{"doi":"10.7326/m20-0046","title":"Recommended Adult Immunization Schedule, United States, 2020*","abstract":"Clinical Guidelines3 March 2020Recommended Adult Immunization Schedule, United States, 2020*FREECorrection(s) for this article:CorrectionsMay 2020Correction: Recommended Adult Immunization Schedule, United States, 2020FREEMark Freedman, DVM, MPH, Andrew Kroger, MD, MPH, Paul Hunter, MD, and Kevin A. Ault, MD, for the Advisory Committee on Immunization Practices†Mark Freedman, DVM, MPHCenters for Disease Control and Prevention, Atlanta, Georgia (M.F., A.K.), Andrew Kroger, MD, MPHCenters for Disease Control and Prevention, Atlanta, Georgia (M.F., A.K.), Paul Hunter, MDCity of Milwaukee Health Department, Milwaukee, Wisconsin (P.H.), and Kevin A. Ault, MDUniversity of Kansas Medical Center, Kansas City, Kansas (K.A.A.), for the Advisory Committee on Immunization Practices†Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M20-0046 Eligible for CME Point-of-Care SectionsSupplemental MaterialAboutVisual AbstractPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail This article has been corrected. The original version (PDF) is appended to this article as a Supplement.In October 2019, the Advisory Committee on Immunization Practices (ACIP) voted to approve the Recommended Adult Immunization Schedule for Ages 19 Years or Older, United States, 2020. The 2020 adult immunization schedule, available at www.cdc.gov/vaccines/schedules/hcp/imz/adult.html, summarizes ACIP recommendations in 2 tables and accompanying notes (Figure). The full ACIP recommendations for each vaccine are available at www.cdc.gov/vaccines/hcp/acip-recs/index.html. The 2020 schedule has also been approved by the director of the Centers for Disease Control and Prevention (CDC) and by the American College of Physicians (www.acponline.org), American Academy of Family Physicians (www.aafp.org), American College of Obstetricians and Gynecologists (www.acog.org), and American College of Nurse-Midwives (www.midwife.org).Figure. Recommended Adult Immunization Schedule for Ages 19 Years or Older, United States, 2020. Download figure Download PowerPoint Download figure Download PowerPoint Download figure Download PowerPoint Download figure Download PowerPoint Download figure Download PowerPoint Download figure Download PowerPoint The ACIP develops recommendations on the use of each vaccine after in-depth review of vaccine-related data, such as the epidemiology and burden of the vaccine-preventable disease, vaccine efficacy and effectiveness, vaccine safety, the quality of evidence, feasibility of program implementation, and economic analyses of immunization policy (1). ACIP recommendations can be complex and challenging to implement. The purpose of the schedule, published annually, is to consolidate and summarize updates to ACIP recommendations on vaccination of adults and assist providers in implementing current ACIP recommendations. The use of vaccine trade names in this article and in the schedule is for identification purposes only and does not imply endorsement by the ACIP or CDC.Changes to the 2020 Adult Immunization ScheduleInfluenza vaccination (2). Updates to the recommendations reflect discussions during public meetings of ACIP held on 25 October 2018, 27 February 2019, and 27 June 2019. For the 2019–2020 flu season, routine annual influenza vaccination is recommended for all persons age 6 months and older who do not have contraindications. No preferential recommendation is made for one influenza vaccine product over another for persons for whom more than one licensed, recommended, and appropriate product is available. LAIV (influenza vaccine, live attenuated) is an option for adults through age 49 years, except for those who have immunocompromising conditions, including HIV infection; have anatomical or functional asplenia; are pregnant; have close contact with or are caregivers of severely immunocompromised persons in a protected environment; have received influenza antiviral medications in th","journal":"Annals of Internal Medicine","year":2020,"id":63417,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":44,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9409,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":335957,"name":"Andrew T. Kroger","orcid":null,"position":1,"is_corresponding":false},{"id":335182,"name":"Paul Hunter","orcid":"0000-0003-3302-1302","position":2,"is_corresponding":false},{"id":335183,"name":"Kevin A. Ault","orcid":"0000-0002-9108-0493","position":3,"is_corresponding":false},{"id":335181,"name":"Mark S. Freedman","orcid":"0000-0003-1255-9701","position":0,"is_corresponding":true}],"reference_count":19,"raw_metadata":null,"created_at":"2026-07-18T21:11:00.632961Z","pmid":"32016359","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}