Adult Vaccine Schedule
Ages 19 and older · United States 2026
Adults
19–26 yrs
27–49 yrs
50–64 yrs
65–74 yrs
75+ yrs
COVID-19 (2026–2027 vaccine)
19–64 yrs
1 dose every year (more if immunocompromised)
65+ yrs
2 doses each season, 6 months apart
Flu (influenza) — every year
19–64 yrs
1 dose every year, ideally Sept–Oct
65+ yrs
1 dose every year — high-dose, adjuvanted or recombinant preferred
RSV (respiratory syncytial virus)
19–49 yrs
Pregnancy: 1 dose at weeks 32–36 (Sept 1–Mar 1) · Immunocompromised: 1 dose at any age
50–74 yrs
1 dose, once, if heart, lung, kidney, liver disease, diabetes, obesity, weak immune system or nursing home
75+ yrs
1 dose, once, for everyone
Tetanus, diphtheria, whooping cough (Tdap / Td)
All adults 19+
1 dose Tdap if never received, then a booster every 10 years · 1 Tdap in every pregnancy (weeks 27–36) · Td/Tdap for dirty wounds
Measles, mumps, rubella (MMR)
19–74 yrs
1 or 2 doses if born in 1957 or later and no proof of immunity (health workers: 2 doses)
Chickenpox (varicella)
All adults 19+
2 doses if never had chickenpox or the vaccine (born 1980 or later; health workers at any age)
Shingles (RZV, Shingrix)
19–49 yrs
2 doses if weak immune system
50+ yrs
2 doses, 2–6 months apart, for everyone 50+
HPV (prevents several cancers)
19–26 yrs
Complete 2–3 doses if not done as a teen
27–49 yrs
27–45 yrs: ask your doctor
Pneumococcal (PCV20 / PCV21 / PCV15+PPSV23)
19–49 yrs
If diabetes, heart, lung, liver or kidney disease, smoking, alcohol use, weak immune system
50+ yrs
1 dose of PCV20 or PCV21 for everyone 50+ (or PCV15 followed by PPSV23)
Hepatitis B (HepB)
19–64 yrs
2, 3 or 4 doses for all adults 19–59 who never completed the series
65+ yrs
60+: if risk factors or you want protection
Hepatitis A (HepA)
All adults 19+
2, 3 or 4 doses if liver disease, travel, drug use, homelessness, or you simply want protection
Meningitis ACWY and MenB
19–26 yrs
MenB 19–23 yrs: ask your doctor
27+ yrs
Only with no spleen, complement problems, HIV, lab work, military, college dorms or outbreaks
Haemophilus influenzae type b (Hib)
All adults 19+
1 dose if no spleen; 3 doses after bone-marrow transplant
Mpox
All adults 19+
2 doses if at risk of exposure
Polio (IPV)
All adults 19+
Complete a 3-dose series if never fully vaccinated (your word about past doses counts)
Recommended for everyone at this age
Catch-up: get it if you missed it
Only for certain health conditions, pregnancy, travel or exposure
Optional — talk to your doctor or care team
If you are pregnant
Every pregnancy: Tdap (weeks 27–36), flu (shot, not nasal spray) and updated COVID-19. RSV (Abrysvo) at weeks 32–36 during Sept 1–Mar 1 (first eligible pregnancy) to protect your baby. Wait until after delivery for MMR, chickenpox and HPV.
If you live with diabetes, heart, lung, kidney or liver disease
On top of yearly flu and COVID-19: pneumococcal at any age, hepatitis B, RSV from age 50 and shingles from age 50 (earlier if immunocompromised). Ask your doctor or care team what you’re missing.
The essentials at 50, 65 and 75
50: shingles (2 doses) and pneumococcal (1 dose). 65: high-dose flu and 2 COVID-19 doses per season. 75: 1 RSV dose for everyone. Flu, COVID-19 and RSV can be given on the same day.
Sources · American Academy of Pediatrics (AAP), Recommended Child and Adolescent Immunization Schedule, United States, 2026 · American Academy of Family Physicians (AAFP), Adult Immunization Schedule 2026 and 2026–2027 Influenza, RSV and SARS-CoV-2 Immunization Recommendations · American College of Physicians (ACP) · American Medical Association (AMA), SpreadTheFacts.org · Vaccine Integrity Project (VIP), CIDRAP · American College of Obstetricians and Gynecologists (ACOG), Maternal Immunizations 2026 · Infectious Diseases Society of America (IDSA), 2026 Guidelines for Immunocompromised Patients.
This material does not replace the advice of your doctor or MiSalud care team. Always confirm your personal plan with a clinician. Updated October 2026.
