Vaccinations5 min readUpdated August 2026

Is the COVID-19 Vaccine Required for Immigration?

Quick Answer

COVID-19 vaccination is not required for adjustment-of-status applications pending on or after January 20, 2025. Other vaccination requirements for Form I-693 depend on age, medical history, and USCIS/CDC guidance. Our USCIS-designated civil surgeons will review your vaccination record and explain what applies to your case.

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

COVID-19 vaccination is not required for adjustment-of-status applications pending on or after January 20, 2025. This represents a significant change from prior USCIS policy, which required COVID-19 vaccination for eligible immigration medical exam applicants. If your application was pending on or after that date, the COVID-19 vaccine requirement does 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.

Vaccines received outside the United States may be accepted depending on whether they are recognized by ACIP and FDA. If you received vaccines abroad, bring documentation to your appointment and our civil surgeon will advise on whether they satisfy the requirement.

Documentation of Prior COVID-19 Vaccination

Even though COVID-19 vaccination is no longer required for pending adjustment-of-status cases, you may still wish to bring your COVID-19 vaccination records to your appointment. The civil surgeon will document your vaccination history on Form I-693 as part of the standard exam process.

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.

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