USCIS Vaccination Requirements for Immigration Medical Exams

MMR (measles, mumps, rubella) is required for applicants born in 1957 or later, beginning at 12 months of age. Applicants born before 1957 may qualify for presumptive immunity to measles and mumps. Laboratory evidence of immunity may be acceptable for measles, mumps, and rubella.

Hepatitis B vaccination is generally required through age 59 under the current CDC adjustment-of-status table. Serologic evidence of immunity may be acceptable. The specific series and schedule depend on the applicant's age and vaccination history.

Varicella (chickenpox) vaccination is required unless the applicant has documented evidence of prior disease or laboratory evidence of immunity. Laboratory evidence of immunity may be acceptable.

One lifetime dose of Tdap (tetanus, diphtheria, pertussis) is required for all applicants who have never received it. Td boosters are then required every 10 years. Requirements depend on the applicant's age and documented vaccination history.

Annual influenza vaccination is required for applicants age six months and older when the vaccine is available for the current influenza season. The civil surgeon documents when the influenza vaccine is not available or not flu season.

Pneumococcal vaccination is required for children from two through 59 months and applicants age 65 and older under the current CDC adjustment-of-status table. The specific vaccine type and schedule depend on age and health status.

Inactivated polio vaccine (IPV) is required according to the applicant's age, documented history, immunity, minimum intervals, and current CDC Table 1. Adults who have never been vaccinated need a primary series.

HPV (human papillomavirus) vaccination is not currently included in the CDC list of vaccines required for adjustment of status. It may be recommended clinically but is not an I-693 requirement.

Rotavirus vaccination is required for infants within the applicable infant age window. The series is brand-specific: Rotarix requires 2 doses; RotaTeq requires 3 doses. The series cannot be started after 15 weeks of age.

Haemophilus influenzae type b (Hib) vaccination is generally required from ages two months through 59 months. The number of doses depends on the vaccine brand and the child's age at first dose.

MenACWY vaccination is generally required from ages 11 through 18 under the current CDC adjustment-of-status table. Requirements depend on the applicant's age, documented history, and current CDC Table 1.

Hepatitis A vaccination is generally required from 12 months through age 18 under the current CDC adjustment-of-status table. Serologic evidence of immunity (anti-HAV IgG) may be acceptable.