Required vaccines by age
| Vaccine | Required for |
|---|---|
| DTaP / DT / DTP | Ages 2 months through 6 years |
| Tdap / Td | Age 11 and older (ages 7–10: sometimes, depending on vaccine history) |
| Polio | Age 2 months and older |
| Measles, mumps, rubella (MMR) | Age 12 months and older, if born in 1957 or later |
| Rotavirus | Ages 6 weeks through 8 months |
| Hib | Ages 2 through 59 months |
| Hepatitis A | Ages 12 months through 18 years |
| Hepatitis B | Birth through 59 years |
| Meningococcal (MenACWY) | Ages 11 through 18 years |
| Varicella (chickenpox) | Age 12 months and older |
| Pneumococcal | Ages 2 through 59 months, and 65 and older |
| Influenza (flu) | Age 6 months and older (annual vaccine) |
COVID-19 vaccination is no longer required for the I-693; the CDC removed it from the list in 2025.
The doctor checks which doses you still need based on your records, the number of doses for your age and any medical reasons a vaccine should not be given (for example, some vaccines are not given during pregnancy).
Bring your vaccination records
- Bring every vaccination record you have — from your home country, school, or US doctors. Records in other languages are fine.
- If records are missing, we can give the needed vaccines at the visit, or check immunity with blood tests (titers) for some diseases.
- Vaccines and titers are billed separately; we tell you the cost first.
Official source
Common questions
No. The CDC removed COVID-19 vaccination from the I-693 requirements in 2025.
Yes, influenza vaccine is required for applicants 6 months and older under the CDC table effective March 11, 2025.
We can give the required vaccines at your visit, or for some diseases check your immunity with a blood test (titer). Both are billed separately.
Medically reviewed by Dr. Rekha Manghnani, MD, USCIS-designated civil surgeon · Last updated October 2026. This page is general information, not legal advice.