Table 1. Recommended Adult Immunization Schedule for ages 19 years or older, United States, 2020

¶ = Recommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack evidence of past infection
§ = Recommended vaccination for adults with an additional risk factor or another indication
± = Recommended vaccination based on shared clinical decision-making
⇒ = No recommendation/Not applicable

adult vaccine schedule
Vaccine	19-26 years		27-49 years			50-64 years				≥65 years
Influenza inactivated (IIV) or Influenza recombinant (RIV)	¶		1 dose annually¶			¶				¶
Influenza live attenuated (LAIV)	¶		1 dose annually¶			•				•
Tetanus, diphtheria, pertussis (Tdap or Td)	1 dose Tdap, then Td or Tdap booster every 10 yrs¶
Measles, mumps, rubella (MMR)	1 or 2 doses depending on indication (if born in 1957 or later)¶						¶	¶	•	•
Varicella (VAR)	2 doses (if born in 1980 or later)¶				2 doses§
Zoster recombinant (RZV) (preferred)	•		•			¶	¶	¶	2 doses¶
Zoster live (ZVL)	•		•			•	•		1 dose¶
Human papillomavirus (HPV)	2 or 3 doses depending on age at initial vaccination or condition¶		27 through 45 years±	±	•	•				•
Pneumococcal conjugate (PCV13)	1 dose§									§
Pneumococcal conjugate (PCV13)	1 dose§									65 years and older±
Pneumococcal polysaccharide (PPSV23)	1 or 2 doses depending on indication§									1 dose¶
Hepatitis A (HepA)	2 or 3 doses depending on vaccine§
Hepatitis B (HepB)	2 or 3 doses depending on vaccine§
Meningococcal A, C, W, Y (MenACWY)	1 or 2 doses depending on indication, see notes for booster recommendations§
Meningococcal B (MenB)	§	2 or 3 doses depending on vaccine and indication, see notes for booster recommendations§
Meningococcal B (MenB)	19 through 23 years±	§	§
Haemophilus influenzae type b (Hib)	1 or 3 doses depending on indication§

Top of Page