United States: screenings and vaccines by age
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General information only. Not medical advice and not a substitute for a doctor.
Elsewhere, call your local emergency number.
US vaccination schedules have changed in recent years; check the current schedule on the CDC website. CDC immunization schedules Congressional Research Service overview
Screening tests
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| Anxiety screening questions (short questionnaire) Anxiety screening |
ages 8 to 18 | The task force found the evidence insufficient to recommend for or against screening younger children. | US Preventive Services Task Force · Anxiety in Children and Adolescents: Screening · USPSTF grade B MyHealthfinder: Get Your Child Screened for Anxiety |
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| Depression screening questionnaire (such as the Patient Health Questionnaire, PHQ) Depression screening |
ages 12 to 18 | Screening is for major depressive disorder. The task force found the evidence insufficient to recommend for or against screening younger children, or screening children and teens for suicide risk. | US Preventive Services Task Force · Depression and Suicide Risk in Children and Adolescents: Screening · USPSTF grade B MyHealthfinder: Get Your Teen Screened for Depression |
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| HIV test HIV screening |
ages 15 to 65 | Younger adolescents and older adults at increased risk should also be screened; repeat screening is reasonable for people at increased risk. | US Preventive Services Task Force · Human Immunodeficiency Virus (HIV) Infection: Screening · USPSTF grade A MyHealthfinder: Get Tested for HIV |
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| Hepatitis C antibody blood test (a positive result is confirmed with a PCR test) Hepatitis C screening |
ages 18 to 79 | once · Most adults need to be screened only once; people with continued risk (for example, past or current injection drug use) should be screened periodically. | US Preventive Services Task Force · Hepatitis C Virus Infection in Adolescents and Adults: Screening · USPSTF grade B |
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| Blood pressure measurement Blood pressure check |
age 18 and over | Suggested intervals: every year from age 40 and for adults at increased risk; every 3 to 5 years for adults aged 18 to 39 who are not at increased risk and had a normal reading before. | US Preventive Services Task Force · Hypertension in Adults: Screening · USPSTF grade A MyHealthfinder: Get Your Blood Pressure Checked |
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| Tuberculosis infection test (skin test or blood test) Latent tuberculosis (TB) infection screening |
age 18 and over; At increased risk of tuberculosis, for example born in or a former resident of a country where TB is common, or living or having lived in a homeless shelter or correctional facility | As set out in the source | US Preventive Services Task Force · Latent Tuberculosis Infection in Adults: Screening · USPSTF grade B MyHealthfinder: Testing for Latent Tuberculosis: Questions for the Doctor |
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| Anxiety screening questions (short questionnaire) Anxiety screening |
ages 19 to 64 | Includes pregnant and postpartum people. | US Preventive Services Task Force · Anxiety Disorders in Adults: Screening · USPSTF grade B |
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| Depression screening questionnaire (such as the Patient Health Questionnaire, PHQ) Depression screening |
age 19 and over | Includes pregnant and postpartum people and older adults. | US Preventive Services Task Force · Depression and Suicide Risk in Adults: Screening · USPSTF grade B |
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| Cervical cytology (Pap test), HPV test, or both together (co-test) Cervical cancer screening |
Women; ages 21 to 65 | Cervical cytology (smear test) — every 3 years (age 21 and over) · High-risk HPV test alone — every 5 years (age 30 and over) · HPV test together with cervical cytology (co-test) — every 5 years (age 30 and over) | US Preventive Services Task Force · Cervical Cancer: Screening · USPSTF grade A MyHealthfinder: Get Screened for Cervical Cancer |
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| Blood test for prediabetes and diabetes (fasting glucose, glycated haemoglobin or oral glucose tolerance test) Prediabetes and diabetes screening |
ages 35 to 70; Has overweight or obesity | Screening every 3 years may be a reasonable approach for adults with normal blood glucose levels. | US Preventive Services Task Force · Prediabetes and Type 2 Diabetes: Screening · USPSTF grade B |
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| Mammogram (breast X-ray) Breast cancer screening |
Women; ages 40 to 74 | every 2 years | US Preventive Services Task Force · Breast Cancer: Screening · USPSTF grade B MyHealthfinder: Get Screened for Breast Cancer |
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| Bone density scan (DXA), with or without a fracture risk assessment Osteoporosis screening (bone density) |
