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Vaccine Recommendations by AOR

For general policy guidance on every vaccine, please see the Joint Regulation on Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases (AR 40-562, BUMEDINST 6230.15B, AFI 48-110_IP, CG COMDTINST M6230.4G).

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USAFRICOM

Vaccine  Administration Required for AFRICOM
 Chickenpox
  • Schedule: 0, 4-8w (2 dose) or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required.
 Hepatitis A
  • Schedule: 0, 6m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 1-18 years, 0.5ml; >=19 years, 1 ml; Twinrix >=18 years, 1ml
Required.
 Hepatitis B
  • Schedule: Engerix-B, Recombivax, Twinrix: 0,1,6m (3 dose)or Heplisav-B: 0,1m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: Engerix-B or Recombivax: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml; Heplisav-B >=18 years, 0.5mL 
Required.
Influenza - Seasonal
  • Schedule: 1 dose annually
  • Route: Intramuscular, Intranasal
  • Dose: IM 0.5ml; Intranasal 0.2ml
Required.
 M-M-R
  • Schedule: 2 lifetime doses or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required.
 Meningococcal
  • Schedule: If at prolonged risk of disease exposure, vaccinate every 5 yrs.
  • Route: Menomune, Subcutaneous; Menactra and Menveo, Intramuscular 
  • Dose: 0.5ml
Required.
 Pneumococcal
  • Schedule: High risk: 1 dose, Asplenic Only: 1 dose + 1 time booster if 5 yrs or greater since 1st dose
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
Required for high risk health conditions per ACIP.
 Polio
  • Schedule: 1 dose as adult
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
Required. See additional guidance for travel to and from USAFRICOM countries affected by polio. See also Interim CDC Guidance for Travel to high risk countries.
 Rabies
  • Schedule: Pre-Exposure: 0,7,(21 or 28d) Booster: 2-5 yr (when titer drops >1:5)
  • Route: Intramuscular
  • Dose: 1ml
Required for personnel at high risk for exposure IAW Service-Specific guidelines.
 Tdap
  • Schedule: 1 lifetime dose of Tdap, Td boosters every 10 yrs. For adults who previously have not received a dose of Tdap, 1 dose should be given regardless of interval since last tetanus vaccine.
  • Route: Intramuscular (Tdap, Td, Tetanus Toxoid)
  • Dose: 0.5ml (Tdap, Td, Tetanus Toxoid)
Required.
 Typhoid
  • Schedule: Injectable: every 2 yr; Oral: every 5 yr
  • Route: Intramuscular or Oral
  • Dose: IM 0.5ml; Oral, 4 capsules (day 1,3,5,7)
Required.
 Yellow Fever
  • Schedule: 1 lifetime dose. Must be administered 10 days prior to travel.
  • Route: Subcutaneous
  • Dose: 0.5ml
Required except for Comoros, Morocco and Tunisia. All YF vaccinations must be documented on a CDC 731. See exception for Ascension Island.

