Vaccination Requirements of Adjustment of Status Applicants

Green card applicants filing for adjustment of status (Form I-485) are required to submit Form I-693, Report of Medical Examination and Vaccination Record. The form must be completed, signed and sealed by a designated civil surgeon. Form I-693 is used by USCIS to determine whether an applicant is inadmissible to the United States on public health grounds.

Form I-693 includes a vaccination record. The civil surgeon will indicate whether the applicant has met the vaccination requirement and whether a waiver is requested. CDC – Centers for Disease Control and Prevention – is the government agency responsible for setting the specific requirements. Below is a table that lists current requirements for vaccination, based on the applicant’s age at time of medical examination. For more information, or for updated vaccination requirements, please go to the CDC page here.

Table: Requirements for routine vaccination of adjustment of status applicants who are not fully vaccinated or lack documentation.
Vaccine Age
Birth-1 Month 2-11 Months 12 Months-6 Years 7-10 Years 11-17 Years 18-64 Years ≥65 Years
Td/Tdap NO YES, if 7 years and older (for Td); if 10 years through 64 years (for Tdap-see ACIP schedule); if 65 years and older (for Td)
MMR NO YES, if born in 1957 or later NO, if born before 1957
Rotavirus NO YES, if 6 weeks to 8 months NO
Hib NO YES, if 2 months through 59 months NO
Hepatitis A NO YES, if 12 months through 23 months NO
Hepatitis B YES, birth through 18 years NO
Meningococcal (MCV4) NO YES, if 11 years through 18 years NO
Varicella NO YES
Pneumococcal NO YES, if 2 months through 59 months (for PCV) NO YES (for PPV)
Influenza NO YES, 6 months and older (annually each flu season)

Note that since 2010, the flu vaccine is required for all applicants 6 months of age and older, but only during the flu season. For immigration purposes, the flu season is Oct 1 – Mar 31 annually.

More fine prints can be found here:

DTP=diphtheria and tetanus toxoids and pertussis vaccine; DTaP=diphtheria and tetanus toxoids and acellular pertussis vaccine; DT=pediatric formulation diphtheria and tetanus toxoids; Td=adult formulation tetanus and diphtheria toxoids; Tdap=adolescent and adult formulation tetanus and diphtheria toxoids and acellular pertussis vaccine (Boostrix for persons 10-64 years old; Adacel for persons 11-64 years old); IPV=inactivated poliovirus vaccine (killed); MMR=combined measles, mumps, and rubella vaccine; Hib=Haemophilus influenzae type b conjugate vaccine; MCV=meningococcal conjugate vaccine; PCV=pneumococcal conjugate vaccine; PPV=pneumococcal polysaccharide vaccine.

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