Pneumococcal Vaccine Requirement for Immigration

The pneumococcal vaccine protects against Streptococcus pneumoniae, a bacterium that can cause serious infections including pneumonia, meningitis, and bloodstream infections. USCIS requires pneumococcal vaccination for immigration applicants who meet the age and risk criteria established by ACIP. The requirement is not universal — it applies to specific age groups and individuals with certain medical conditions.

Age-Based Requirements

ACIP recommends pneumococcal vaccination for all adults aged 65 and older. For immigration purposes, applicants in this age group who lack documentation of prior pneumococcal vaccination will be required to receive the vaccine. The specific vaccine formulation recommended may vary based on prior vaccination history and current ACIP guidance.

High-Risk Medical Conditions

Younger applicants with certain high-risk medical conditions may also be required to receive the pneumococcal vaccine. These conditions include:

• Chronic lung disease (including asthma)
• Chronic heart disease
• Chronic liver disease
• Diabetes mellitus
• Chronic kidney disease or nephrotic syndrome
• Functional or anatomic asplenia (absent or non-functioning spleen)
• Immunocompromising conditions (including HIV infection)
• Cochlear implants or cerebrospinal fluid leaks

Types of Pneumococcal Vaccines

Two main types of pneumococcal vaccines are available: pneumococcal conjugate vaccines (PCV15, PCV20) and pneumococcal polysaccharide vaccine (PPSV23). ACIP recommendations for which vaccine to use and in what sequence have evolved over time.

Your civil surgeon will advise you on the appropriate pneumococcal vaccine formulation based on your age, medical history, and prior vaccination records.

What to Bring to Your Appointment

If you have previously received a pneumococcal vaccine, bring documentation to your immigration medical exam. Records should include the vaccine name, date administered, and administering provider. If you have a medical condition that places you in a high-risk category, bring documentation of your diagnosis as well.