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Immunization schedules

The adult schedule by age group and by medical condition, and the child and adolescent schedule, each shown as CDC publishes it.

Adult immunization schedule

CDC adult schedule · addendum updated July 2, 2025 · matches CDC's live page, re-checked 12 Oct 2026 · About this view

19-26 years

Where CDC's chart changes category inside an age group, a vaccine appears under each category and is marked as part of the group.

Recommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack evidence of immunity

Recommended vaccination for adults with an additional risk factor or another indication

Recommended vaccination based on shared clinical decision-making

  • Meningococcal B
    (MenB)

    19 through 23 years

    CDC's chart shows this for part of this age group.
About this view

Each entry is CDC's own cell text from its adult schedule, regrouped column by column; the headings are CDC's own legend wording. RxEvidence has not added, removed or reworded schedule content. Read it with CDC's notes, which hold dose intervals and conditions. Source: CDC, adult schedule by age. Source: CDC, adult schedule by medical condition or other indication. The same tables as CDC draws them, with every column side by side, are on the schedules page.

The re-check date means this copy was compared with CDC's live page and was identical; it does not mean CDC's page is current for every product or season.

Show CDC's full adult chart by age, all age groups side by side (scrolls sideways)

Adult immunization schedule by age

Source: CDC, Adult immunization schedule by age. Each cell is CDC's own wording. CDC's page shows: addendum updated July 2, 2025. Re-checked against CDC's live page on 12 Oct 2026: the tables are identical. These tables must be read with CDC's notes, which hold the dose intervals and catch-up rules. A vaccine's name links to CDC's notes for it.

  • Recommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack evidence of immunity
  • Recommended vaccination for adults with an additional risk factor or another indication
  • Recommended vaccination based on shared clinical decision-making
  • No Guidance/Not Applicable

Scroll sideways to see every age. Colour is never the only signal: hover or focus a cell for CDC's wording of what it means.

Ages 19 Years or Older

Adult immunization schedule by age: Ages 19 Years or Older
Vaccine19-26 years27-49 years50-64 years≥65 years
COVID-191 or more doses of 2024–2025 vaccine (See Notes)2 or more doses of 2024-2025 vaccine
(See Notes)
Influenza inactivated (IIV3, ccIIV3)
Influenza recombinant (RIV3)
1 dose annually1 dose annually
(HD–IIV3, RIV3, or aIIV3 preferred)
Influenza inactivated
(aIIV3; HD–IIV3)
Influenza recombinant (RIV3)
Solid organ transplant (See Notes)
Influenza live, attenuated (LAIV3)1 dose annuallyNo Guidance/Not Applicable
Respiratory Syncytial Virus
(RSV)
Seasonal administration during pregnancy.

(See Notes)

50 through 74 years (See Notes)Recommended vaccination for adults with an additional risk factor or another indication.≥75 years
Tetanus, diphtheria, pertussis
(Tdap or Td)
1 dose Tdap each pregnancy; 1 dose Td/Tdap for wound management (See Notes)
1 dose Tdap, then Td or Tdap booster every 10 years
Measles, mumps, rubella
(MMR)
1 or 2 doses depending on indication
(if born in 1957 or later)
Recommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack evidence of immunityFor health care personnel,
(See Notes)
No Guidance/Not Applicable
Varicella
(VAR)
2 doses (if born in 1980 or later)Recommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack evidence of immunityRecommended vaccination for adults with an additional risk factor or another indication.2 doses
Zoster recombinant
(RZV)
2 doses for immunocompromising conditions
(See Notes)
2 doses
Human papillomavirus
(HPV)
2 or 3 doses depending on age at initial vaccination or condition27 through 45 yearsRecommended vaccination based on shared clinical decision-makingNo Guidance/Not ApplicableNo Guidance/Not ApplicableNo Guidance/Not Applicable
Pneumococcal
(PCV15, PCV20,PCV21, PPSV23)
Recommended vaccination for adults with an additional risk factor or another indicationRecommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack evidence of immunitySee Notes
See Notes
Hepatitis A
(HepA)
2, 3, or 4 doses depending on vaccine
Hepatitis B
(HepB)
2, 3, or 4 doses depending on vaccine or conditionRecommended vaccination for adults with an additional risk factor or another indication.
Meningococcal A, C, W, Y
(MenACWY)
1 or 2 doses depending on indication (See Notes for booster recommendations)
Meningococcal B
(MenB)
Recommended vaccination for adults with an additional risk factor or another indication2 or 3 doses depending on vaccine and indication (See Notes for booster recommendations)
19 through 23 yearsRecommended vaccination for adults with an additional risk factor or another indicationRecommended vaccination for adults with an additional risk factor or another indication
Haemophilus influenzae type b
(Hib)
1 or 3 doses depending on indication
Mpox2 doses
Inactivated poliovirus
(IPV)
Complete 3-dose series if incompletely vaccinated. Self–report of previous doses acceptable (See Notes)
Show CDC's full adult chart by medical condition (scrolls sideways)

