Part of Form I-693 is a vaccination record. The civil surgeon checks your records against the CDC’s list of required vaccines for immigration and gives any age-appropriate vaccine you are missing. Which ones apply depends mostly on your age.
This is a general guide based on the CDC’s civil-surgeon vaccination requirements (updated March 2025). Your civil surgeon makes the final decision for your situation.
Required vaccines and the ages they apply to
| Vaccine | Who needs it |
|---|---|
| Diphtheria, tetanus, pertussis (DTaP, Tdap/Td) | Age-appropriate for all ages |
| Polio | Age-appropriate (adults without a primary series follow CDC/ACIP guidance) |
| Measles, mumps, rubella (MMR) | Children 12 months+; adults born in 1957 or later |
| Rotavirus | 6 weeks to 8 months |
| Hib (Haemophilus influenzae type b) | 2 through 59 months |
| Hepatitis A | 12 months through 18 years |
| Hepatitis B | Birth through 59 years |
| Meningococcal (MenACWY) | 11 through 18 years |
| Varicella (chickenpox) | Age-appropriate, unless you have evidence of immunity |
| Pneumococcal | 2 through 59 months, and adults 65 and older |
| Influenza (flu) | 6 months and older, during flu season when the vaccine is available |
What about COVID-19?
The COVID-19 vaccine is no longer required for immigration medical exams. The CDC removed the requirement effective January 22, 2025.
Do I need every dose of a series?
No. For the exam, you need at least one dose of each age-appropriate vaccine you are not up to date on. If a series can’t be finished in time, the civil surgeon notes that on the form and you finish the remaining doses later with your own doctor.
Already vaccinated but no records?
At our clinic, titer blood tests can prove immunity to varicella, MMR and hepatitis B. See titers vs vaccines for when that makes sense.
Cost
Vaccines are not included in the $375 exam fee — call the office for prices. If your insurance covers vaccines, you can get them at a pharmacy such as CVS or Walgreens and bring the proof.
Book your exam and bring every record you have — it is the best way to avoid extra shots.
General information, not medical or legal advice. Your civil surgeon decides what applies to you; for case questions, ask your attorney or see uscis.gov/i-693.
