fast · Convenient · Secure Online Scheduling

Ready to Schedule Your Immigration Medical Exam?

Our USCIS-designated civil surgeon is ready to help. Book your appointment online or call us today.

Book Online 24/7
Instant Confirmation
USCIS-Designated Civil Surgeon