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If you are this age,
Talk to your healthcare professional
about these vaccines:

19-21 years

2014 Recommended Immunizations for Adults by Age
22-26 years

Influenza (Flu)1

27-49 years

60-64 years

Get a Tdap vaccine once, then a Td booster vaccine every 10 years

Varicella (Chickenpox)3

2 doses

HPV Vaccine for Women3,4

3 doses
3 doses

3 doses

Zoster (Shingles)5
Measles, mumps, rubella (MMR)3

65+ years

Get a flu vaccine every year

Tetanus, diphtheria, pertussis (Td/Tdap)2

HPV Vaccine for Men3,4

50-59 years

1 dose
1 or 2 doses

Pneumococcal (PCV13)7

1 dose

Pneumococcal (PPSV23)7

1 or 2 doses

Meningococcal

1 dose

1 or more doses

Hepatitis A3

2 doses

Hepatitis B3

3 doses

Haemophilus influenzae type b (Hib)

1 or 3 doses
Boxes this color show that
the vaccine is recommended
for all adults who have not
been vaccinated, unless your
healthcare professional tells
you that you cannot safely
receive the vaccine or that you
do not need it.

Boxes this color show when the
vaccine is recommended for
adults with certain risks related
to their health, job or lifestyle
that put them at higher risk for
serious diseases. Talk to your
healthcare professional to see if
you are at higher risk.

No recommendation

FOOTNOTES:
1. Influenza vaccine: There are several flu vaccines available—talk to your healthcare professional about which flu vaccine is right for you.
2. Td/Tdap vaccine: Pregnant women are recommended to get Tdap vaccine with each pregnancy in the third trimester to increase protection for infants who are too young for vaccination, but at highest
risk for severe illness and death from pertussis (whooping cough). People who have not had Tdap vaccine since age 11 should get a dose of Tdap followed by Td booster doses every 10 years.
3. Varicella, HPV, MMR, Hepatitis A, Hepatitis B vaccine: These vaccines are needed for adults who didn’t get these vaccines when they were children.
4. HPV vaccine: There are two HPV vaccines, but only one, HPV (Gardasil®), should be given to men. Gay men or men who have sex with men who are 22 through 26 years old should get HPV vaccine if they
haven’t already started or completed the series.
5. Zoster vaccine: You should get the zoster vaccine even if you’ve had shingles before.
6. MMR vaccine: If you were born in 1957 or after, and don’t have a record of being vaccinated or having had these infections, talk to your healthcare professional about how many doses you may need.
7. Pneumococcal vaccine: There are two different types of pneumococcal vaccines: PCV13 and PPSV23. Talk with your healthcare professional to find out if one or both pneumococcal vaccines are
recommended for you.
If you are traveling outside of the United States, you may need additional vaccines. Ask your healthcare professional which vaccines you may need.

For more information, call toll free 1-800-CDC-INFO (1-800-232-4636) or visit http://www.cdc.gov/vaccines
2014 Recommended Immunizations for Adults by Medical Condition
If you have this health condition,

Pregnancy
Talk to your healthcare professional
about these vaccines:

Weakened
immune system
(not human
immuno­
deficiency virus
[HIV])

HIV Infection
CD4
count
is less
than
200

CD4
count is
200 or
greater

Kidney disease
or poor kidney
function

Influenza (Flu)1

Asplenia (if you Heart disease,
do not have
chronic lung
a spleen or it
disease,
does not work
chronic
well)
alcoholism

Chronic Liver
Disease

Get a flu vaccine every year

Tetanus, diphtheria, pertussis
(Td/Tdap)2
Varicella (Chickenpox)3

1 dose Tdap
each pregnancy

Get Tdap vaccine once, then a Td booster every 10 years

SHOULD NOT GET VACCINE

2 doses

HPV Vaccine for Women3,4

3 doses through age 26 years

HPV Vaccine for Men3,4

3 doses through age 26 years

Zoster (Shingles)5
Measles, mumps, rubella (MMR)3,6

3 doses through age 21 years

SHOULD NOT GET VACCINE
SHOULD NOT GET VACCINE

Pneumococcal (PCV13)7
Pneumococcal (PPSV23)

Diabetes
(Type 1 and
Type 2)

1 dose for those 60 years and older
1 or 2 doses
1 dose

7

1 or 2 doses

1 or 2 doses

Meningococcal

1 or more doses

1 or more doses

Hepatitis A3
Hepatitis B3
Haemophilus influenzae type b (Hib)

1 dose

1 or more doses

2 doses
3 doses
post-HSCT recipients only

Boxes this color show that
the vaccine is recommended
for all adults who have not
been vaccinated, unless your
healthcare professional tells
you that you cannot safely
receive the vaccine or that you
do not need it.

