Preventative Care

Every year

Ages 21–24: every 3 years

Ages 25–39: every 3 to 5 years

Begin earlier if you have increased risk

Every year

Every 3 years in adults with high blood pressure or elevated body weight (as advised by your provider)

One-time screening for adults ages 18–79 years

At least one lifetime screening for all adults; more often if at higher risk

Initial screening by age 20, then repeat by age 40 or sooner if at risk

Every 2 years

Every year

Every 2 years

Every year if younger than 25 and sexually active; test as needed based on risk after age 25

Every year

Primary series and recommended boosters

Vaccinate through age < 59 years; consider at older ages based on risk

Begin series through age 26 years

Consider starting between ages 27–45 based on shared decision-making; not recommended during pregnancy

Every year

If primary series completed, booster every 10 years (one dose should be Tdap)

Varicella, hepatitis A, hepatitis B, measles-mumps-rubella, and meningococcal vaccines as needed based on age, history, and risk factors

Every year

Every year, or as recommended by your provider

Every 3 to 5 years

If younger than 45: consider screening if you have increased risk

Average-risk adults: consider starting regular screening at age 45

Every year

Every 3 years starting at age 45 years, or sooner if at higher risk

One-time screening for adults ages 18–79 years

At least one lifetime screening for all adults; repeat as needed for risk

Every 4 to 6 years

Every year

Every year

Every 2 years

Every year if sexually active or as advised by your provider

Every year

Primary series and recommended boosters

Everyone through age < 59 years; consider for older adults based on risk

Initiate series through age 26 years if not previously vaccinated

Consider starting between ages 27–45 based on shared decision-making; not recommended during pregnancy

Every year

If primary series completed, booster every 10 years (one dose should be Tdap)

Varicella, hepatitis A, hepatitis B, measles-mumps-rubella, and meningococcal vaccines as needed based on age and risk factors

Every year

Every year, or as advised by your provider

Every 3 to 5 years

Continue screening for average-risk adults

Every year

Every 3 years

One-time screening for adults ages 18–79 years

At least one lifetime screening; repeat as needed for risk

Every 4 to 6 years

Every year

Every year

Every 2 years

Every year if sexually active or at higher risk

Every year

Primary series and recommended boosters

Everyone through age < 59 years; consider for age ≥ 60 based on risk

Two doses of Shingrix at age ≥ 50 years, unless contraindicated (regardless of prior Zostavax)

Every year

If primary series completed, booster every 10 years (one dose should be Tdap)

Varicella, hepatitis A, hepatitis B, measles-mumps-rubella, and meningococcal vaccines as needed based on age and risk factors

Every year

Ages 65–75: typically every year; discuss beyond age 75 based on health and preference

No screening after age 65 if prior results have been adequate and normal and you are not at high risk

Ages 65–75 (life expectancy > 10 years): continue regular screening

Ages 76–85 (life expectancy > 10 years): consider screening if never screened; benefit of continued screening is uncertain for others

Every year

Every 3 years

Every year

One-time screening for adults ages 18–79 years (or as previously recommended)

At least one lifetime screening; repeat as needed for risk

Ages 65–75: consider every 4 to 6 years based on risk

Every year

Every year

Every 2 years

Bone density screening at age 65 or older, then as recommended by your provider

Every year if sexually active or at higher risk

Every year

Primary series and recommended boosters

Consider for age ≥ 60 years based on risk factors

Two doses of Shingrix at age ≥ 50 years, unless contraindicated (regardless of prior Zostavax)

Every year

One-time dose of PCV20 at age 65 if no prior pneumococcal vaccine. If vaccinated previously, discuss the schedule with your clinician.

If primary series completed, booster every 10 years (one dose should be Tdap)

Varicella, hepatitis A, hepatitis B, measles-mumps-rubella, and meningococcal vaccines as needed based on age and risk factors

Every year

Begin earlier screening if you have increased risk (family history or other risk factors)

Every year

Every 3 years in adults with high blood pressure or elevated body weight (as advised by your provider)

One-time screening for adults ages 18–79 years

At least one lifetime screening for all adults; repeat as needed for risk

Initial screening by age 20, then repeat by age 40 or sooner if at risk

Every 2 years

Every year

Every 2 years

Every year

Primary series and recommended boosters

Everyone through age < 59 years; consider for age ≥ 60 based on risk

Initiate series through age 26 years if not previously vaccinated

Consider starting between ages 27–45 based on shared decision-making

Every year

If primary series completed, booster every 10 years (one dose should be Tdap)

Varicella, hepatitis A, hepatitis B, measles-mumps-rubella, and meningococcal vaccines as needed based on age and risk factors

Every year

If younger than 45: consider screening if you have increased risk

Average-risk adults: consider starting regular screening at age 45

Every year

Every 3 years beginning at age 45 years, or sooner if at higher risk

Screen adults at high risk of infection, including some who are already vaccinated

One-time screening for adults ages 18–79 years

At least one lifetime screening; repeat for those at higher risk

Every 4 to 6 years

Every year

Every year

Every 2 years

Every year

Primary series and recommended boosters

Everyone through age < 59 years; consider for age ≥ 60 based on risk

Every year

If primary series completed, booster every 10 years (one dose should be Tdap)

Varicella, hepatitis A, hepatitis B, measles-mumps-rubella, and meningococcal vaccines as needed based on age and risk factors

Every year

Continue routine screening for average-risk adults

Every year

Every 3 years

One-time screening for adults ages 18–79 years

At least one lifetime screening; repeat for those at higher risk

Every 4 to 6 years

Every year

Every year

Every 2 years

Shared decision-making with your provider about if and when to screen

Every year

Primary series and recommended boosters

Everyone through age < 59 years; consider for age ≥ 60 based on risk

Two doses of Shingrix at age ≥ 50 years, unless contraindicated (regardless of prior Zostavax)

Every year

If primary series completed, booster every 10 years (one dose should be Tdap)

Varicella, hepatitis A, hepatitis B, measles-mumps-rubella, and meningococcal vaccines as needed based on age and risk factors

One-time screening between ages 65–75 (and beyond if life expectancy > 10 years) for men with a history of smoking, or as recommended by your provider

Every year

Ages 65–75 (life expectancy > 10 years): continue screening

Ages 76–85 (life expectancy > 10 years): consider screening if never screened; benefit of continued screening is uncertain for others

Every year

Every 3 years

Every year

One-time screening for adults born between 1945 and 1965 (or as previously recommended by your clinician)

At least one lifetime screening; repeat as needed for risk

Ages 65–75: consider every 4 to 6 years based on risk

Every year

Every year

Every 2 years

Shared decision-making with your provider about if and when to screen

Every year

Primary series and recommended boosters

Everyone through age < 59 years; consider for age ≥ 60 based on risk factors

Two doses of Shingrix at age ≥ 50 years, unless contraindicated (regardless of prior Zostavax)

Every year

One-time dose of PCV20 at age 65 if no previous pneumococcal vaccine. If vaccinated previously, discuss the schedule with your clinician.

If primary series completed, booster every 10 years (one dose should be Tdap)

Varicella, hepatitis A, hepatitis B, measles-mumps-rubella, and meningococcal vaccines as needed based on age and risk factors