Women; from age 40 until your 65th birthday; Postmenopausal, with one or more risk factors for osteoporosis and at increased risk of fracture on a clinical risk assessment | As set out in the source | US Preventive Services Task Force · Osteoporosis to Prevent Fractures: Screening · USPSTF grade B MyHealthfinder: Get a Bone Density Test |
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| Stool test, or a test that looks inside the bowel (colonoscopy, CT colonography or sigmoidoscopy) Colorectal (bowel) cancer screening |
ages 45 to 49 | High-sensitivity guaiac stool test (gFOBT) or faecal immunochemical test (FIT) — every year · Multitarget stool DNA test with FIT (sDNA-FIT) · CT colonography — every 5 years · Flexible sigmoidoscopy — every 5 years · Flexible sigmoidoscopy, plus a FIT stool test every year — every 10 years · Colonoscopy — every 10 years · Stool DNA-FIT is repeated every 1 to 3 years. | US Preventive Services Task Force · Colorectal Cancer: Screening · USPSTF grade B MyHealthfinder: Get Screened for Colorectal Cancer |
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| Stool test, or a test that looks inside the bowel (colonoscopy, CT colonography or sigmoidoscopy) Colorectal (bowel) cancer screening |
ages 50 to 75 | High-sensitivity guaiac stool test (gFOBT) or faecal immunochemical test (FIT) — every year · Multitarget stool DNA test with FIT (sDNA-FIT) · CT colonography — every 5 years · Flexible sigmoidoscopy — every 5 years · Flexible sigmoidoscopy, plus a FIT stool test every year — every 10 years · Colonoscopy — every 10 years · Stool DNA-FIT is repeated every 1 to 3 years. | US Preventive Services Task Force · Colorectal Cancer: Screening · USPSTF grade A MyHealthfinder: Get Screened for Colorectal Cancer |
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| Low-dose CT scan of the chest (LDCT) Lung cancer screening |
ages 50 to 80; Heavy smoking history, and currently smokes or quit recently (see the note for the thresholds) | every year · For people with a smoking history of at least 20 pack-years who smoke now or quit within the past 15 years; screening stops once a person has not smoked for 15 years. | US Preventive Services Task Force · Lung Cancer: Screening · USPSTF grade B MyHealthfinder: Lung Cancer Screening: Questions for the Doctor |
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| Ultrasound scan of the abdomen Abdominal aortic aneurysm (AAA) screening |
Men; ages 65 to 75; Has ever smoked (commonly defined as having smoked a hundred or more cigarettes) | once | US Preventive Services Task Force · Abdominal Aortic Aneurysm: Screening · USPSTF grade B MyHealthfinder: Talk with Your Doctor About Abdominal Aortic Aneurysm |
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| Bone density scan (DXA), with or without a fracture risk assessment Osteoporosis screening (bone density) |
Women; age 65 and over | As set out in the source | US Preventive Services Task Force · Osteoporosis to Prevent Fractures: Screening · USPSTF grade B MyHealthfinder: Get a Bone Density Test |
Vaccines
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| Flu vaccine (any type suitable for age and health) Flu vaccination |
age 19 and over | every year · From age 65, a high-dose, recombinant or adjuvanted flu vaccine is preferred. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Get Vaccines to Protect Your Health (Adults Ages 19 to 49 Years) Adult Immunization Schedule by Age (Table 1) |
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| Hepatitis B vaccine Hepatitis B vaccination |
ages 19 to 59 | Two, three or four doses depending on the vaccine. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Protect Yourself from Hepatitis B |
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| HPV vaccine HPV vaccination |
ages 19 to 26 | Catch-up for adults not fully vaccinated: two or three doses depending on age at the first dose; people who start at age 15 or older need three doses. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Get Vaccines to Protect Your Health (Adults Ages 19 to 49 Years) |
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| Recombinant shingles vaccine (Shingrix) Shingles vaccination |
age 19 and over; Has an immunocompromising condition (including HIV) | Two doses, given 2 to 6 months apart. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule Shingles Vaccine Recommendations (for healthcare providers) Adult Immunization Schedule by Age (Table 1) |
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| Tetanus and diphtheria booster (Td or Tdap) Diphtheria and tetanus vaccination |
age 19 and over | every 10 years · Adults who did not get Tdap at age 10 or older get one dose of Tdap first. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Get Vaccines to Protect Your Health (Adults Ages 19 to 49 Years) MyHealthfinder: Get Vaccines to Protect Your Health (Adults Age 50 Years or Older) Pertussis Vaccination Recommendations (for healthcare providers) Adult Immunization Schedule by Age (Table 1) |
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| HPV vaccine HPV vaccination |
ages 27 to 45; Based on shared clinical decision-making with a health care provider | As set out in the source | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Get Vaccines to Protect Your Health (Adults Ages 19 to 49 Years) Adult Immunization Schedule by Age (Table 1) |
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| Pneumococcal conjugate vaccine (PCV15, PCV20 or PCV21) Pneumococcal vaccination |
