Vaccination Requirements for ages 18-59

I-693 

Under the immigration laws of the United States, a foreign national who applies for an immigrant visa abroad, or who seeks to adjust status to a permanent resident while in the United States, is required to receive vaccinations to prevent the following diseases:

• Mumps  
• Measles 
• Rubella
• Varicella  (ChickenPox)
• Hepatitis B 

• TB Blood Test -Many people born outside of the United States have been given a vaccine called BCG. People who were previously vaccinated with BCG may receive a TB skin test to test for TB infection. Vaccination with BCG may cause a false positive reaction to a TB skin test. A positive reaction to a TB skin test may be due to the BCG vaccine itself or due to infection with TB bacteria.TB blood tests (IGRAs), unlike the TB skin test, are not affected by prior BCG vaccination and are not expected to give a false-positive result in people who have received BCG. TB blood tests are the preferred method of TB testing for people who have received the BCG vaccine.)  

If you have had the vaccinations but no proof, blood titers can be done to show immunity.

Our  Basic Immigration panel includes the following test: Blood test not Vaccinations. 

1. MMR Titer
2. Varicella Titer
3. TB Blood Test
4. -HB titer

Also available Basic panel plus Gonorrhea / Syphilis tests and Vaccinations. 

Not Included in Basic panel but available in additional panels, Gonorrhea / Syphilis test, Flu Shot and TDAP vaccinations.   Please know that many Civil Surgeon Exams include the Gonorrhea/Syphilis testing.   Please check with your provider. 

We can also provide a TDAP titer if you prefer not to get revaccinated for Tetanus and sure you have have had the vaccination within the last 10 year.  The shot is less expensive than titer testing so we recommend if you have any doubts, to get vaccinated.  If you need help figuring out best options, please email us at customerservice@labreqs.com or call us at 1-844-455-6355

Flu shots( usually available in Mid August or early September) 

We can  provided TDAP titers, a TDAP shot, and Flu shots. 

From I-693 

Gonorrhea/Syphilis for I-693 from is age specific.  Gonorrhea testing needed from18-24 only. Syphilis for ages required for ages 18-44.  (updated 06/01/2024)

Polio vaccinations are a requirement however currently USCIS will not accept Polio titers as proof of immunity. 

Useful links.

Medical Exam info