Adult immunization schedule by medical condition or other indication

Source: CDC, Adult immunization schedule by medical condition or other indication. Each cell is CDC's own wording. CDC's page shows: addendum updated July 2, 2025. Re-checked against CDC's live page on 12 Oct 2026: the tables are identical. These tables must be read with CDC's notes, which hold the dose intervals and catch-up rules. A vaccine's name links to CDC's notes for it.

  • Recommended for all adults who lack documentation of vaccination, OR lack evidence of immunity
  • Not recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from disease
  • Recommended based on shared clinical decision-making
  • Recommended for all adults, and additional doses may be necessary based on medical condition or other indications. See Notes.
  • Precaution: Might be indicated if benefit of protection outweighs risk of adverse reaction
  • Contraindicated or not recommended *Vaccinate after pregnancy, if indicated
  • No Guidance/Not Applicable

Scroll sideways to see every age. Colour is never the only signal: hover or focus a cell for CDC's wording of what it means.

Ages 19 Years or Older

Adult immunization schedule by medical condition or other indication: Ages 19 Years or Older
VaccinePregnancyImmuno-compromised
(excluding HIV infection)
HIV infection CD4
percentage and count
Men who have sex with menAsplenia, complement deficiencyHeart or lung diseaseKidney failure, End-stage renal disease or on dialysisChronic liver disease; alcoholismaDiabetesHealth care Personnelb
<15% or <200/mm3≥15% and ≥200/mm3
COVID-19No Guidance/Not ApplicableSee NotesRecommended for all adults who lack documentation of vaccination, OR lack evidence of immunity
Influenza inactivated
Influenza recombinant
Recommended for all adults who lack documentation of vaccination, OR lack evidence of immunitySolid organ transplant
(See Notes)
1 dose annually
LAIV3Contraindicated or not recommended *Vaccinate after pregnancy, if indicated1 dose annually if age
19–49 years
Contraindicated or not recommended *Vaccinate after pregnancy, if indicated1 dose annually if age 19–49 years
RSVSeasonal administration. (See Notes)See NotesNot recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from diseaseSee NotesLiver disease
(See Notes)
See NotesNot recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from disease
Tdap or TdTdap: 1 dose each pregnancy1 dose Tdap, then Td or Tdap booster every 10 yrs
MMR*Contraindicated or not recommended *Vaccinate after pregnancy, if indicatedRecommended for all adults who lack documentation of vaccination, OR lack evidence of immunity
VAR*Contraindicated or not recommended *Vaccinate after pregnancy, if indicatedSee NotesRecommended for all adults who lack documentation of vaccination, OR lack evidence of past infection
RZVNo Guidance/Not ApplicableSee NotesNot recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from disease
HPV*3-dose series if indicatedNot recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from disease
PneumococcalNo Guidance/Not ApplicableRecommended for all adults who lack documentation of vaccination, OR lack evidence of past infectionNot recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from diseaseRecommended for all adults who lack documentation of vaccination, OR lack evidence of past infectionNot recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from disease
HepANot recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from diseaseNo Guidance/Not ApplicableRecommended for all adults who lack documentation of vaccination, OR lack evidence of past infectionNo Guidance/Not ApplicableRecommended for all adults who lack documentation of vaccination, OR lack evidence of past infectionNo Guidance/Not Applicable
HepBSee NotesNot recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from diseaseRecommended for all adults who lack documentation of vaccination, OR lack evidence of past infectionNot recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from diseaseRecommended for all adults who lack documentation of vaccination, OR lack evidence of past infectionRecommended for all adults who lack documentation of vaccination, OR lack evidence of past infectionRecommended for all adults who lack documentation of vaccination, OR lack evidence of past infection
Age
≥ 60 years
MenACWYNo Guidance/Not ApplicableRecommended for all adults, and additional doses may be necessary based on medical condition or other indications. See Notes.No Guidance/Not ApplicableRecommended for all adults, and additional doses may be necessary based on medical condition or other indications. See Notes.No Guidance/Not Applicable
MenBPrecaution: Might be indicated if benefit of protection outweighs risk of adverse reactionNo Guidance/Not ApplicableRecommended for all adults, and additional doses may be necessary based on medical condition or other indications. See Notes.No Guidance/Not Applicable
HibNo Guidance/Not ApplicableHSCT: 3 dosescNo Guidance/Not ApplicableAsplenia:
1 dose
No Guidance/Not Applicable
MpoxSee NotesNot recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from diseaseSee NotesNot recommended for all adults, but recommended for some adults based on either age OR increased risk for or severe outcomes from diseaseSee Notes
IPVPrecaution: Might be indicated if benefit of protection outweighs risk of adverse reactionComplete 3-dose series if incompletely vaccinated. Self–report of previous doses acceptable (See Notes)

