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Share sensitive information only on official, secure websites. These instructions are in accordance with CDC regulations and are for the use of panel physicians evaluating persons applying for immigrant or refugee status, as well as certain non-immigrants who are required to have an overseas medical examination. The Centers for Disease Control and Prevention CDC has specific criteria to determine which vaccines applicants for a United States Immigrant Visa hereafter referred to as applicants are required to show proof of having received.
The vaccines from the list above that are required for a given applicant are defined in Table 1. Vaccine series have minimum age requirements and typically require months to years to complete. Therefore, it is usually not possible for applicants to receive all vaccinations for the diseases listed above prior to departure, and they are instead required to receive from the panel physician at least one dose of each age-appropriate vaccine listed in Table 1 for which the applicant is not currently up to date.
If the applicant is up to date on the required vaccines listed in Table 1 , no additional vaccines are required to be given at the time of the medical exam. The panel physician should counsel the applicant about the importance of completing the series of vaccines after arrival in the United States. The panel physician must review all vaccination records presented by the applicant and, if documentation appears valid, record the vaccination history and vaccines given during the medical exam on the U.
Both the panel physician and the applicant should be aware that the DS is the applicant's vaccination record, and an extra copy must be provided to the applicant. The applicant will need to provide a copy of the DS to healthcare providers, schools, and other institutions after U. CDC and ACIP are excellent sources for other vaccine information, such as vaccine handling, storage and administration, spacing of doses, precautions, contraindications, and adverse reactions.