Table 2. Recommended vaccinations indicated for adults based on medical and other indications.
| Vaccines | Pregnancy | Immuno Compromising conditions (excluding HIV) | HIV infection CD4+ T lymphocyte count | MSM | Heart Disease, Chronic lung disease, chronic alcoholism | Asplenia (including elective splenectomy, persistent complement component deficiency) | Chronic liver disease | Kidney failure, end stage renal disease, receipt of hemodialysis | Diabetes | Health care personnel | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| <200 cells/µl | ≥200 cells/µl | ||||||||||
| Influenza | 1 dose IIV annually | 1 dose IIV or LAIV annually | 1 dose IIV annually | 1 dose IIV annually | 1 dose IIV or LAIV annually | ||||||
| Td/Tdap | 1 dose Tdap each pregnancy | Substitute 1-time dose of Tdap for Td booster; then boost with Td every 10 y | Substitute 1-time dose of Tdap for Td booster; then boost with Td every 10 y | ||||||||
| Varicella | Contraindicated | 2 doses | 2 doses | ||||||||
| HPV (Female) | NR | 3 doses through 26 y | NR | 3 doses through 26 y | 3 doses through 26 y | ||||||
| HPV (Male) | NR | 3 doses through 26 y | 3 doses through 21 y | 3 doses through 21 y | |||||||
| Zoster | Contraindicated | NR | 1 dose | 1 dose | |||||||
| MMR | Contraindicated | 1 or 2 dose | 1 or 2 doses | ||||||||
| PPSV23 | 1 or 2 doses* | 1 or 2 doses | 1 or 2 doses* | 1 or 2 doses | 1 or 2 doses | 1 or 2 doses* | |||||
| PCV13 | NR | 1 dose | 1 dose* | 1 dose* | 1 dose | 1 dose* | 1 dose | 1 dose* | 1 dose* | ||
| Meningococcal | 1 or more doses* | 1 or more dose | 1 or more dose* | 1 or more dose* | 1 or more dose* | 1 or more dose* | |||||
| Hepatitis A | 2 doses* | 2 doses | 2 doses* | 2 doses* | 2 doses | 2 doses* | 2 doses* | 2 doses* | |||
| Hepatitis B | 3 doses* | 3 doses | 3 doses* | 3 doses* | 3 doses | ||||||
NR, not recommended; MSM, men who have sex with men; IIV, inactivated influenza vaccine; LAIV, live attenuated influenza vaccine. *Vaccine is recommended for adults with certain risks related to their health, job or lifestyle that put them at higher risk for serious diseases.