Immunizations for Adults
The following immunizations are recommended for adults in specific age groups, at indicated frequencies:
Influenza (flu): Adults 50 and older; pregnant women; residents of long-term care facilities; and people 5 years and older with certain chronic illnesses
once each year beginning in October
Pneumococcal (Pneumonia): adults 65 and older; persons age 2-64 years of age who have diabetes or chronic heart, lung, liver, or kidney disorders
one or two doses, depending on age and previous vaccination status
Tetanus, diphtheria, pertussis (Td, Tdap): Adults over age 18 years
adults 19-64 years of age should receive a single dose of Tdap to replace a single booster dose of Td, if the last dose of Td was received more than 10 years ago. If older than 65, a booster shot of Td is needed every 10 years.
Chickenpox: adults with no history of the disease
2 doses separated by 1-2 months
Measles, mumps, rubella: adults born after 1956 who do not have documentation of receiving this vaccine
1 dose; 2 doses recommended for college students and health care professionals
Hepatitis B: high risk individuals
3 dose series
Hepatitis A: high risk individuals or people with chronic liver disease
2 doses, 6-18 months apart
Human Papilloma Virus (HPV): women aged 26 or younger
3 dose series
Before entry to public schools, North Carolina General Statutes (G.S. 130-A-152(a)) require the below immunizations. Every parent, guardian or person in loco parentis is responsible for ensuring that their child(ren) receive these required immunizations.
Diphtheria, tetanus and pertussis: Five doses. Three doses by age seven months and two booster doses, one dose between 12 and 19 months of age and the second dose on or after the fourth birthday and before enrolling in school (K-1) for the first time. If the fourth dose was administered on or after the fourth birthday, the fifth dose is not required. A child who has reached age seven years without having been immunized against pertussis is not required to be immunized with pertussis vaccine.
Polio: Four doses. Two doses by age five months, a third dose by 19 months of age and a booster dose before enrolling in school (K-1) for the first time. If the third dose was administered on or after the fourth birthday, the fourth dose is not required.
Measles: Two doses. One dose on or after 12 months of age and before 16 months of age and a second dose before enrolling in school (K-1) for the first time. As long as the doses are separated by at least 28 days, the second dose may be given at any time before beginning school. A person who has been diagnosed prior to January 1, 1994 by a physician as having measles or an individual who has documented laboratory results of a protective antibody titer against measles is not required to receive vaccine. Lacking such proof, vaccination is required.
Mumps: One dose on or after 12 months of age and before 16 months of age. A physician's diagnosis is not acceptable for mumps disease(s). The person must be immunized or have documented laboratory results of a protective antibody titer against the specific disease.
Rubella: One dose on or after 12 months of age and before 16 months of age. A physician's diagnosis is not acceptable for rubella disease(s). The person must be immunized or have documented laboratory results of a protective antibody titer against the specific disease.
Haemophilus influenzae type b (Hib): Three doses of HbOC or two doses of PRP-OMP by age seven months and a final dose of any type on or after age 12 months and by age 16 months. Persons who receive the first dose of Hib on or after 12 months of age and before 15 months of age are required to have only two doses. Persons who received the first dose of Hib vaccine on or after 15 months of age are required to have only one dose. Persons who have passed their fifth birthday are not required to be vaccinated against Hib.
Hepatitis B: Three doses. One dose by age three months, second dose by age five months and a third dose by age 19 months. Persons born on or after July 1, 1994 are required to receive the hepatitis B vaccine. The last dose of hepatitis B vaccine series shall not be administered prior to 24 weeks of age.
Varicella: One dose. One dose of varicella vaccine - on or after 12 months of age and before age 19 months - is required for children born on or after April 1, 2001. However, an individual with laboratory tests showing immunity or a history of chickenpox documented by a health care provider, parent, guardian or person in loco parentis shall not be required to receive varicella vaccine. Documentation of prior history of chickenpox disease must be on or attached to the lifetime immunization card or certificate of immunization.