Baseline evaluation* | ||||
Pathogen or vaccine | Review risk factors, vaccine records, and prior infections | Check serologic status | Offer vaccine if not up to date, or nonimmune, and age-appropriate | Subsequent annual evaluation |
Haemophilus influenza type b | Yes | No | Yes | No |
Hepatitis A virus | Yes | Consider | Yes | No |
Hepatitis B virus | Yes | Yes (HBsAg, anti-HBc, and anti-HBs) | Yes | Repeat series once if inadequate serologic response; recheck anti-HBs (2 months after third dose) |
HPV | Yes | Encourage gynecologic/anal examination if age-appropriate | Yes, minimum age 9 years | Yes, if appropriate |
Influenza, inactivated vaccine | Yes | NA | Yes, annually | Yes |
Inactivated polio vaccine | Yes | NA | Yes | No |
MMR | Yes | Yes | Yes¶Δ | No |
Meningococcal conjugate vaccine | Yes | No | Yes | Yes, if age-appropriate or risk factors◊ |
PCV13 | Yes | No | Yes§ | NA |
PPSV23 | Yes | No | Yes¥ | Booster once 5 years after first dose of PPSV23 (max 2 lifetime PPSV23 doses) |
Tetanus, Td, Tdap | Yes | NA | Yes | After Tdap, Td booster every 10 years |
Varicella-zoster virus | Yes | Yes‡ | Yes, if no evidence of immunity¶Δ | NA |
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