Table 7.
Recommended Adult Immunization Schedule
| Vaccine | Dosing schedule |
|---|---|
| Td/Tdap | Substitute 1-time dose of Tdap for Td booster; then boost with Td every 10 years. For patients >65 years of age, administer Td booster every 10 years. |
| HPV | 3 doses in females 12–26 years of age |
| Varicella | 2 doses |
| Herpes zoster | 1 dose in patients >60 years of age |
| MMR | 1 or 2 doses in patients 19–49 years of age. 1 dose after 50 years of age if a risk factor (medical, occupational, or lifestyle) is present. |
| Influenza | 1 dose annually |
| Pneumococcal (polysaccharide) | 1 or 2 doses in patients 19–49 years of age if a risk factor (medical, occupational, or lifestyle) is present. 1 dose in all patients >65 years of age. |
| Hepatitis A virus | 2 doses (6 months apart) in patients with a risk factor (medical, occupational, or lifestyle) |
| Hepatitis B virus | 3 doses (at 0, 1, and 6 months) in patients with a risk factor (medical, occupational, or lifestyle) |
| Meningococcal | 1 or more doses in patients with a risk factor (medical, occupational, or lifestyle) |
- HPV
human papillomavirus
- MMR
measles, mumps, rubella
- Td/Tdap
tetanus, diphtheria, pertussis.
Modified from Advisory Committee on Immunization Practices.17