I-693 Vaccine Requirements for Your Green Card
Form I-693 is the medical exam USCIS requires for a green card, and proof of vaccination is a core part of it. This page explains exactly which vaccines you need, which records count, and how age and flu season change the list, so you only get the shots you actually need.
Medically reviewed by Dr. Matthias Kochmann, Civil Surgeon
Check your personal vaccine requirements
Requirements change with your age, health history, and the time of year. Answer a few quick questions and get a free, personalized I-693 plan: what you already have covered, what is still missing, and the fastest, simplest way to complete it.
Which vaccines does the I-693 require?
Non-pregnant adults must show proof of the following vaccinations. A USCIS-designated civil surgeon records your status on Form I-693, so you do not submit the records to USCIS yourself. Your exact list can change with your age, medical history, and current CDC guidelines — see how age and flu season change your requirements below.
- Polio (IPV) Typically 3 documented doses.
- Tetanus, Diphtheria, Pertussis (Tdap) 1 dose, with a booster required every 10 years.
- Measles, Mumps, Rubella (MMR) 2 documented doses.
- Hepatitis B Usually a 3-dose series.
- Varicella (Chickenpox) 2 doses. Not needed if you had chickenpox as a child or show immunity by blood test.
- Influenza (Flu) 1 dose, but only during flu season (September 1 to March 31).
Which vaccine records are accepted?
We accept official vaccine records from any country and in any language. Printed cards, clinic printouts, and online immunization records all work. Every record must show your full name and date of birth so the civil surgeon can match it to you. If you are missing doses or cannot find your record, you can get the vaccine again (an extra dose is safe) or get a blood test (titer) that proves you are already immune.
How age and flu season change your requirements
Your required list is not the same for everyone. Children follow the CDC catch-up schedule, so some vaccines are dropped or added by age. Adults 60 and older are no longer required to have the hepatitis B vaccine, and adults 65 and older may need a pneumococcal vaccine that younger applicants do not. The influenza vaccine is only required during flu season (September 1 to March 31). If your exam falls outside that window, you do not need it. Pregnancy and some medical conditions can make a vaccine contraindicated, meaning a civil surgeon can waive it.
How the vaccination step fits into the I-693 process
- 1 Upload your records Upload your existing medical and vaccine records online. A civil surgeon reviews them, usually within 24 hours, and tells you exactly what is missing.
- 2 Complete missing vaccines Get any missing vaccines at a pharmacy, or a blood test at a lab to prove existing immunity, then upload the documents the same day.
- 3 Finish your exam Meet a USCIS-designated civil surgeon for a short in-person physical and the remaining screenings.
- 4 Receive your sealed I-693 You leave with your completed, sealed Form I-693, ready to submit to USCIS.
I-693 vaccine FAQ
What does the I-693 medical exam test for?
The I-693 medical exam tests for six different things: Infectious Diseases (e.g. Tuberculosis, Syphilis); Vaccination Status (e.g. Polio, Tetanus); Mental Health and Substance Use Disorders; Physical Examination; Drug and Alcohol Screening; and Other Health Conditions that might pose a public health threat.
What vaccines are required to pass the I-693 medical exam?
Non-pregnant adults require proof of the following six vaccinations: Polio (IPV, 3 doses); Tetanus, Diphtheria, Pertussis (Tdap, 1 dose every 10 yrs); Measles, Mumps, Rubella (MMR, 2 doses); Hepatitis B (3 doses); Varicella (2 doses, not needed if you had chickenpox as a child); Influenza (1 dose, seasonal — only required if the I-693 is completed September 1–March 31). Requirements can vary based on age, medical history, and current CDC guidelines. Reference: https://www.cdc.gov/vaccines/hcp/imz-schedules/adult-age.html
What vaccine records are accepted?
We accept all official vaccine records from different countries and in foreign languages. All vaccine records must have the patient's full name and date of birth.
Do I need the Flu vaccine?
The influenza vaccine is required for the I-693 during flu season (September 1st to March 31st). One dose within the last year is required in that period. No influenza vaccine is required if your I-693 is completed between April 1st and August 31st.