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USCENTCOM

Vaccine  Administration Required for CENTCOM
 Anthrax
  • Schedule: 0,4w,6,12,18m + annual booster
  • Route: Intramuscular
  • Dose: 0.5ml
Required for 15 or more days in theater.
 Chickenpox
  • Schedule: 0, 4-8w (2 dose) or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required. Documentation must include one of the following: Born before 1980, history of disease, sufficient varicella titer, or administration of vaccine.
 Hepatitis A
  • Schedule: 0, 6m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 1-18 years, 0.5ml; >=19 years, 1 ml; Twinrix >=18 years, 1ml
Required.
 Hepatitis B
  • Schedule: Engerix-B, Recombivax, Twinrix: 0,1,6m (3 dose)or Heplisav-B: 0,1m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: Engerix-B or Recombivax: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml; Heplisav-B >=18 years, 0.5mL
Required.
Influenza - Seasonal
  • Schedule: 1 dose annually
  • Route: Intramuscular, Intranasal
  • Dose: IM 0.5ml; Intranasal 0.2ml
Required.
 M-M-R
  • Schedule: 2 lifetime doses or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required. Documentation must include one of the following: Born before 1957, effective immunity by titer, or administration of two lifetime doses.
 Pneumococcal
  • Schedule: High risk: 1 dose, Asplenic Only: 1 dose + 1 time booster if 5 yrs or greater since 1st dose
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
Required for high risk health conditions per ACIP.
 Polio
  • Schedule: 1 dose as adult
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
For individuals traveling for > 4 weeks, vaccination required to be administered within 12 months of DEPARTURE FROM Afghanistan and Pakistan.
 Rabies
  • Schedule: Pre-Exposure: 0,7,(21 or 28d) Booster: 2-5 yr (when titer drops >1:5)
  • Route: Intramuscular
  • Dose: 1ml
Required for personnel at high risk for exposure IAW Service-Specific guidelines.
 Tdap
  • Schedule: 1 lifetime dose of Tdap, Td boosters every 10 yrs. For adults who previously have not received a dose of Tdap, 1 dose should be given regardless of interval since last tetanus vaccine.
  • Route: Intramuscular (Tdap, Td, Tetanus Toxoid)
  • Dose: 0.5ml (Tdap, Td, Tetanus Toxoid)
Required.
 Typhoid
  • Schedule: Injectable: every 2 yr; Oral: every 5 yr
  • Route: Intramuscular or Oral
  • Dose: IM 0.5ml; Oral, 4 capsules (day 1,3,5,7)
Required.

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USEUCOM

Vaccine  Administration Required for EUCOM
 Chickenpox
  • Schedule: 0, 4-8w (2 dose) or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required.
 Hepatitis A
  • Schedule: 0, 6m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 1-18 years, 0.5ml; >=19 years, 1 ml; Twinrix >=18 years, 1ml
Required.
 Hepatitis B
  • Schedule: Engerix-B, Recombivax, Twinrix: 0,1,6m (3 dose)or Heplisav-B: 0,1m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: Engerix-B or Recombivax: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml; Heplisav-B >=18 years, 0.5mL
Required.
Influenza - Seasonal
  • Schedule: 1 dose annually
  • Route: Intramuscular, Intranasal
  • Dose: IM 0.5ml; Intranasal 0.2ml
Required.
 M-M-R
  • Schedule: 2 lifetime doses or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required.
 Meningococcal
  • Schedule: If at prolonged risk of disease exposure, vaccinate every 5 yrs.
  • Route: Menomune, Subcutaneous; Menactra and Menveo, Intramuscular 
  • Dose: 0.5ml
Specific countries only - See NCMI recommendations.
 Pneumococcal
  • Schedule: High risk: 1 dose, Asplenic Only: 1 dose + 1 time booster if 5 yrs or greater since 1st dose
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
Required for high risk health conditions per ACIP.
 Polio
  • Schedule: 1 dose as adult
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
Required. 
 Rabies
  • Schedule: Pre-Exposure: 0,7,(21 or 28d) Booster: 2-5 yr (when titer drops >1:5)
  • Route: Intramuscular
  • Dose: 1ml
Required for personnel at high risk for exposure IAW Service-Specific guidelines.
 Tdap
  • Schedule: 1 lifetime dose of Tdap, Td boosters every 10 yrs. For adults who previously have not received a dose of Tdap, 1 dose should be given regardless of interval since last tetanus vaccine.
  • Route: Intramuscular (Tdap, Td, Tetanus Toxoid)
  • Dose: 0.5ml (Tdap, Td, Tetanus Toxoid)
Required.
 Typhoid
  • Schedule: Injectable: every 2 yr; Oral: every 5 yr
  • Route: Intramuscular or Oral
  • Dose: IM 0.5ml; Oral, 4 capsules (day 1,3,5,7)
Required for areas of endemic risk.
 Yellow Fever
  • Schedule: 1 lifetime dose. Must be administered 10 days prior to travel.
  • Route: Subcutaneous
  • Dose: 0.5ml
Specific countries only - See YF vaccine transiting requirements.

