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USCIS Vaccine Requirements by Age for Civil Surgeons - Reference Table

Updated: Author: Alina Kanametova

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Official USCIS vaccine requirement table by applicant age for civil surgeons, used during the I-485 adjustment of status medical examination. Reference for...

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Official source of the document ↗verified 2026-09-09

About this document

A USCIS reference table for civil surgeons that lists vaccine requirements by applicant age, effective May 1, 2024. It shows which vaccines are required, sometimes required, or not required across age bands from under 1 month to 65+ years, and includes CDC/ACIP notes and vaccine abbreviations. The table is limited to U.S. status adjustment applicants.

Key points

  • Effective date: May 1, 2024.
  • Age bands run from under 1 month to 65+ years.
  • Lists DTP/DTaP/DT, Tdap/Td, polio, MMR, rotavirus, Hib, hepatitis A, hepatitis B, meningococcal, varicella, pneumococcal, influenza, and COVID-19.
  • Tdap/Td for ages 7-10 is marked as sometimes needed, with a note to CDC catch-up guidance.
  • MMR is required for people born in 1957 or later in the listed age groups.
  • Rotavirus applies from 6 weeks to 8 months, and should not be started at 15 weeks 0 days or older.
  • Influenza is required from age 6 months and is annual.
  • The table says it is for U.S. status adjustment applicants only and not for other clinical purposes.

What is inside

  1. Age columns
  2. Vaccine rows
  3. Abbreviation notes
  4. Rotavirus note
  5. Scope note

When it helps

This serves as a medical eligibility reference in a status-adjustment filing, showing which immunizations a civil surgeon must assess by age. It also provides the table's CDC/ACIP cross-references and vaccine abbreviations.

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Source: USCIS / official source. The material opens on the site. Reference material, not legal advice.

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