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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).

Travel Alerts

Travel notices are designed to inform travelers and clinicians about current health issues related to specific destinations. These issues may arise from disease outbreaks, special events or gatherings, natural disasters, or other conditions that may affect travelers’ health. >>View current and ongoing travel alerts

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AOR Map

AFRICOM

Vaccine  Administration Required for AFRICOM AOR 
 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: 0,1,6m (3 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml
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 the additional 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.
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CENTCOM

Vaccine  Administration Required for CENTCOM AOR 
 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: 0,1,6m (3 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml
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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EUCOM

Vaccine  Administration Required for EUCOM AOR 
 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: 0,1,6m (3 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml
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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NORTHCOM

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: 0,1,6m (3 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml
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.
 Yellow Fever
  • Schedule: 1 dose, every 10 yrs. Must be administered 10 days prior to travel.
  • Route: Subcutaneous
  • Dose: 0.5ml
N/A N/A
N/A N/A
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PACOM

Vaccine  Administration Required for Guam  Required for Hawaii  Required for  Japan  Required for all other PACOM 
 Anthrax
  • Schedule: 0,4w,6,12,18m + annual booster
  • Route: Intramuscular
  • Dose: 0.5ml
Per DoD Policy. Per DoD Policy.
Per DoD Policy.
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: 0,1,6m (3 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml
Required.
Required.
Required.
Required.
Influenza - Seasonal
  • Schedule: 1 dose annually
  • Route: Intramuscular, Intranasal
  • Dose: IM 0.5ml; Intranasal 0.2ml
Required.
Required.
Required.
Required.
 Japanese encephalitis
  • Schedule: 0,28 d (2 dose). One-time booster dose if >1 yr since series complete.
  • Route: Intramuscular
  • Dose: 0.5ml
SOF & III MEF Required. All others Per DoD Policy.
SOF & III MEF Required. All others Per DoD Policy.
SOF, III MEF, USAF Required. PACFLT Required (30 days or more). Recommended for all other personnel.
Recommended.
 M-M-R
  • Schedule: 2 lifetime doses or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required.
Required.
Required.
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.
Required for high risk health conditions per ACIP.
Required for high risk health conditions per ACIP.
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
Required for personnel at high risk for exposure IAW Service-Specific guidelines
Required for personnel at high risk for exposure IAW Service-Specific guidelines
Required for personnel at high risk for exposure IAW Service-Specific guidelines
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.
Per DoD Policy. Per DoD Policy.
Per DoD Policy.
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)
Required for Operational Forces.
SOF & III MEF Required. All others Per DoD Policy.
Required for Operational Forces.
Per DoD Policy.
 Yellow Fever
  • Schedule: 1 dose, every 10 yrs. Must be administered 10 days prior to travel.
  • Route: Subcutaneous
  • Dose: 0.5ml
N/A
N/A
N/A
Specific countries only - See YF vaccine transiting requirements.
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SOUTHCOM

Vaccine  Administration Required for SOUTHCOM AOR (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: 0,1,6m (3 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml
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 dose, every 10 yrs. Must be administered 10 days prior to travel.
  • Route: Subcutaneous
  • Dose: 0.5ml
Required for countries where the disease is present. Per current NCMI Yellow Fever assessment.
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USFK

Vaccine  Administration AD US Military   DoD Employee KATUSA 
 Anthrax
  • Schedule: 0,4w,6,12,18m + annual booster
  • Route: Intramuscular
  • Dose: 0.5ml
Per DoD Policy. Available.
N/A
 Chickenpox
  • Schedule: 0, 4-8w (2 dose) or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
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. Available. Required.
 Hepatitis B
  • Schedule: 0,1,6m (3 dose) or + serologic testing
  • Route: Intramuscular
  • Dose: 0-19 years, 0.5ml; >=20 years, 1 ml; Twinrix >=18 years, 1ml
Required. High Risk.
High Risk.
Influenza - Seasonal
  • Schedule: 1 dose annually
  • Route: Intramuscular, Intranasal
  • Dose: IM 0.5ml; Intranasal 0.2ml
Required.
Recommended.
Required.
 Japanese encephalitis
  • Schedule: 0,28 d (2 dose). One-time booster dose if >1 yr since series complete.
  • Route: Intramuscular
  • Dose: 0.5ml
Required.
PACFLT Required (30 days or more). Recommended for all other personnel. N/A
 M-M-R
  • Schedule: 2 lifetime doses or + serologic testing
  • Route: Subcutaneous
  • Dose: 0.5ml
Required.
Recommended. 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.
Required for high risk health conditions per ACIP.
Required for high risk health conditions per ACIP.
 Polio
  • Schedule: 1 dose as adult
  • Route: Subcutaneous or Intramuscular
  • Dose: 0.5ml
Required. Recommended.
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 Required for personnel at high risk for exposure IAW Service-Specific guidelines 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.
Per DoD Policy.
Available.
 N/A
 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. Recommended. 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.
Available. Required.
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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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