Older Adult Immunization Schedule

Kathleen Pace Murphy, PhD MS, GNP-BC

Summary

You're never too old to get immunized. 
The Center for Disease Control and Prevention recommends the following immunizations for older adults over age 65 years:

Influenza (flu)
Annual vaccination against influenza is recommended for all persons age 65 years and older. The following CDC website should be consulted for flu vaccine updates: 

http://www.cdc.gov/flu/index.htm 


Tetanus, diphtheria, pertussis (Td/Tdap) 
Give patients a Tdap vaccine once and then a Td booster vaccine every 10 years. The following CDC website should be consulted for tetanus and diphtheria vaccine updates: 

Tetanus - http://www.cdc.gov/vaccines/vpd-vac/tetanus/default.htm 
Diphtheria - http://www.cdc.gov/vaccines/vpd-vac/diphtheria/default.htm 


Zoster (Shingles) 
A single dose of zoster vaccine is recommended for adults aged 60 years and older regardless of whether they report a prior episode of herpes zoster. The following CDC website should be consulted for Zoster vaccine updates:

http://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/shingles.html


Pneumococcal (Pneumonia) 
There are 2 different types of pneumococcal vaccines (PCV 13 and PPSV 23). Pneumococcal vaccination is recommended for older adults. The following CDC website provides additional information regarding PCV 13 and PPSV 23 to help health care providers determine the specific type of vaccination recommended for patients in differing circumstances. 

http://www.cdc.gov/vaccines/vpd-vac/pneumo/default.htm

 

References

Advisory Committee on Immunization Practices. Recommended Adult Immunization Schedule: United States, 2012. Annals of Internal Medicine, 156; 211-217. 

Centers for Disease Control and Prevention (2013). Recommended immunizations for adults by age. Washington, D.C. Retrieved http://www.cdc.gov/vaccines/schedules/downloads/adult/adult-schedule-easy-read.pdf 

Centers for Disease Control and Prevention (2011). Epidemiology and Prevention Vaccine-Preventable Diseases. 12th Ed. Washington, DC: Public Health Foundation.