sábado, 2 de febrero de 2013

CDC - Vaccines - Adult Immunization Schedules and Tools for Providers

CDC - Vaccines - Adult Immunization Schedules and Tools for Providers

Adult Immunization Schedules

United States, 2013

Details for Healthcare Professionals

Each year, the Advisory Committee on Immunization Practices (ACIP) reviews the recommended adult (anyone over 18 years old) immunization schedule to ensure that the schedule reflects current recommendations for the licensed vaccines.
The recommended adult immunization schedule has been approved by the Advisory Committee on Immunization Practices, the American Academy of Family Physicians, the American College of Obstetricians and Gynecologists, the American College of Physicians, and the American College of Nurse-Midwives.

View or Print Schedules

Adult Immunization Schedule.

thumbnail of 0-6 schedule.

Adult Schedule, by Vaccine and Age Group

Display and Print the Adult Schedule on Your Website NEW Feature

thumbnail of 0-6 schedule.

Medical Indications Schedule

Display and Print the Medical Indications Schedule on Your Website NEW Feature

thumbnail of 0-6 schedule.

Contraindications and Precautions

Display and Print the Contraindications and Precautions Table on Your Website NEW Feature

Easy-to-read Version for Patients

Available in English and Spanish.
Recommended Immunization for Adults (those 19 years and older)

Interactive Tool and SmartPhone Download

Adult Scheduler tool logo.
Interactive Tool: Adult Immunization Scheduler
Download this tool to determine the vaccines your patients need according to the Adult Immunization Schedule.

Note: 2013 version not available until early February.

Download shots to palm/pocket-PCs.
CDC is creating a mobile version of the schedules which we plan to have available by March 2013.


2012 Adult Immunization Schedule for persons ages 19 years and older.

Condensed Version

(Measures 6 inches wide by 4.5 inches in height. Card size prints front & back*.)
*Page 1 - Recommended adult immunization schedule, by vaccine and age group with footnotes on back side.
*Page 2 - Vaccines that might be indicated for adults based on medical and other indications with footnotes on back side.


Spanish Version (en español)

The official MMWR version of the schedules is no longer available in Spanish. We offer only an easy-to-read version of the schedule. See immunization schedules for adults in easy-to-read formats.
Consult NCIRDwebteam@cdc.gov for inquiries about Spanish versions.

Changes in the Schedule Since Last Version

MMWR logo HTML version | PDF version Adobe PDF file [1MB, 21 pages]
The Advisory Committee on Immunization Practices (ACIP) annually reviews the recommended Adult Immunization Schedule to ensure that the schedule reflects current recommendations for the licensed vaccines. These changes were published in MMWR and in brief, the primary changes include:

Figure Changes

  • The bar for MMR vaccine was removed for persons born after 1957 to clarify that persons born after 1957 are considered immune and routine vaccination is not recommended.
  • The bar for Td/ Tdap vaccine was changed to solid yellow to reflect a new recommendation that all persons including those 65 years and older are recommended to receive Tdap vaccination as a substitute for one dose of Td vaccine.
  • A new bar for PCV13 vaccine was added.

Footnote Changes

  • Influenza vaccine – Footnote now uses the abbreviation IIV for inactivated influenza vaccine and drops the abbreviation TIV for trivalent inactivated vaccine (TIV).
  • Tdap and Td vaccines - Footnote is updated to include the recommendation to vaccinate pregnant women with Tdap during each pregnancy, regardless of the interval since prior Td/Tdap vaccination.
  • Varicella and HPV vaccines - Footnotes were simplified; no changes in recommendations were made. Additional information was added to the HPV footnote regarding vaccination and pregnancy.
  • MMR vaccine - Footnote was modified to reflect the new recommendation that a provider diagnosis of measles, is no longer considered acceptable evidence of immunity to measles.  A provider diagnosis of mumps and rubella continue not to be acceptable evidence of immunity.
  • Pneumococcal vaccines:
    • Pneumococcal polysaccharide (PPSV23) vaccine and PPSV23 revaccination footnotes clarify that persons with certain medical conditions are recommended to receive 2 doses of PPSV23 before age 65 years and even those who receive 2 doses of PPSV23 before age 65 years are recommended to receive PPSV23 at age 65 years, as long as it has been 5 years since the most recent dose.
    • Pneumococcal conjugate 13-valent (PCV13) vaccine - A new footnote was added for PCV13 vaccine. Also, language was added regarding the timing of PCV13 vaccine relative to PPSV23 for those persons recommended to be vaccinated with both pneumococcal vaccines.
  • Hepatitis A vaccine - Footnote was updated to clarify that vaccination is recommended for persons with a history of noninjection illicit drug use in addition to those with injection drug use.

Contraindications Table Changes

  • The inactivated influenza vaccine precautions were updated to indicate that persons who experience only hives with exposure to eggs should receive IIV rather than LAIV.
  • Pregnancy was removed as a precaution for hepatitis A vaccine. This is an inactivated vaccine, and similar to hepatitis B vaccines, is recommended if another high risk condition or other indication is present.
  • Language was clarified regarding the precaution for use of antiviral medications and vaccination with varicella or zoster vaccines.

Presentation Graphics

These slides are only snapshots of the chart and footnote portions of the immunization schedule and are provided for use in PowerPoint Presentations:
PPT slides

Immunization Recommendations

Summary of Recommendations for Adult Immunization.

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