Adult Printable Schedule--
Immunization Recommendations, United States
October 2006-September 2007

BROCHURE SIZE -- 11" x 17" (2-pages)
	COLOR version -- BROCHURE size (.pdf format, 2 pages, 11" x 17", 118 KB)
	BLACK & WHITE version -- BROCHURE size (.pdf format, 2 pages, 11" x 17", 116 KB)
REGULAR SIZE -- 11" x 8.5" (3-pages)
	COLOR version -- REGULAR size (.pdf format, 3 pages, 11" x 8.5", 104KB)
POCKET SIZE -- 6" x 4.5" (back & front)
OTHER VERSIONS
	Laminated versions for sale at IAC (exit site)
	Spanish version (.pdf format) Spanish version is NOT available at this time
	(screen-reader device version) (.rtf format)
	MMWR QuickGuide (.pdf format)
	MMWR QuickGuide (text-only version) (.htm format)
	Download Shots 2007 to your Palm OS® Handhelds Pocket-PCs® Handhelds Includes both the Childhood & Adolescent, and Adult Schedules) Requirements and installation instructions for both Palm OS® Handhelds and Pocket-PCs, license and disclaimer use, etc., can be found on the ImmunizationEd.org website. This is freeware software and is to be used at your own risk, courtesy of ImmunizationEd.org website.

Changes in the Schedule since last version

The 2006-2007 schedule differs from the previous schedule as follows:

• The broken red line has been deleted on the age-based schedule (Figure 1). Vaccination of persons with specific risk factors is now shown only with purple bars.
• Human papillomavirus (HPV) vaccine has been added to the age-based schedule, with a yellow bar indicating that the vaccine is recommended for women <26 years.
• Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine has been added to the age-based schedule, with a hatched yellow bar indicating that Tdap is a one-time, 1-dose recommendation for persons <64 years.
• The purple bar for varicella vaccine has been shortened in anticipation of the recommendation for the use of zoster vaccine in persons aged >60 years.
• A new column has been added to the medical/other indications schedule (Figure 2) to clarify indications for hepatitis A and B vaccines. The indications “chronic liver disease” and “recipients of clotting factor concentrates” have been removed from the previous schedule’s third and fifth columns, respectively, and combined into a new column. The column has a yellow bar for hepatitis A and B vaccines, clarifying that these vaccines are recommended for all persons with these medical indications.
• HPV vaccine has been added to the medical/other indications schedule, with a yellow bar to indicate the vaccine is recommended for women aged <26 years with all indications except pregnancy.
• Tdap was added to the medical/other indications schedule, with a hatched yellow bar to indicate that Tdap is a one-time, 1-dose recommendation for all indications except pregnancy.
• The tetanus and diphtheria footnote (#1) has been reworded to reflect ACIP recommendations for use of Tdap.
• A footnote (#2) has been added to reflect ACIP recommendations for HPV vaccination for all women aged <26 years.
• The measles, mumps, and rubella (MMR) footnote (#3) has been reworded to reflect ACIP recommendations to administer a second dose of mumps vaccine to adults in certain age groups and with certain risk factors.
• The varicella footnote (#4) has been reworded in accordance with ACIP recommendations for administering a routine second dose for all adults without evidence of immunity. The footnote also has been revised to reflect the new definition of immunity to varicella.
• The influenza footnote (#5) has been revised to reflect recent ACIP recommendations to vaccinate close contacts of children aged 0–59 months rather than 0–23 months.
• The hepatitis B footnote (#9) has been revised to reflect recommendations to vaccinate any adult seeking protection from hepatitis B virus infection and vaccinate adults in specific settings (e.g., sexually transmitted disease clinics). The Adult Immunization Schedule is available in English and Spanish at http://www.cdc.gov/nip/recs/adultschedule.htm. General information about adult vaccinations, including recommendations concerning vaccination of person with HIV and other immunosuppressive conditions, is available from state and local health departments and at http://www.cdc.gov/nip. Vaccine information statements are available at http://www.cdc.gov/nip/publications/vis. ACIP statements for each recommended vaccine and provisional vaccine recommendations can be viewed, downloaded, and printed at http://www.cdc.gov/nip/publications/acip-list.htm. Instructions for reporting adverse events to the Vaccine Adverse Event Reporting System are available at http://www.vaers.hhs.gov or by telephone, 800-822-7967.

See MMWR for complete list, figures, footnotes, and references omitted here.

Why might some adults need vaccines?
Some adults incorrectly assume that the vaccines they received as children will protect them for the rest of their lives. Generally this is true, except that:

• Some adults were never vaccinated as children
• Newer vaccines were not available when some adults were children
• Immunity can begin to fade over time
• As we age, we become more susceptible to serious disease caused by common infections (e.g., flu, pneumococcus)

Consult the Adult Vaccine Preventable Diseases page to learn about each disease. It includes a short description, symptoms, complications, transmission, and whether or not you need the vaccine as an adult.

Adult Vaccination Screening Form

It can sometimes be difficult to understand or keep track of exactly which vaccines you need. Use the following form to help you understand what vaccines might be important for you. Questions on the form help you and your doctor decide which vaccines you need and when to get them. You can print the form, fill it out, and take it with you to the office the next time you see your doctor. The clinician's version of the form can be distributed and used in clinics and healthcare professionals' offices.

Print version for general public
(.pdf format, six pages)

Print version for clinicians
(.pdf format, six pages)

English text-only version for general public
(.txt format, screen-reader device version)
Spanish text-only version for general public
(.txt format, screen-reader device version)

English text-only version for clinicians
(.txt format, screen-reader device version)
Spanish text-only version for clinicians
(.txt format, screen-reader device version)
   

Vaccines are important for adult and adolescents as well as children. Vaccine recommendations for adolescents and adults are based on a variety of factors including age, overall health status, and medical history.

To help you understand what vaccines you might need, you can complete the Adolescent and Adult Vaccine Quiz online. Then print your results and discuss them with your doctor or healthcare professional next time you make an office visit. Take the quiz.