Menstuff® has information on Adult Immunizations.
Adult Immunization Schedule
Immunization Schedule for Persons Aged 0-6 years
Immunization Schedule for Persons Aged 7-18 Years
de vacunacion recomendado para adultos
needed by teens and college students
11-19 Years Old? Then you need to be vaccinated against these
Immunizations of Older Adults
Shingles Vaccine for
Adolescent and Adult
Pertussis Immunization Issues
Each year in the United States, up to 60,000 adults die from
vaccine-preventable diseases or their complications. These diseases
include influenza, pneumococcal disease, and tetanus among
For example, pneumonia and influenza together are the seventh
leading cause of death in the US, and the fifth leading cause of
death among older adults. Also, most deaths due to tetanus that occur
each year in the US (usually less than 50 deaths annually) are in
those 60 years of age or older who have either never been
vaccinated, or who completed their primary series but have not had a
booster vaccination in the past 10 years. (1)
Vaccine-preventable diseases that are sometimes mild in children
can be serious diseases in adults. For instance, serious
complications of mumps are more common among adults than among
children. Similarly, adolescents and adults are more likely than
children to develop severe complications or die when infected with
the chickenpox virus. (1)
Another vaccine-preventable disease with potentially serious
complications in adulthood is rubella. If rubella occurs during
pregnancy, it can result in severe birth defects, miscarriages and
Although vaccines received as children may provide some protection
in adulthood, there are several reasons for immunizing the adult
- Some adults were never immunized as children
- Newer vaccines were not available when some adults were
- Immunity from some vaccines can begin to fade over time
- As people age, they become more susceptible to serious disease
caused by common infections such as influenza and pneumococcus.
The CDC recommends various vaccines for adults, depending on their
age, medical condition, and potential risk for a particular disease.
(3) Vaccines recommended for adults include:
(Td) vaccine is
recommended for all adults, every 10 years. Two new Td
vaccines-containing acellular pertussis vaccine (Tdap)-were
licensed by the Food and Drug Administration for use in
adolescents and adults. Recommendations for the use of these newly
licensed vaccines have recently been published: A single dose of
Tdap is recommended once instead of a dose of Td.
11-18 year olds should receive a single dose of Tdap instead of a
Td booster if they have completed the recommended childhood
DTP/DTaP immunization series and have not received a Td or Tdap
booster. The preferred age for Tdap vaccination is 11-12 years. If
they have already received a Td booster, it is recommended that
there be an interval of at least 5 years before Tdap is
administered to reduce the likelihood of local and systemic
reactions. Detailed recommendations for the use of Tdap are
available for the CDC. (4)
Adults 19-64 years of age should receive a single dose of Tdap
(ADACEL) to replace a single dose of Td for booster immunization
if their most recent tetanus toxoid-containing vaccine was 10 or
more years earlier. Detailed recommendations for the use of Tdap
are available for the CDC. (4)
(MMR) vaccine for
susceptible adults (that means people who never got the disease
nor the vaccine).
Conjugate Vaccine (MCV4) is
recommended for children 11 - 12 years of age and (for the next 3
years, in order to more rapidly reduce disease among older
teenagers) MCV4 is also recommended at high school entry (15 years
old). Others at increased risk for meningococcal disease should
also receive a dose of meningococcal vaccine.
Trivalent inactivated influenza vaccine is needed annually by
those with underlying medical conditions, those who are 50 years
of age and older, pregnant women, and all health-care personnel.
Persons without underlying medical conditions aged 6-49 years
could receive the live attenuated influenza vaccine as a nasal
spray as an alternative.
people 65 years of age and older.
(chickenpox) vaccine all
persons 13 years of age and older without evidence of immunity
should be immunized with 2 doses of varicella vaccine 4-8 weeks
A vaccineStates, counties, and communities with existing
hepatitis A immunizations programs for persons 2-18 years of age
should maintain those programs. Adults at risk of exposure should
receive the vaccine. (4)
for unvaccinated adolescents and all adults at risk of
- Vaccines for
such as yellow
While childhood immunization coverage rates are above 90% in the
US, adolescent and adult immunization rates are under 70%. This is
because in the US a financing system and an infrastructure exists for
childhood immunizationssuch as the Vaccines for Children Act,
which provides vaccines for underinsured children. Furthermore, most
states enforce vaccination
requirements for school entry .
Such infrastructure is not in place for adult immunizations.
Many health officials in the US have suggested several strategies
to raise immunization rates for adolescents and adults. These
- Institute state immunization requirements for middle school
- Use reminder and recall interventions, in which providers send
reminders to patients when vaccinations are due and recall notices
when they are overdue.
- Increase patient education about vaccines.
- Reduce out-of-pocket costs for adult immunization.
- Expand access to vaccinations in healthcare settings, such as
healthcare facilities having special flu shot clinics and drop-in
- Provide federal support for state vaccine purchase and
delivery infrastructure for uninsured and high-risk adults under
age 65. (5)
So far various organizations such as the National Coalition for
Adult Immunization and CDCs National Immunization Program have
implemented some of these strategies to improve immunization coverage
among adolescents and adults. (5)
1. National Coalition for Adult Immunization (2004).
Facts about Adult Immunization.
2. CDC, National Immunization Program (2004).
3. ACIP (2003). Recommended
Adult Immunization Schedule by Age Group and Medical Conditions,
United States, 2006-2017.
4. CDC (2005). ACIP
5. National Foundation for Infectious Diseases and
the National Coalition for Adult Immunization (2002). A Report on
Reaching Underserved Ethnic and Minority Populations to Improve
Adolescent and Adult Immunization Rates. Not found
Source: The National Network for Immunication
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