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November 21, 2024
  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
                    Vaccines in the Adult Immunization 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.
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      Schedule Changes & Guidance
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    November 21, 2024
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          National Center for Immunization and Respiratory Diseases
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