Immigration medical exam checker

Which vaccines and tests do you need?

Step 1 - your age

Start with your date of birth

Requirements are set by how old you are on the day of your medical exam - and, for MMR, by your year of birth.

Month of birth

Year of birth

The month matters for children under 2 - the infant vaccines are counted in months.

That makes you 30 years today. Age band: 18 - 64 years. 6 vaccines are required at this age.

This checker is for the exam inside the United States - Form I-693, done by a USCIS-designated civil surgeon for a green card application (Form I-485). An exam for a visa at a consulate (a CR-1 spouse or a K-1 fiance(e) visa) is done abroad by a panel physician on State Department forms (DS-2054 medical report, DS-3025 vaccination record); the tests and the vaccine list are similar, but the rules here are the I-693 ones. K-1 families meet the I-693 later, when they file Form I-485 after the wedding - the results page says what that takes.

See the full chart by age ↓Time between doses ↓

Quick list - adults 18-64

The six your civil surgeon will look for.

Td / Tdap - tetanus · diphtheria · pertussis

Polio - IPV - the inactivated shot

MMR - measles · mumps · rubella

Hepatitis B - required through age 59

Influenza - October through April only

Varicella - chickenpox - a verified history or a blood test counts

Document preparation services - Not a law firm. This tool covers the Form I-693 exam as a whole: the vaccines follow CDC Table 1 for civil surgeons (last updated March 11, 2025), the tests and the physical follow the CDC Technical Instructions for Civil Surgeons and USCIS guidance on Form I-693 (all checked in September 2026). It is general information, not medical advice. Only a USCIS-designated civil surgeon decides which tests you have and what you receive at your exam.

The chart: which vaccines at which age

CDC's Table 1 for civil surgeons - the vaccines Form I-693 requires in each age band. Age is counted on the day of the exam.

Vaccine	Birth - 1 month0-1 mo	2 - 11 months2-11 mo	12 months - 6 years1-6 y	7 - 10 years7-10 y	11 - 17 years11-17 y	18 - 64 years18-64 y	65 years and older65+
DTaP / DTP / DT		✓	✓
Td / Tdap				1	✓	✓	✓
Polio (IPV)		✓	✓	✓	✓	✓	✓
MMR			✓	✓	✓	2	2
Rotavirus		3
Hib		✓	4
Hepatitis A			✓	✓	✓
Hepatitis B	✓	✓	✓	✓	✓	5
Meningococcal (MenACWY)					✓
Varicella			✓	✓	✓	✓	✓
Pneumococcal		✓	4				✓
Influenza		6	7	7	7	7	7

✓ Required· In part of the band Not required

1 Only if the DTaP series was not finished
2 If born in 1957 or later
3 From 6 weeks; the series must finish by 8 months
4 Through 59 months (under 5)
5 Through 59 years
6 From 6 months, during flu season
7 During flu season

Source: CDC Technical Instructions for Civil Surgeons, Vaccination, Table 1 (updated March 11, 2025). COVID-19 has not been required since January 20, 2025.

Medical exam

How long to wait between doses

The minimum intervals from the CDC/ACIP catch-up schedule. The civil surgeon gives at most one dose of each vaccine at the exam; the next one can follow no sooner than this.

DTaP / DTP / DT

14 weeksminimum24 weeksminimum36 monthsminimum46 monthsminimum5

The 5th is not needed if the 4th was given at 4 years or older

Td / Tdap

14 weeksminimum26 monthsminimum3

2nd to 3rd - 4 weeks, if the 1st dose was given before 12 months of age
Then a Td or Tdap booster every 10 years. Someone 7 or older catching up gets Tdap as the first dose.

Polio (IPV)

14 weeksminimum24 weeksfor a child36 monthsminimum4

2nd to 3rd for an adult - after 6-12 months
The last dose at 4 years or older
Adults need a 3-dose series. Oral polio (OPV) from abroad counts only if given before April 1, 2016.

MMR

14 weeksminimum2

Adults need one dose for the exam; children get the second at 4 to 6 years.

Rotavirus

14 weeksminimum24 weeksRotaTeq only3

Not started at 15 weeks 0 days or older; the last dose by 8 months 0 days.

Hib

14 or 8 weeksdepends on age24 or 8 weeksdepends on age3

1st to 2nd: 4 weeks if the 1st was before 12 months; 8 weeks (and it is the last) if the 1st was at 12-14 months; no more doses if the 1st was at 15 months or older
2nd to 3rd: 4 weeks if the child is under 12 months now; 8 weeks (the last) at 12 months or older
Not given at 5 years or older.

Hepatitis A

16 monthsminimum2

Hepatitis B

14 weeksminimum28 weeksand 16 weeks after the 1st3

For an infant the 3rd dose not before 24 weeks of age
Adults on the 2-dose Heplisav-B: the two doses 4 weeks apart.

Meningococcal (MenACWY)

18 weeksminimum2

The booster at 16 if the 1st was given before 16
One dose is enough when the first is given at 16 or older.

Varicella

13 monthsfor a child under 132

From 13 years - after 4 weeks
A verified history of chickenpox counts instead of the vaccine.

Pneumococcal

14 or 8 weeksdepends on age24 or 8 weeksdepends on age38 weeksat 12-59 months4

1st to 2nd: 4 weeks if the 1st was before 12 months; 8 weeks (the last) if at 12 months or older
2nd to 3rd: 4 weeks under 12 months; 8 weeks at 12 months or older
A healthy child of 24-59 months with no doses needs one. At 65 and older - one dose of a conjugate vaccine.

Influenza

14 weeks6 months - 8 years2

Two doses only for a child of 6 months - 8 years in their first season
Otherwise one dose each season.

Source: CDC/ACIP child and adolescent immunization schedule, catch-up Table 2, and the adult schedule notes (updated July 2, 2025).