Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older

United States, 2023

Neil Murthy, MD; A. Patricia Wodi, MD; Veronica McNally, JD; Sybil Cineas, MD; Kevin Ault, MD


Morbidity and Mortality Weekly Report. 2023;72(6):141-144. 

In This Article

Abstract and Introduction


At its October 2022 meeting, the Advisory Committee on Immunization Practices* (ACIP) approved the Recommended Adult Immunization Schedule for Ages 19 Years or Older, United States, 2023. The 2023 adult immunization schedule summarizes ACIP recommendations, including several changes to the cover page, tables, notes, and appendix from the 2022 immunization schedule. This schedule can be found on the CDC immunization schedule website ( Health care providers are advised to use the cover page, tables, notes, and appendix together to determine recommended vaccinations for patient populations. This adult immunization schedule is recommended by ACIP ( and approved by CDC (, the American College of Physicians (, the American Academy of Family Physicians (, the American College of Obstetricians and Gynecologists (, the American College of Nurse-Midwives (, the American Academy of Physician Associates (, the American Pharmacists Association (, and the Society for Healthcare Epidemiology of America (

ACIP's recommendations for the use of each vaccine are developed after in-depth reviews of vaccine-related data, including disease epidemiology and societal impacts, vaccine efficacy and effectiveness, vaccine safety, quality of evidence, feasibility of program implementation, and economic analyses of immunization policy.[1] The adult immunization schedule is published annually to consolidate and summarize updates to ACIP recommendations on vaccination of adults and to assist health care providers in implementing current ACIP recommendations. The use of vaccine trade names in this report and in the adult immunization schedule is for identification purposes only and does not imply endorsement by ACIP or CDC.

For further guidance on the use of each vaccine, including any changes that might occur after annual publication of the adult immunization schedule, health care providers are referred to the respective ACIP vaccine recommendations at If errors or omissions are discovered within the schedule, CDC will post revised versions on the CDC immunization schedule website.§ Printable versions of the 2023 adult immunization schedule and instructions for ordering hard copies of the schedule are available on the immunization schedule website (

*Recommendations for routine use of vaccines in adults are developed by ACIP, a federal advisory committee chartered to provide expert external advice and guidance to the CDC director on use of vaccines and related agents for the control of vaccine-preventable diseases in the civilian population of the United States. Recommendations for routine use of vaccines in adults are harmonized to the greatest extent possible with recommendations made by the American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Obstetricians and Gynecologists. ACIP recommendations approved by the CDC director become agency guidelines on the date published in the Morbidity and Mortality Weekly Report. Additional information about ACIP is available at
Past immunization schedules are available at
§CDC encourages organizations to use syndication as a more reliable method for displaying the most current and accurate immunization schedules on an organization's website rather than copying these schedules to their websites. Use of content syndication requires a one-time step that ensures an organization's website displays current schedules as soon as they are published or revised; instructions for the syndication code are available on CDC's website ( CDC also offers technical assistance for implementing this form of content syndication (requests can be e-mailed to