age 50 and over | For adults who have not had a pneumococcal conjugate vaccine (or whose history is unknown): one dose; with one of the vaccine options, a dose of a second pneumococcal vaccine follows at least 1 year later (see the CDC notes). | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule Pneumococcal Vaccine Recommendations (for healthcare providers) |
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| RSV vaccine RSV vaccination |
ages 50 to 74; At increased risk of severe RSV disease (for example chronic heart or lung disease, end-stage kidney disease, diabetes with complications or needing insulin, chronic liver disease, severe obesity, moderate or severe immune compromise, or living in a nursing home) | A single dose; additional doses are not recommended. People can self-report their risk factor. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule Adult Immunization Schedule by Age (Table 1) |
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| Recombinant shingles vaccine (Shingrix) Shingles vaccination |
age 50 and over | Two doses, given 2 to 6 months apart. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Get Vaccines to Protect Your Health (Adults Age 50 Years or Older) Shingles Vaccine Recommendations (for healthcare providers) |
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| Hepatitis B vaccine Hepatitis B vaccination |
age 60 and over; Has a risk factor for hepatitis B infection (for example chronic liver disease, HIV, sexual or blood exposure risk, current or recent injection drug use, incarceration, or travel to countries where hepatitis B is common) | Adults aged 60 or older without known risk factors may also get the vaccine, and should if they ask for it. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Protect Yourself from Hepatitis B |
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| RSV vaccine RSV vaccination |
age 75 and over | A single dose; additional doses are not recommended. Best given in late summer or early fall. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule Adult Immunization Schedule by Age (Table 1) |
Childhood immunizations
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| Hepatitis B vaccine Hepatitis B vaccination |
up to age 18 | at birth, 1–2 months, 6–18 months · When the mother tests negative for hepatitis B, medically stable babies above the low-birth-weight cut-off get the first dose within 24 hours of birth; other situations follow different timing (see the CDC notes). The age range includes catch-up: unvaccinated children and teens should complete the series. | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Protect Yourself from Hepatitis B |
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| Infant RSV antibody injection (nirsevimab or clesrovimab) RSV vaccination |
under 8 months; Mother did not get an RSV vaccine in this pregnancy, got it shortly before delivery, or her vaccination status is unknown | at birth to 8 months (complete before 8 months) · One dose in the first RSV season: within 1 week of birth for babies born October through March, or shortly before the season starts (for example October or November) for babies born April through September. Usually not needed if the baby is born 14 or more days after the mother got the RSV vaccine. | Centers for Disease Control and Prevention (US) · RSV Immunization Guidance for Infants and Young Children · CDC immunization schedule Child Immunization Schedule Notes (Recommendations for Ages 18 Years or Younger, United States) |
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| DTaP vaccine (diphtheria, tetanus and acellular pertussis) Diphtheria, tetanus and whooping cough vaccination |
2 months to 6 years | 2 months, 4 months, 6 months, 15–18 months, 4–6 years | Centers for Disease Control and Prevention (US) · DTaP (Diphtheria, Tetanus, Pertussis) Vaccine VIS · CDC immunization schedule Child Immunization Schedule Notes (Recommendations for Ages 18 Years or Younger, United States) Pertussis Vaccination Recommendations (for healthcare providers) |
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| Hib vaccine Hib (Haemophilus influenzae type b) vaccination |
2 months to 4 years 11 months | 2 months, 4 months, 6 months, 12–15 months · The dose at 6 months depends on the brand (PedvaxHIB is a three-dose series without it). The age range includes catch-up for children who missed doses; how many they need depends on their age. | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule Hib Vaccination |
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| Polio vaccine (inactivated, IPV) Polio vaccination |
2 months to 18 years | 2 months, 4 months, 6–18 months, 4–6 years · The age range includes catch-up: adolescents age 18 who are unvaccinated or incompletely vaccinated complete the primary series. | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule Polio Vaccine VIS Polio Vaccine Recommendations (for healthcare providers) |
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| Pneumococcal conjugate vaccine (PCV15 or PCV20) Pneumococcal vaccination |
from 2 months until your 5th birthday | 2 months, 4 months, 6 months, 12–15 months · The age range includes catch-up for children who miss doses or start late; how many doses they need depends on their age. | Centers for Disease Control and Prevention (US) · Pneumococcal Vaccine Recommendations · CDC immunization schedule Child Immunization Schedule Notes (Recommendations for Ages 18 Years or Younger, United States) |
