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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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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: 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 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.

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: 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.

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: 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.

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: 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.

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: 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.	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 >11 months after series complete and still in endemic area. 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 lifetime dose. 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.

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: 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 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.

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: 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.	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.

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

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