Adult Immunization Schedule Addendum

Recommendations for Ages 19 Years or Older, United States, 2025

Purpose

Outline new or updated vaccine recommendations that have occurred since October 26, 2023.

How to use the schedule

To make vaccination recommendations, healthcare providers should:

  1. Determine recommended vaccine by age (Table 1 - By Age)
  2. Assess need for additional recommended vaccinations by medical condition or other indication (Table 2 - By Medical Condition)
  3. Review vaccine types, dosing frequencies and intervals, and considerations for special situations (Notes)
  4. Review contraindications and precautions for vaccine types (Appendix)
  5. Review new or updated ACIP guidance (Addendum)

Addendum

In addition to the recommendations presented in the previous sections of this immunization schedule, ACIP has approved the following recommendations by majority vote since October 24, 2024. The following recommendations have been adopted by the CDC Director and are now official. Links are provided if these recommendations have been published in Morbidity and Mortality Weekly Report (MMWR).

Vaccines Recommendations Effective Date of Recommendation*
No new vaccines or vaccine recommendations to report

*The effective date is the date when the CDC director adopted the recommendation and when the ACIP recommendation became official.