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| Rotavirus vaccine (oral) Rotavirus vaccination |
2 to 6 months old | 2 months, 4 months, 6 months · The dose at 6 months is only for RotaTeq (Rotarix is a two-dose series). Do not start the series at 15 weeks of age or older; the last dose must be given by 8 months. | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule |
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| Flu vaccine (any type suitable for age and health) Flu vaccination |
6 months to 18 years | 6 months to 18 years · Children aged 6 months to 8 years who have had fewer than two flu vaccine doses before (see the source for the cut-off date), or whose history is unknown, need two doses at least 4 weeks apart; everyone else needs one dose each season. | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Get Your Pre-teen's Vaccines on Schedule |
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| Hepatitis A vaccine Hepatitis A vaccination |
12 months to 18 years | 12–23 months, at least 6 months after the previous dose · The age range includes catch-up: unvaccinated children and teens should complete the two-dose series. | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule |
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| MMR vaccine (measles, mumps and rubella) Measles, mumps and rubella (MMR) vaccination |
12 months to 18 years | 12–15 months, 4–6 years · The age range includes catch-up: unvaccinated children and teens get two doses at least 4 weeks apart. | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule |
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| Chickenpox (varicella) vaccine Chickenpox (varicella) vaccination |
12 months to 18 years | 12–15 months, 4–6 years · The second dose may be given as early as 3 months after the first. The age range includes catch-up (two doses) for children and teens without evidence of immunity. | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule |
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| HPV vaccine HPV vaccination |
ages 11 to 18 | 11–12 years, 6–12 months after the previous dose · Can start at age 9. The age range includes catch-up for everyone who is not fully vaccinated; people who start at age 15 or older need three doses. | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Get Your Child the HPV Vaccine |
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| MenACWY vaccine Meningococcal groups A, C, W and Y (MenACWY) vaccination |
ages 11 to 18 | 11–12 years, 16 years · The age range includes catch-up for teens who missed a dose; how many doses they need depends on their age (see the source). | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Get Your Pre-teen's Vaccines on Schedule |
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| Whooping cough vaccine (Tdap) Diphtheria, tetanus and whooping cough vaccination |
ages 11 to 18 | 11–12 years · The age range includes catch-up: teens aged 13 or older who have not had Tdap get one dose. | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule MyHealthfinder: Get Your Pre-teen's Vaccines on Schedule Pertussis Vaccination Recommendations (for healthcare providers) |
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| MenB vaccine Meningococcal group B (MenB) vaccination |
ages 16 to 23; Based on shared clinical decision-making with a health care provider | 16–23 years, at least 6 months after the previous dose · For adolescents and young adults not at increased risk; ages 16 to 18 are preferred. | Centers for Disease Control and Prevention (US) · Child and Adolescent Immunization Schedule Notes · CDC immunization schedule |
During pregnancy
Recommendations during pregnancy are not tied to an age band.
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| RSV vaccine given in pregnancy (maternal immunisation) RSV vaccination |
Women; weeks 32 to 36 of pregnancy; Pregnant | One dose (Abrysvo) from September through January in most of the continental United States; either this vaccine or an RSV antibody for the baby (nirsevimab) is recommended. Not repeated in later pregnancies. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule Child Immunization Schedule Notes (Recommendations for Ages 18 Years or Younger, United States) |
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| Whooping cough vaccine (Tdap) Whooping cough (pertussis) vaccination in pregnancy |
Women; weeks 27 to 36 of pregnancy; Pregnant | One dose during each pregnancy, preferably early in this window. | Centers for Disease Control and Prevention (US) · Adult Immunization Schedule Notes · CDC immunization schedule Pertussis Vaccination Recommendations (for healthcare providers) MyHealthfinder: Get Vaccines to Protect Your Health (Adults Ages 19 to 49 Years) |
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United States
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United Kingdom
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China
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Spain
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Brazil
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Elsewhere, call your local emergency number.