The list is not the same for every applicant
The civil surgeon uses your age, records, immunity evidence, and current CDC and USCIS rules to decide what is actually required in your case.
I-693 vaccine guide
Vaccines needed for Form I-693 depend on age, records, and what you already completed
Use this guide to understand which vaccine categories can matter, how missing records can change the next step, and what current USCIS and CDC guidance means before you book.
- Age-based vaccine requirements under CDC civil surgeon guidance
- Outside records and titers can still reduce repeat work
- COVID-19 vaccination is no longer required for adjustment of status
- Bring translations to avoid unnecessary repeat vaccines
The list is not the same for every applicant
The civil surgeon uses your age, records, immunity evidence, and current CDC and USCIS rules to decide what is actually required in your case.
Good records are the fastest cost control
Clear vaccine records and reliable English translations reduce repeat vaccines, titers, and back-and-forth during the process.
A vaccine page should not feel like guesswork
This guide keeps the official vaccine categories visible while still explaining the real-world records problems applicants run into.
Vaccine categories that can matter for Form I-693
- Diphtheria, tetanus, and pertussis.
- Polio, measles, mumps, and rubella.
- Hepatitis A and hepatitis B.
- Varicella, influenza, meningococcal disease, and pneumococcal disease.
- Rotavirus and Hib in the age groups where CDC still treats them as relevant.
What determines what you actually need
- Your age at the time of the medical evaluation.
- The written vaccine records you can document with clear dates.
- Whether acceptable lab evidence of immunity can be used in your case.
- Whether a vaccine is medically appropriate or not appropriate for your circumstances.
When missing records change the next step
- Missing or unclear records can lead to extra vaccines or titers.
- Records without exact dates are less helpful than applicants expect.
- Non-English records need reliable English translations to avoid repeated vaccine work.
- Outside pharmacy or clinic records can still help when they are complete and readable.
Current rule changes applicants should know
- USCIS announced on January 22, 2025 that COVID-19 vaccination is no longer required for adjustment-of-status applicants.
- CDC still expects the civil surgeon to review the age-based vaccine table and documentation carefully.
- In many cases, applicants do not need every dose in a series before the process can move forward, but they do need the correct documented next step.
CDC vaccination instructions for civil surgeons
The core official source for age-based vaccine logic, record review, and acceptable immunity evidence.
USCIS vaccination requirements
The USCIS page that explains the current vaccination framework applicants and civil surgeons work from.
USCIS COVID-19 vaccine waiver update
The Jan. 22, 2025 USCIS announcement confirming that COVID-19 vaccination is no longer required for adjustment of status.
Form I-693 instructions
The official instruction set applicants and attorneys still rely on for sealed-packet and form-handling details.
Related guides
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Frequently asked questions
Common questions based on the information on this page.
Which vaccines can be required for Form I-693?
CDC’s civil surgeon instructions use an age-based list that includes diphtheria, tetanus, pertussis, polio, measles, mumps, rubella, rotavirus, Hib, hepatitis A, hepatitis B, meningococcal disease, varicella, pneumococcal disease, and influenza.
Do adults need every vaccine on that list?
No. The actual vaccines required for a specific applicant depend on age, acceptable records, immunity evidence, medical contraindications, and the current CDC and USCIS rules used by the civil surgeon.
Is the COVID-19 vaccine still required for adjustment of status?
No. USCIS announced on January 22, 2025 that adjustment-of-status applicants no longer need to document COVID-19 vaccination on Form I-693.
Can titers or immunity testing be used instead of repeat vaccines?
Sometimes. CDC allows acceptable laboratory evidence of immunity for measles, mumps, rubella, hepatitis A, hepatitis B, polio, and varicella in the situations covered by the civil surgeon instructions.
What if I already had chickenpox?
A reliable varicella history can sometimes be acceptable, but the civil surgeon still decides whether the history meets the current CDC standard or whether testing or vaccination is still needed.
What if my vaccine records are incomplete or not in English?
Bring whatever records you have, along with a certified English translation for non-English records. Missing or unclear records can lead to titers or extra vaccines.
Do I need every dose in a vaccine series before the visit can move forward?
Not always. CDC instructions usually require at least one dose of each age-appropriate vaccine the applicant is not currently up to date on, while the rest of the series may be completed on the normal schedule.