Vaccine Unavailability and Immigration Requirements

Vaccine shortages and supply disruptions can occur for a variety of reasons, including manufacturing issues, increased demand, and distribution challenges. When a required vaccine is temporarily unavailable, immigration applicants should not be penalized for circumstances beyond their control. USCIS has established procedures for handling vaccine unavailability, and civil surgeons are trained to document these situations appropriately on Form I-693.

How the Civil Surgeon Documents Unavailability

If a required vaccine is unavailable at the time of your immigration medical exam, the civil surgeon will document this on Form I-693. The documentation will note the specific vaccine, the reason for unavailability, and the date of the examination. This documentation allows USCIS to evaluate your application in light of the unavailability and determine the appropriate course of action.

USCIS Procedures for Vaccine Unavailability

USCIS has issued guidance addressing situations where required vaccines are unavailable. In general, USCIS will not deny an application solely because a required vaccine was unavailable at the time of the examination, provided the civil surgeon has properly documented the unavailability.

USCIS may require the applicant to receive the vaccine once it becomes available, either before a final decision on the application or as a condition of approval. The specific procedure depends on the circumstances and the vaccine in question.

Seasonal Vaccines and Timing

The influenza vaccine is a common example of a vaccine that may be unavailable at certain times of year. The influenza vaccine is typically available from September or October through the end of flu season. If your immigration medical exam occurs before the current season's influenza vaccine is available, the civil surgeon will document this and advise you on when to return for the vaccine.

What You Can Do

If you are concerned about vaccine availability for your immigration medical exam, contact our office before your appointment. We monitor vaccine availability and can advise you on the current status of all required vaccines. In some cases, we may recommend scheduling your exam at a time when all required vaccines are available to minimize the need for follow-up appointments.