CDC's footnotes for this table

  1. Precaution for LAIV4 does not apply to alcoholism.
  2. See notes for influenza; hepatitis B; measles, mumps, and rubella; and varicella vaccinations.
  3. Hematopoietic stem cell transplant.

Child and adolescent immunization schedule

CDC child and adolescent schedule · addendum updated July 2, 2025 · matches CDC's live page, re-checked 12 Oct 2026 · About this view

Birth to 15 Months

18 Months to 18 Years

Birth to 15 Months: Birth

Range of recommended ages for all children

No Guidance/Not Applicable

Rotavirus (RV) RV1 (2-dose series); RV5 (3-dose series) · Diphtheria, tetanus, & acellular pertussis (DTaP: <7 yrs) · Haemophilus influenzae type b (Hib) · Pneumococcal conjugate (PCV15, PCV20) · Inactivated poliovirus (IPV) · COVID-19 (1vCOV-mRNA, 1vCOV-aPS) · Influenza (IIV3, ccIIV3) · Influenza (LAIV3) · Measles, mumps, rubella (MMR) · Varicella (VAR) · Hepatitis A (HepA) · Tetanus, diphtheria, & acellular pertussis (Tdap: ≥7 yrs) · Human papillomavirus (HPV) · Meningococcal (MenACWY-CRM ≥2 mos, MenACWY-TT ≥2years) · Meningococcal B (MenB-4C, MenB-FHbp) · Respiratory syncytial virus vaccine (RSV [Abrysvo]) · Dengue (DEN4CYD: 9-16 yrs) · Mpox

About this view

Each entry is CDC's own cell text from its child and adolescent schedule, regrouped by age heading; the headings are CDC's own legend wording. RxEvidence has not added, removed or reworded schedule content. Read it with CDC's notes, which hold dose intervals, catch-up rules and conditions. Source: CDC, child and adolescent schedule by age. The same tables as CDC draws them, with every age side by side, are folded below.

The re-check date means this copy was compared with CDC's live page and was identical; it does not mean CDC's page is current for every product or season. The American Academy of Pediatrics publishes its own child and adolescent schedule, which can differ; both are listed in the source directory.

Show CDC's full child and adolescent charts, all ages side by side (scrolls sideways)

Child and adolescent immunization schedule by age

Source: CDC, Child and adolescent immunization schedule by age. Each cell is CDC's own wording. CDC's page shows: addendum updated July 2, 2025; page last updated July 2, 2025. Re-checked against CDC's live page on 12 Oct 2026: the tables are identical. These tables must be read with CDC's notes, which hold the dose intervals and catch-up rules. A vaccine's name links to CDC's notes for it.

