Vaccinations! HELP PLEASE

[alepenaflor 92]

Hey guys!!

I am a Little confuse about all the vaccinations see this is the thing.

I have my records from when I was a baby and I know I got more shots when I was in middle school, high school etc..

The thing is I know ill need some of them, but I really dont know which ones and the list of the embassy is confusing me.

I know ill need the following ones:

Influenza

TDAP

MMR

My question is can someone of you dear vj¨s that experienced this already help me?? I mean I know it depends person by person but which ones are the most commun that they consider we need/missing??

Hopefully you guys understand my question

Thanks in advance...

[JDWright 30]

This is a list of all the vaccines you'll need, some of which you'd have had already, others you'll need boosters for and some you'll probably never have had.

Also if you've had chicken pox you won't need the chicken pox vaccine. Chicken pox vaccine is also known as Varicella, if you see that don't get scared.

Measles(only)/Measles/Mumps/Rubella,

Polio(oral),
D.P.T.(Diphtheria/Tetanus/Pertussis) Age 2 mos to 6 yrs
Hepatitis B,
D.T.(Diphtheria/Tetanus) Over six years to adult,
H.I.B. (Haemophilus Influenza B),
Chicken Pox

Edited December 5, 2014 by JDWright

[Al422 221]

Many shots are for certain age groups only.

The doctor who does the med exam calls the shots on what shots you need.

You usually end up with between 2 and 4 shots.

Just get the ones that he says you need because he is the one who signs off on the form. Don't worry if he is right or wrong. His signature on the form is your goal, nothing more and nothing less.

[asisflyer 47]

Hey guys!!

I am a Little confuse about all the vaccinations see this is the thing.

I have my records from when I was a baby and I know I got more shots when I was in middle school, high school etc..

The thing is I know ill need some of them, but I really dont know which ones and the list of the embassy is confusing me.

I know ill need the following ones:

Influenza

TDAP

MMR

My question is can someone of you dear vj¨s that experienced this already help me?? I mean I know it depends person by person but which ones are the most commun that they consider we need/missing??

Hopefully you guys understand my question

Thanks in advance...

I am going to presume you are a 30 year old who has already had the chicken pox:

1. Flu Shot in Season only.... required either way. You can get it done elsewhere if you bring reference to batch etc. to civil surgeon.

Unless your pregnant--- Flu shot contraindicated if pregnant.

2. Verifying Tetanus and Diptheria titers in serum is more expensive that getting the TD again (and you should have Tetaneus every 10 years anyway).

I suggest you request a TDAP instead of TD to get the Pertussis coverage if you have infants around. Not much more money (although Ptus not actually required for the 30yr old). OK during Pregnancy (even recommended later on)

3. MMR - Let them run titers - Rubella titers. For 30 yr old, they'll be looking at the Rubella titer as the other 2 aren't age indicated for a 30 year old. Contraindicated during pregnancy. If titers on Rubella insufficient, they'll have to repeat the MMR.

As for HepA/HepB - not required for a 30 year old for USCIS but if you work around kids, school, healthcare, you'll wind up doing these for other reasons and might want to just pay for them..

You'll get the Tuberculin scratch test with follow up read 2-3 days later ---- or IGRA from serum if you want to pay for it.

If you have a sufficient response, you might get referred for chest x-ray to rule out TB.

You will get a VDRL / RPR for Syphylis.

And a basic physical with questions on STDs as part of the physical.

Maybe be more specification requirements for USCIS civil surgeons recognized by each respective embassy above and beyond what is above.

You can google for USCIS Powerpoint Presentation on training the USCIS Civil Surgeons if you want more details.

Edited December 11, 2014 by asisflyer

[alepenaflor 92]

This is a list of all the vaccines you'll need, some of which you'd have had already, others you'll need boosters for and some you'll probably never have had.

Also if you've had chicken pox you won't need the chicken pox vaccine. Chicken pox vaccine is also known as Varicella, if you see that don't get scared.

Measles(only)/Measles/Mumps/Rubella,

Polio(oral),

D.P.T.(Diphtheria/Tetanus/Pertussis) Age 2 mos to 6 yrs

Hepatitis B,

D.T.(Diphtheria/Tetanus) Over six years to adult,

H.I.B. (Haemophilus Influenza B),

Chicken Pox

I am going to presume you are a 30 year old who has already had the chicken pox:

1. Flu Shot in Season only.... required either way. You can get it done elsewhere if you bring reference to batch etc. to civil surgeon.

Unless your pregnant--- Flu shot contraindicated if pregnant.

2. Verifying Tetanus and Diptheria titers in serum is more expensive that getting the TD again (and you should have Tetaneus every 10 years anyway).

I suggest you request a TDAP instead of TD to get the Pertussis coverage if you have infants around. Not much more money (although Ptus not actually required for the 30yr old). OK during Pregnancy (even recommended later on)

3. MMR - Let them run titers - Rubella titers. For 30 yr old, they'll be looking at the Rubella titer as the other 2 aren't age indicated for a 30 year old. Contraindicated during pregnancy. If titers on Rubella insufficient, they'll have to repeat the MMR.

As for HepA/HepB - not required for a 30 year old for USCIS but if you work around kids, school, healthcare, you'll wind up doing these for other reasons and might want to just pay for them..

You'll get the Tuberculin scratch test with follow up read 2-3 days later ---- or IGRA from serum if you want to pay for it.

If you have a sufficient response, you might get referred for chest x-ray to rule out TB.

You will get a VDRL / RPR for Syphylis.

And a basic physical with questions on STDs as part of the physical.

Maybe be more specification requirements for USCIS civil surgeons recognized by each respective embassy above and beyond what is above.

You can google for USCIS Powerpoint Presentation on training the USCIS Civil Surgeons if you want more details.