3 doses

2 doses
3 doses

1 or 3 doses
Boxes this color show when
the vaccine is recommended
for adults with certain risks
related to their health, job
or lifestyle that put them at
higher risk for serious diseases.
Talk to your healthcare
professional to see if you are at
higher risk.

3 doses
1 or 3 doses

Boxes this color indicate the
adult should NOT get this
vaccine.

No recommendation

FOOTNOTES:
1. Influenza vaccine: There are several flu vaccines available—talk to your healthcare professional about which flu vaccine is right for you.
2. Td/Tdap vaccine: Pregnant women are recommended to get Tdap vaccine with each pregnancy in the third trimester to increase protection for infants who are too young for vaccination but at highest risk for severe
illness and death from pertussis (whooping cough). People who have not had Tdap vaccine since age 11 should get a dose of Tdap followed by Td booster doses every 10 years.
3. Varicella, HPV, MMR, Hepatitis A, Hepatitis B vaccine: These vaccines are needed for adults who didn’t get these vaccines when they were children.
4. HPV vaccine: There are two HPV vaccines, but only one, HPV (Gardasil®), should be given to men. Gay men or men who have sex with men who are 22 through 26 years old should get HPV vaccine if they haven’t already
started or completed the series.
5. Zoster vaccine: You should get the zoster vaccine even if you’ve had shingles before.
6. MMR vaccine: If you were born in 1957 or after, and don’t have a record of being vaccinated or having had these infections, talk to your healthcare
professional about how many doses you may need.
7. Pneumococcal vaccine: There are two different types of pneumococcal vaccines: PCV13 and PPSV23. Talk with your healthcare professional to find out if
one or both pneumococcal vaccines are recommended for you.
If you are traveling outside of the United States, you may need additional vaccines. Ask your healthcare professional which vaccines you may need.

For more information, call toll free 1-800-CDC-INFO (1-800-232-4636) or visit http://www.cdc.gov/vaccines