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USINDOPACOM

Vaccine  Administration Required for INDOPACOM 
 Anthrax
  • Schedule: 0,4w,6,12,18m + annual booster
  • Route: Intramuscular
  • Dose: 0.5ml
Required for travel of 15 days or longer to Korea, to include forward deployed naval forces. All others per DoD policy.
 Chickenpox
  • Schedule: 0, 4-8w (2 dose) or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required.
 Hepatitis A
  • Schedule: 0, 6m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 1-18 years, 0.5ml; >=19 years, 1 ml; Twinrix >=18 years, 1ml
Required.
 Hepatitis B
  • Schedule: Engerix-B, Recombivax, Twinrix: 0,1,6m (3 dose)or Heplisav-B: 0,1m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: Engerix-B or Recombivax: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml; Heplisav-B >=18 years, 0.5mL 
Required.
Influenza - Seasonal
  • Schedule: 1 dose annually
  • Route: Intramuscular, Intranasal
  • Dose: IM 0.5ml; Intranasal 0.2ml
Required.
 Japanese encephalitis
  • Schedule: 0,28 d (2 dose). One-time booster dose if >11 months after series complete and still in endemic area.
  • Route: Intramuscular
  • Dose: 0.5ml
Required for the following countries and groups: Korea, SOF and III MEF. Required in Japan for PACFLT and USAF in addition to those previously listed. Recommended for all others.
 M-M-R
  • Schedule: 2 lifetime doses or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required.
 Pneumococcal
  • Schedule: High risk: 1 dose, Asplenic Only: 1 dose + 1 time booster if 5 yrs or greater since 1st dose
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
Required for high risk health conditions per ACIP.
 Polio
  • Schedule: 1 dose as adult
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
Required.
 Rabies
  • Schedule: Pre-Exposure: 0,7,(21 or 28d) Booster: 2-5 yr (when titer drops >1:5)
  • Route: Intramuscular
  • Dose: 1ml
Required for personnel at high risk for exposure IAW Service-Specific guidelines
 Smallpox
  • Schedule: 1 dose, every 10 yr
  • Route: 15 percutaneous jabs for primary and re-vaccinees, over deltoid.
Required for travel of 15 days or longer to Korea, to include forward deployed naval forces. All others per DoD policy.
 Tdap
  • Schedule: 1 lifetime dose of Tdap, Td boosters every 10 yrs. For adults who previously have not received a dose of Tdap, 1 dose should be given regardless of interval since last tetanus vaccine.
  • Route: Intramuscular (Tdap, Td, Tetanus Toxoid)
  • Dose: 0.5ml (Tdap, Td, Tetanus Toxoid)
Required.
 Typhoid
  • Schedule: Injectable: every 2 yr; Oral: every 5 yr
  • Route: Intramuscular or Oral
  • Dose: IM 0.5ml; Oral, 4 capsules (day 1,3,5,7)
Required for Korea, III MEF and Operational Forces. All others per DoD policy.

