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Recommended Adult Immunization Schedule: United States, October 2007–September 2008*
- Advisory Committee on Immunization Practices†
- From the Centers for Disease Control and Prevention, Atlanta, Georgia.
The Advisory Committee on Immunization Practices (ACIP) annually reviews the recommended Adult Immunization Schedule to ensure that the schedule reflects current recommendations for the licensed vaccines. In June 2007, ACIP approved the Adult Immunization Schedule for October 2007–September 2008. This schedule has also been approved by the American Academy of Family Physicians, American College of Obstetricians and Gynecologists, and American College of Physicians.
Changes in the Schedule for October 2007–September 2008
The 2007–2008 schedule differs from the previous schedule as follows:
The yellow bar for varicella has been extended through all age groups on the age-based schedule (Figuretop), indicating that varicella vaccine is recommended for all adults without evidence of immunity to varicella.
1. Tetanus, diphtheria, and acellular pertussis (Td/Tdap) vaccination
Tdap should replace a single dose of Td for adults age <65 years who have not previously received a dose of Tdap (either in the primary series, as a booster, or for wound management). Only 1 of 2 Tdap products (Adacel, Sanofi Pasteur) is licensed for use in adults.
Adults with uncertain histories of a complete primary vaccination series with diphtheria and tetanus toxoid–containing vaccines should begin or complete a primary vaccination series. A primary series for adults is 3 doses: administer the first 2 doses at least 4 weeks apart and the third dose 6 to 12 months after the second dose. Administer a booster dose to adults who have completed a primary series and if the last vaccination was received ≥10 years previously. Tdap or Td vaccine may be used, as indicated.
If the person is pregnant and received the last Td vaccination ≥10 years previously, administer Td during the second or third trimester; if the person received the last Td vaccination in <10 years, administer Tdap during the immediate postpartum period. A 1-time administration of 1 dose of Tdap with an interval as …
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