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Recommended Adult Immunization Schedule

HPV vaccination is not recommended during pregnancy, but there is no evidence that the vaccine is harmful and no intervention needed for women who inadvertently receive HPV vaccine while pregnant; delay remaining doses until after pregnancy; pregnancy testing is not needed before vaccination Top of Page Pneumococcal vaccination General information Administer to immunocompetent adults aged 65 years or older 1 dose of valent pneumococcal conjugate vaccine PCV13 , if not previously administered, followed by 1 dose of valent pneumococcal polysaccharide vaccine PPSV23 at least 1 year after PCV13; if PPSV23 was previously administered but not PCV13, administer PCV13 at least 1 year after PPSV23 When both PCV13 and PPSV23 are indicated, administer PCV13 first PCV13 and PPSV23 should not be administered during the same visit ; additional information on vaccine timing is available at www. Combination vaccines may be used when any component of the combination is indicated and when the other components of the combination are not contraindicated. Recommended for adults who meet the age requirement, lack documentation of vaccination, or lack evidence of past infection. Administer 1 dose of MMR MMR is contraindicated for pregnant women and adults with severe immunodeficiency Top of Page Varicella vaccination General information Administer to adults without evidence of immunity to varicella 2 doses of varicella vaccine VAR 4—8 weeks apart if previously received no varicella-containing vaccine if previously received 1 dose of varicella-containing vaccine, administer 1 dose of VAR at least 4 weeks after the first dose Evidence of immunity to varicella is: The table of contraindications and precautions identifies populations and situations for which vaccines should not be used or should be used with caution.

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Submit questions and comments to CDC through www. Note the following when reviewing the adult immunization schedule:. Chronic liver disease e. Pregnant women without evidence of immunity: Administer IIV or RIV in a medical setting under supervision of a health care provider who can recognize and manage severe allergic conditions Top of Page Tetanus, diphtheria, and acellular pertussis vaccination General information Administer to adults who previously did not receive a dose of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine Tdap as an adult or child routinely recommended at age 11—12 years 1 dose of Tdap, followed by a dose of tetanus and diphtheria toxoids Td booster every 10 years Information on the use of Tdap or Td as tetanus prophylaxis in wound management is available at www.




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Reporting System at www. Receipt of specific antiviral drugs acyclovir, famciclovir, or valacyclovir 24 hours before vaccination avoid use of these antiviral drugs for 14 days after vaccination. Increased interval between doses of a multidose vaccine series does not diminish vaccine effectiveness; it is not necessary to restart the vaccine series or add doses to the series because of an extended interval between doses. Administer 2- or 3-dose series depending on age at initial vaccination see above ; if no history of HPV vaccine, administer 3-dose series at 0, 1—2, and 6 months Pregnant women through age 26 years:


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Immunization Schedules


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The figures in the adult immunization schedule should be reviewed with the accompanying footnotes. Vaccine Information Statements that explain benefits and risks of vaccines. Chronic liver disease e. Influenza vaccination General information Administer 1 dose of age-appropriate inactivated influenza vaccine IIV or recombinant influenza vaccine RIV annually Live attenuated influenza vaccine LAIV is not recommended for the — influenza season A list of currently available influenza vaccines is available at www.


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