  • Range of recommended ages for all children
  • Range of recommended ages for catch-up vaccination
  • Range of recommended ages for certain high-risk groups or populations
  • Recommended vaccination can begin in this age group
  • Vaccination is based on shared clinical decision making
  • No Guidance/Not Applicable

Scroll sideways to see every age. Colour is never the only signal: hover or focus a cell for CDC's wording of what it means.

Birth to 15 Months

Child and adolescent immunization schedule by age: Birth to 15 Months
Vaccine and other immunizing agentsBirth1 mo2 mos4 mos6 mos9 mos12 mos15 mos
Respiratory syncytial virus
(RSV-mAb [Nirsevimab])
1 dose depending on maternal RSV vaccination status, See NotesRange of recommended ages for all childrenRange of recommended ages for all childrenRange of recommended ages for certain high-risk groups or populations1 dose (8 through 19 months), See Notes
Hepatitis B
(HepB)
1st dose←2nd dose→Range of recommended ages for catch-up vaccination←3rd dose→
Rotavirus (RV)
RV1 (2-dose series); RV5 (3-dose series)
No Guidance/Not Applicable1st dose2nd doseSee NotesNo Guidance/Not Applicable
Diphtheria, tetanus, & acellular pertussis
(DTaP: <7 yrs)
No Guidance/Not Applicable1st dose2nd dose3rd doseRange of recommended ages for catch-up vaccination←4th dose→
Haemophilus influenzae type b
(Hib)
No Guidance/Not Applicable1st dose2nd doseSee NotesRange of recommended ages for catch-up vaccination←3rd or 4th dose,
See Notes→
Pneumococcal conjugate
(PCV15, PCV20)
No Guidance/Not Applicable1st dose2nd dose3rd doseRange of recommended ages for catch-up vaccination←4th dose→
Inactivated poliovirus
(IPV)
No Guidance/Not Applicable1st dose2nd dose←3rd dose→
COVID-19
(1vCOV-mRNA, 1vCOV-aPS)
No Guidance/Not ApplicableSee Notes
Influenza (IIV3, ccIIV3)No Guidance/Not Applicable1 or 2 doses annually
Influenza (LAIV3)No Guidance/Not Applicable
Measles, mumps, rubella
(MMR)
No Guidance/Not ApplicableSee Notes←1st dose→
Varicella
(VAR)
No Guidance/Not Applicable←1st dose→
Hepatitis A
(HepA)
No Guidance/Not Applicable(See Notes)←2-dose series, See Notes→
Tetanus, diphtheria, & acellular pertussis
(Tdap: ≥7 yrs)
No Guidance/Not Applicable
Human papillomavirus
(HPV)
No Guidance/Not Applicable
Meningococcal
(MenACWY-CRM ≥2 mos, MenACWY-TT ≥2years)
No Guidance/Not ApplicableSee Notes
Meningococcal B
(MenB-4C, MenB-FHbp)
No Guidance/Not Applicable
Respiratory syncytial virus vaccine
(RSV [Abrysvo])
No Guidance/Not Applicable
Dengue
(DEN4CYD: 9-16 yrs)
No Guidance/Not Applicable
MpoxNo Guidance/Not Applicable

