VACCINATIONS
Immigration Physicals
Annual, Employment & DOT Physicals
USCIS Vaccine Requirements According to Applicant Age
| Vaccines by applicant age | Birth-1 Month | 2-11 Months | 12 Months-6 Years | 7-10 Years | 11-17 Years | 18-64 Years | ≥ 65 Years |
|---|---|---|---|---|---|---|---|
| DTP/DTaP/DT | NO | YES | NO | ||||
| Td/Tdap | NO | Sometimes* | YES, substitute 1-time dose of Tdap for Td booster; then boost with Td or Tdap every 10 years | ||||
| Polio** (IPV/OPV) | NO | YES | NO | ||||
| Measles, Mumps, and Rubella | NO | 12 months to 66 years age | NO | ||||
| Rotavirus*** | NO | YES 6 weeks to 8 months old |
NO | ||||
| Hib | NO | YES 2 through 59 months old |
NO | ||||
| Hepatitis A | NO | YES 12 months through 18 years old |
NO | ||||
| Hepatitis B | YES, through 59 years old | NO | |||||
| Meningococcal (MenACWY) | NO | YES 11 through 18 years old |
NO | ||||
| Varicella | NO | YES | |||||
| Pneumococcal | NO | YES, 2 through 59 months old (administer PCV) | NO | One dose PCV15 followed by PPSV23 or one dose PCV20 | |||
| Influenza | NO, if less than six months old | YES, > 6 months (Annually; August to June or when the flu vaccine is available) |
|||||
| COVID-19 | NO, if less than six months old | YES, ≥6 months. Minimum two COVID-19 shots & 1 or more doses of updated (2023-2024 Formula) shot is required. See COVID-19 section below |
|||||
TIP: If you are planning to take the vaccine, wear short sleeves or loose clothes so that your arms can be easily accessed by the staff for giving the vaccination.
CDC 2024 ADULT VACCINATION SCHEDULE
¶ = Recommended vaccination for adults who meet age requirement, lack documentation of vaccination, or lack evidence of immunity
§ = Recommended vaccination for adults with an additional risk factor or another indication
± = Recommended vaccination based on shared clinical decision-making
⇒ = No recommendation/Not applicable
| Vaccine | 19-26 years | 27-49 years | 50-64 years | ≥65 years | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
COVID-19  |
2 shots plus 1 or more doses of updated (2023-2024 Formula) vaccine (See notes)¶ | ||||||||||||
| Influenza inactivated (IIV4) or recombinant (RIV4) |
¶ | 1 dose annually¶ | ¶ | ¶ | |||||||||
 Influenza live attenuated (LAIV4) |
¶ | 1 dose annually¶ |
⇒ | ⇒ | |||||||||
| Respiratory Syncytial Virus (RSV) |
Seasonal administration during pregnancy. (See notes)§ | ⇒ | ⇒ | ⇒ | ± | ≥60 years± | |||||||
| Tetanus, diphtheria, pertussis (Tdap or Td) |
1 dose Tdap each pregnancy; 1 dose Td/Tdap for wound management (See notes)§ | ||||||||||||
| 1 dose Tdap, then Td or Tdap booster every 10 years¶ | |||||||||||||
| Measles, mumps, rubella (MMR) |
1 or 2 doses depending on indication (if born in 1957 or later)¶ |
For healthcare personnel, (See notes)⇒ |
|||||||||||
| Varicella (VAR) |
2 doses (if born in 1980 or later)¶ |
¶ | § | 2 doses § | |||||||||
| Zoster recombinant (RZV) |
2 doses for immunocompromising conditions (See notes)§ | 2 doses¶ | |||||||||||
| Human papillomavirus (HPV) |
2 or 3 doses depending on age at initial vaccination or condition¶ | 27 through 45 years± | ± | ⇒ | ⇒ | ⇒ | |||||||
| Pneumococcal (PCV15, PCV20, PPSV23) |
§ | See Notes¶ | |||||||||||
| See Notes± | |||||||||||||
| Hepatitis A (HepA) |
2, 3, or 4 doses depending on vaccine § | ||||||||||||
| Hepatitis B (HepB) |
2, 3, or 4 doses depending on vaccine or ¶ | condition § | |||||||||||
| Meningococcal A, C, W, Y (MenACWY) |
1 or 2 doses depending on indication, See notes for booster recommendations§ | ||||||||||||
| Meningococcal B (MenB) |
2 or 3 doses depending on vaccine and indication, See notes for booster recommendations § | ||||||||||||
| 19 through 23 years ± | § | ||||||||||||
| Haemophilus influenzae type b (Hib) |
1 or 3 doses depending on indication§ | ||||||||||||
General Vaccination Info & Schedules for Adults & Children
General Vaccine Information and Resources are listed below and interactive immunization charts from CDC are also included thereafter for both Adults and Children. This is general educational material. Insurances cover vaccinations under preventive care.
When you come to our clinic for a medical exam, after reviewing your existing medical history, age, and intent; Dr. Malhotra or one of our members of the medical team can guide you. If you are applying for a Green card and need I-693 Medical Exam, this evaluation is included in the service. In general, if your child is going to a school, or a college in the USA, they will be current with the CDC/USCIS vaccination requirements and may not need any additional vaccines. If you have been to graduate school, you may have already taken most of the vaccines. Please bring your vaccination records with you to expedite the visit.
General Vaccine Information and Resources
DETAILED ADULT VACCINATION SCHEDULE <Click Here
Routine Vaccine Schedules, ages 0-18
This is the immunization schedule chart for parents, from the CDC, for ages 0-6 years.
Immunization Schedules
This is the full CDC web page on all current vaccine schedules, a useful resource for both parents and clinicians.
CDC – Immunizations Website – Information for Healthcare Professionals and Patients
This is the CDC’s main web page for vaccine information, for both healthcare professionals and patients, with links and current information related to all aspects of immunizations.
CDC – Immunizations – Information for Parents
This is the CDC’s web page for vaccine information for parents, a useful resource for all types of information about childhood vaccines.
CDC Parents Guide to Immunizations
This is a 68-page booklet from the CDC on immunizations for children.
American Academy of Pediatrics
This is the AAP’s vaccine resource page for parents and healthcare professionals, including information on the safety and importance of vaccines — as well as misconceptions, FAQs, and a wealth of other information.
Vaccine Information Statements (VIS)
These are the patient handouts developed by the CDC which explain each of the vaccines and the diseases they prevent.
Guide To Children's Health and Vaccinations:
Useful and Easy to Understand Guide on Childhood Health and Vaccinations and Drug Watch.
Children’s Hospital of Philadelphia Vaccine Education Center
Children’s Hospital of Philadelphia is a respected source of information on vaccines and has developed this comprehensive vaccine resource website.
Immunization Action Coalition: Vaccine Information for Healthcare Professionals
This is a comprehensive vaccine information site, designed for healthcare professionals but useful also for patients and parents.
General Guidelines for USCIS Immigration Medical Exam (i693) are as follows:
View or Download the current USCIS immigration vaccination policy manual on
View the DETAILED ADULT VACCINATION SCHEDULE
View 0-18 Years old Vaccination Detailed Scheduled
Neema Malhotra, M.D.
Board Certified Pediatrics
USCIS Approved Civil Surgeon
For Adults & Children
98 S Abel St, Milpitas CA 95035 (Immigration-related services only)
2730 Union Ave, Ste B, San Jose CA 95124 (Full Services including Immigration)