Last updated February 1, 2014 • CS245563-A

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  • 1. If you are this age, Talk to your healthcare professional about these vaccines: 19-21 years 2014 Recommended Immunizations for Adults by Age 22-26 years Influenza (Flu)1 27-49 years 60-64 years Get a Tdap vaccine once, then a Td booster vaccine every 10 years Varicella (Chickenpox)3 2 doses HPV Vaccine for Women3,4 3 doses 3 doses 3 doses Zoster (Shingles)5 Measles, mumps, rubella (MMR)3 65+ years Get a flu vaccine every year Tetanus, diphtheria, pertussis (Td/Tdap)2 HPV Vaccine for Men3,4 50-59 years 1 dose 1 or 2 doses Pneumococcal (PCV13)7 1 dose Pneumococcal (PPSV23)7 1 or 2 doses Meningococcal 1 dose 1 or more doses Hepatitis A3 2 doses Hepatitis B3 3 doses Haemophilus influenzae type b (Hib) 1 or 3 doses Boxes this color show that the vaccine is recommended for all adults who have not been vaccinated, unless your healthcare professional tells you that you cannot safely receive the vaccine or that you do not need it. Boxes this color show when the vaccine is recommended for adults with certain risks related to their health, job or lifestyle that put them at higher risk for serious diseases. Talk to your healthcare professional to see if you are at higher risk. No recommendation FOOTNOTES: 1. Influenza vaccine: There are several flu vaccines available—talk to your healthcare professional about which flu vaccine is right for you. 2. Td/Tdap vaccine: Pregnant women are recommended to get Tdap vaccine with each pregnancy in the third trimester to increase protection for infants who are too young for vaccination, but at highest risk for severe illness and death from pertussis (whooping cough). People who have not had Tdap vaccine since age 11 should get a dose of Tdap followed by Td booster doses every 10 years. 3. Varicella, HPV, MMR, Hepatitis A, Hepatitis B vaccine: These vaccines are needed for adults who didn’t get these vaccines when they were children. 4. HPV vaccine: There are two HPV vaccines, but only one, HPV (Gardasil®), should be given to men. Gay men or men who have sex with men who are 22 through 26 years old should get HPV vaccine if they haven’t already started or completed the series. 5. Zoster vaccine: You should get the zoster vaccine even if you’ve had shingles before. 6. MMR vaccine: If you were born in 1957 or after, and don’t have a record of being vaccinated or having had these infections, talk to your healthcare professional about how many doses you may need. 7. Pneumococcal vaccine: There are two different types of pneumococcal vaccines: PCV13 and PPSV23. Talk with your healthcare professional to find out if one or both pneumococcal vaccines are recommended for you. If you are traveling outside of the United States, you may need additional vaccines. Ask your healthcare professional which vaccines you may need. For more information, call toll free 1-800-CDC-INFO (1-800-232-4636) or visit http://www.cdc.gov/vaccines
  • 2. 2014 Recommended Immunizations for Adults by Medical Condition If you have this health condition, Pregnancy Talk to your healthcare professional about these vaccines: Weakened immune system (not human immuno­ deficiency virus [HIV]) HIV Infection CD4 count is less than 200 CD4 count is 200 or greater Kidney disease or poor kidney function Influenza (Flu)1 Asplenia (if you Heart disease, do not have chronic lung a spleen or it disease, does not work chronic well) alcoholism Chronic Liver Disease Get a flu vaccine every year Tetanus, diphtheria, pertussis (Td/Tdap)2 Varicella (Chickenpox)3 1 dose Tdap each pregnancy Get Tdap vaccine once, then a Td booster every 10 years SHOULD NOT GET VACCINE 2 doses HPV Vaccine for Women3,4 3 doses through age 26 years HPV Vaccine for Men3,4 3 doses through age 26 years Zoster (Shingles)5 Measles, mumps, rubella (MMR)3,6 3 doses through age 21 years SHOULD NOT GET VACCINE SHOULD NOT GET VACCINE Pneumococcal (PCV13)7 Pneumococcal (PPSV23) Diabetes (Type 1 and Type 2) 1 dose for those 60 years and older 1 or 2 doses 1 dose 7 1 or 2 doses 1 or 2 doses Meningococcal 1 or more doses 1 or more doses Hepatitis A3 Hepatitis B3 Haemophilus influenzae type b (Hib) 1 dose 1 or more doses 2 doses 3 doses post-HSCT recipients only Boxes this color show that the vaccine is recommended for all adults who have not been vaccinated, unless your healthcare professional tells you that you cannot safely receive the vaccine or that you do not need it. 3 doses 2 doses 3 doses 1 or 3 doses Boxes this color show when the vaccine is recommended for adults with certain risks related to their health, job or lifestyle that put them at higher risk for serious diseases. Talk to your healthcare professional to see if you are at higher risk. 3 doses 1 or 3 doses Boxes this color indicate the adult should NOT get this vaccine. No recommendation FOOTNOTES: 1. Influenza vaccine: There are several flu vaccines available—talk to your healthcare professional about which flu vaccine is right for you. 2. Td/Tdap vaccine: Pregnant women are recommended to get Tdap vaccine with each pregnancy in the third trimester to increase protection for infants who are too young for vaccination but at highest risk for severe illness and death from pertussis (whooping cough). People who have not had Tdap vaccine since age 11 should get a dose of Tdap followed by Td booster doses every 10 years. 3. Varicella, HPV, MMR, Hepatitis A, Hepatitis B vaccine: These vaccines are needed for adults who didn’t get these vaccines when they were children. 4. HPV vaccine: There are two HPV vaccines, but only one, HPV (Gardasil®), should be given to men. Gay men or men who have sex with men who are 22 through 26 years old should get HPV vaccine if they haven’t already started or completed the series. 5. Zoster vaccine: You should get the zoster vaccine even if you’ve had shingles before. 6. MMR vaccine: If you were born in 1957 or after, and don’t have a record of being vaccinated or having had these infections, talk to your healthcare professional about how many doses you may need. 7. Pneumococcal vaccine: There are two different types of pneumococcal vaccines: PCV13 and PPSV23. Talk with your healthcare professional to find out if one or both pneumococcal vaccines are recommended for you. If you are traveling outside of the United States, you may need additional vaccines. Ask your healthcare professional which vaccines you may need. For more information, call toll free 1-800-CDC-INFO (1-800-232-4636) or visit http://www.cdc.gov/vaccines Last updated February 1, 2014 • CS245563-A