18 Months to 18 Years

Child and adolescent immunization schedule by age: 18 Months to 18 Years
Vaccine and other immunizing agents18 mos19-23 mos2-3 yrs4-6 yrs7-10 yrs11-12 yrs13-15 yrs16 yrs17-18 yrs
Respiratory syncytial virus (RSV-mAb [Nirsevimab])1 dose (8 through 19 months), See NotesRange of recommended ages for certain high-risk groups or populationsNo Guidance/Not ApplicableNo Guidance/Not ApplicableNo Guidance/Not ApplicableNo Guidance/Not Applicable
Hepatitis B (HepB)←3rd dose→Range of recommended ages for catch-up vaccination
Rotavirus
(RV) RV1 (2-dose series); RV5 (3-dose series)
No Guidance/Not Applicable
Diphtheria, tetanus, & acellular pertussis
(DTaP: <7 yrs)
←4th dose→Range of recommended ages for catch-up vaccination5th doseNo Guidance/Not Applicable
Haemophilus influenzae type b (Hib)Range of recommended ages for catch-up vaccinationRange of recommended ages for catch-up vaccinationRange of recommended ages for certain high-risk groups or populationsRange of recommended ages for certain high-risk groups or populations
Pneumococcal conjugate (PCV15, PCV20)Range of recommended ages for catch-up vaccinationRange of recommended ages for catch-up vaccinationRange of recommended ages for certain high-risk groups or populationsRange of recommended ages for certain high-risk groups or populations
Inactivated poliovirus
(IPV)
←3rd dose→Range of recommended ages for catch-up vaccination4th doseRange of recommended ages for catch-up vaccinationRange of recommended ages for catch-up vaccinationRange of recommended ages for catch-up vaccinationSee Notes
COVID-19
(1vCOV-mRNA, 1vCOV-aPS)
See NotesShared clinical decision makingRange of recommended ages for all childrenRange of recommended ages for all children
Influenza (IIV3, ccIIV3)1 or 2 doses annuallyRange of recommended ages for all childrenRange of recommended ages for all childrenRange of recommended ages for all childrenRange of recommended ages for all children1 dose annually
Influenza (LAIV3)No Guidance/Not Applicable1 or 2 doses annuallyRange of recommended ages for all childrenRange of recommended ages for all childrenRange of recommended ages for all childrenRange of recommended ages for all childrenRange of recommended ages for all childrenRange of recommended ages for all children1 dose annually
Measles, mumps, rubella (MMR)Range of recommended ages for catch-up vaccination2nd doseRange of recommended ages for catch-up vaccination
Varicella (VAR)Range of recommended ages for catch-up vaccination2nd doseRange of recommended ages for catch-up vaccination
Hepatitis A (HepA)← 2-dose series, See Notes→Range of recommended ages for catch-up vaccination
Tetanus, diphtheria, & acellular pertussis (Tdap: ≥7 yrs)No Guidance/Not ApplicableRange of recommended ages for catch-up vaccination1 doseRange of recommended ages for certain high-risk groups
Range of recommended ages for catch-up vaccination
Human papillomavirus (HPV)No Guidance/Not ApplicableRange of recommended ages for certain high-risk groupsSee NotesRange of recommended ages for catch-up vaccination
Range of recommended ages for certain high-risk groups
Meningococcal (MenACWY-CRM ≥2 mos, MenACWY-TT ≥2years)See Notes1st doseRange of recommended ages for catch-up vaccination2nd doseRange of recommended ages for catch-up vaccination
Meningococcal B (MenB-4C, MenB-FHbp)No Guidance/Not ApplicableNo Guidance/Not ApplicableNo Guidance/Not ApplicableNo Guidance/Not ApplicableNo Guidance/Not ApplicableRange of recommended ages for certain high-risk groups or populationsSee Notes
No Guidance/Not ApplicableNo Guidance/Not ApplicableVaccination is based on shared clinical decision making
Respiratory syncytial virus vaccine (RSV [Abrysvo])No Guidance/Not ApplicableSeasonal administration during pregnancy, See Notes
Dengue (DEN4CYD: 9–16 yrs)No Guidance/Not ApplicableNo Guidance/Not ApplicableNo Guidance/Not ApplicableRange of recommended ages for certain high-risk groups or populationsSeropositive in endemic dengue areas (See Notes)No Guidance/Not Applicable
MpoxNo Guidance/Not ApplicableRange of recommended ages for certain high-risk groups or populations

Source: Centers for Disease Control and Prevention (CDC). This material is copied from CDC's website, which offers it at no charge, and is shown as CDC wrote it. RxEvidence is not affiliated with CDC, the Department of Health and Human Services, or the U.S. Government, and this use does not imply their endorsement of RxEvidence or any product, service or organization. Reference to specific commercial products, manufacturers, companies, or trademarks does not constitute its endorsement or recommendation by the U.S. Government, Department of Health and Human Services, or Centers for Disease Control and Prevention. CDC revises these pages; CDC's page is the authority and takes precedence over this copy.

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