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USNORTHCOM

Vaccine  Administration Academies - ROTC  Coast Guard  Initial Entry Training  Service members in USA 
 Anthrax
  • Schedule: 0,4w,6,12,18m + annual booster
  • Route: Intramuscular
  • Dose: 0.5ml
 N/A Per USCG Policy. N/A Per DoD Policy. 
 Chickenpox
  • Schedule: 0, 4-8w (2 dose) or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required. Required.
Required.
Required.
 Hepatitis A
  • Schedule: 0, 6m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 1-18 years, 0.5ml; >=19 years, 1 ml; Twinrix >=18 years, 1ml
Required. Required.
Required.
Required.
 Hepatitis B
  • Schedule: Engerix-B, Recombivax, Twinrix: 0,1,6m (3 dose)or Heplisav-B: 0,1m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: Engerix-B or Recombivax: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml; Heplisav-B >=18 years, 0.5mL 
Required.
Required.
Required.
Per DoD Policy.
Influenza - Seasonal
  • Schedule: 1 dose annually
  • Route: Intramuscular, Intranasal
  • Dose: IM 0.5ml; Intranasal 0.2ml
Required.
Required.
Required.
Required.
 M-M-R
  • Schedule: 2 lifetime doses or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required.
Required.
Required.
Required.
Meningococcal
  • Schedule: If at prolonged risk of disease exposure, vaccinate every 5 yrs.
  • Route: Menomune, Subcutaneous; Menactra and Menveo, Intramuscular 
  • Dose: 0.5ml
Required Academies Only. N/A Required.  N/A
Pneumococcal
  • Schedule: High risk: 1 dose, Asplenic Only: 1 dose + 1 time booster if 5 yrs or greater since 1st dose
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
N/A
Required for asplenic and other high risk health conditions per ACIP.
San Diego: 1 dose.
Parris Island: 1 dose.
Cape May: 1 dose.
Required for high risk health conditions per ACIP.
 Polio
  • Schedule: 1 dose as adult
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
Required.
Required.
Required.
Required.
 Rabies
  • Schedule: Pre-Exposure: 0,7,(21 or 28d) Booster: 2-5 yr (when titer drops >1:5)
  • Route: Intramuscular
  • Dose: 1ml
N/A
Per USCG Policy. N/A
Required for personnel at high risk for exposure IAW Service-Specific guidelines
 Smallpox
  • Schedule: 1 dose, every 10 yr
  • Route: 15 percutaneous jabs for primary and re-vaccinees, over deltoid.
N/A
Per USCG Policy. N/A
Per DoD Policy.
 Tdap
  • Schedule: 1 lifetime dose of Tdap, Td boosters every 10 yrs. For adults who previously have not received a dose of Tdap, 1 dose should be given regardless of interval since last tetanus vaccine.
  • Route: Intramuscular (Tdap, Td, Tetanus Toxoid)
  • Dose: 0.5ml (Tdap, Td, Tetanus Toxoid)
Required.
Required.
Required.
Required.
 Typhoid
  • Schedule: Injectable: every 2 yr; Oral: every 5 yr
  • Route: Intramuscular or Oral
  • Dose: IM 0.5ml; Oral, 4 capsules (day 1,3,5,7)
N/A
Per USCG Policy.
N/A
Per NORAD & USNORTHCOM Instruction 44-163.

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USSOUTHCOM

Vaccine  Administration Required for SOUTHCOM (includes Haiti)
 Chickenpox
  • Schedule: 0, 4-8w (2 dose) or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required.
 Hepatitis A
  • Schedule: 0, 6m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 1-18 years, 0.5ml; >=19 years, 1 ml; Twinrix >=18 years, 1ml
Required.
 Hepatitis B
  • Schedule: Engerix-B, Recombivax, Twinrix: 0,1,6m (3 dose)or Heplisav-B: 0,1m (2 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: Engerix-B or Recombivax: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml; Heplisav-B >=18 years, 0.5mL 
Required. 
Influenza - Seasonal
  • Schedule: 1 dose annually
  • Route: Intramuscular, Intranasal
  • Dose: IM 0.5ml; Intranasal 0.2ml
Required.
 M-M-R
  • Schedule: 2 lifetime doses or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required.
 Pneumococcal
  • Schedule: High risk: 1 dose, Asplenic Only: 1 dose + 1 time booster if 5 yrs or greater since 1st dose
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
Required for high risk health conditions per ACIP.
 Polio
  • Schedule: 1 dose as adult
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
Required.
 Rabies
  • Schedule: Pre-Exposure: 0,7,(21 or 28d) Booster: 2-5 yr (when titer drops >1:5)
  • Route: Intramuscular
  • Dose: 1ml
Required for personnel at high risk for exposure IAW Service-Specific guidelines.
 Tdap
  • Schedule: 1 lifetime dose of Tdap, Td boosters every 10 yrs. For adults who previously have not received a dose of Tdap, 1 dose should be given regardless of interval since last tetanus vaccine.
  • Route: Intramuscular (Tdap, Td, Tetanus Toxoid)
  • Dose: 0.5ml (Tdap, Td, Tetanus Toxoid)
Required.
 Typhoid
  • Schedule: Injectable: every 2 yr; Oral: every 5 yr
  • Route: Intramuscular or Oral
  • Dose: IM 0.5ml; Oral, 4 capsules (day 1,3,5,7)
Required.
 Yellow Fever
  • Schedule: 1 lifetime dose. Must be administered 10 days prior to travel.
  • Route: Subcutaneous
  • Dose: 0.5ml

Required for countries where the disease is endemic, per the CDC.

Required if traveling from an endemic area to those countries with transiting requirements (per WHO) and per USSOUTHCOM memo dated November 28, 2018.

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Regional Vaccine Recommendations provided for informational reference purposes only.
Always vaccinate according to package inserts and DoD/Service guidelines.

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