Thank you so much guys!!

I got some shots in advance the medical that will be in Jan 26, I already had chicken pox but im under 30 so anyways the doctor here told me i needed it,

Influenza shot

MMR

TDAP

Hepatitis B

He told me im covered on all the other ones, well will see if the doctor at the medical thinks the same!!

Thank you so much and hopefully this is helpful for other people going thru this..

Thank you so much guys!!

I got some shots in advance the medical that will be in Jan 26, I already had chicken pox but im under 30 so anyways the doctor here told me i needed it,

Influenza shot

MMR

TDAP

Hepatitis B

He told me im covered on all the other ones, well will see if the doctor at the medical thinks the same!!

Thank you so much and hopefully this is helpful for other people going thru this..

I got those shot here and I have the records so will see

[PuraVidaAmor 1]

Hi,

You seem to understand vaccines and titers, so let me ask you your opinion if you don't mind

Husband still has to go through waiver process so (hopefully approved!) medical is a way out. Thoughts on having his physician here run titers and get vaccinations? Bottom line is, he needs them here if he doesn't have them, so I'm all about getting the prep work done as much as possible.... We can bring the paperwork on the vaccines he gets (and lab results for titers) with us to the medical exam? I should say, he's >30, does not think he ever had chicken pox and absolutely no record of any vaccines (he got a tetanus here about 12 years ago, but that's all we have)

I'm just anxious to get anything and everything done in advance that we can... while we wait for case numbers and instructions and reviews, why push out timelines further?

Appreciate your (and anyone's) thoughts.

Thanks

I am going to presume you are a 30 year old who has already had the chicken pox:

1. Flu Shot in Season only.... required either way. You can get it done elsewhere if you bring reference to batch etc. to civil surgeon.

Unless your pregnant--- Flu shot contraindicated if pregnant.

2. Verifying Tetanus and Diptheria titers in serum is more expensive that getting the TD again (and you should have Tetaneus every 10 years anyway).

I suggest you request a TDAP instead of TD to get the Pertussis coverage if you have infants around. Not much more money (although Ptus not actually required for the 30yr old). OK during Pregnancy (even recommended later on)

3. MMR - Let them run titers - Rubella titers. For 30 yr old, they'll be looking at the Rubella titer as the other 2 aren't age indicated for a 30 year old. Contraindicated during pregnancy. If titers on Rubella insufficient, they'll have to repeat the MMR.

As for HepA/HepB - not required for a 30 year old for USCIS but if you work around kids, school, healthcare, you'll wind up doing these for other reasons and might want to just pay for them..

You'll get the Tuberculin scratch test with follow up read 2-3 days later ---- or IGRA from serum if you want to pay for it.

If you have a sufficient response, you might get referred for chest x-ray to rule out TB.

You will get a VDRL / RPR for Syphylis.

And a basic physical with questions on STDs as part of the physical.

Maybe be more specification requirements for USCIS civil surgeons recognized by each respective embassy above and beyond what is above.

You can google for USCIS Powerpoint Presentation on training the USCIS Civil Surgeons if you want more details.

[asisflyer 47]

Hi,

You seem to understand vaccines and titers, so let me ask you your opinion if you don't mind

Husband still has to go through waiver process so (hopefully approved!) medical is a way out. Thoughts on having his physician here run titers and get vaccinations? Bottom line is, he needs them here if he doesn't have them, so I'm all about getting the prep work done as much as possible.... We can bring the paperwork on the vaccines he gets (and lab results for titers) with us to the medical exam? I should say, he's >30, does not think he ever had chicken pox and absolutely no record of any vaccines (he got a tetanus here about 12 years ago, but that's all we have)

I'm just anxious to get anything and everything done in advance that we can... while we wait for case numbers and instructions and reviews, why push out timelines further?

Appreciate your (and anyone's) thoughts.

Thanks

Apologies. I didn't notice that this might have been directed at me.

1. MMR - This has been a combo vaccine in most countries for some time. Often civil surgeons will just run titers on the Rubella and if sufficient, will conclude the MMR was given. In many many developing countries, childhood vaccination programs still take their course. Again, the MMR titer might cost more than the MMR itself. FYI MMR contraindicated in pregnancy, but its your husband as you said.

2. Chicken Pox - if he says he didn't have it - the he would need varicella. If he "says" he had it. They will not run titers for it. Most will accept verbal on this since its so common. USCIS Civil surgeon practices for the U.S. allows them to interpret like this. Worst case, get varicella. Adulthood chicken pox is much worse so if he did not have it, get it.

3. TDAP - As a child he should have had DTaPs or maybe DT style without pertussis. A series of higher concentration Tetanus, Diptheria, and Pertussis combos than in the TDAP as they are meant for children to establish initial immunity. That being said, US protocol for an adult with or without prior DTAPs would be to TDaP them. Also many Civil Surgeons will only give TD to be cheap since pertussis is not strictly required but pertussis has a 60% mortality rate on children under 1 years so get it for the sake of your friends, relatives, future family, etc. Insist that you get a TDAP and not a TD. Tetanus is meant to boost every 10 years anyway. Diptheria titers can drop. Titer costs on DTAP will be higher than the cost of getting the DTAP, so just go get the DTAP ! ..... use any clinic you want, write down the LOT #, Brand, Expiration Date, etc. and get a record with a signature on it. You can then hand it to the civil surgeon as proof of vaccination.

4. Influenza. This is seasonal. So if its after March 30th in the U.S. it won't be required ... Outside of US, the rules are different. I don't know the answers. FYI influenza is contraindicated for pregnancy and can be waived if the woman is pregnant.

5. Hep B is good to have .. but for an adult aged 30 say, it is not required for USCIS civil surgeon pursuant to CDC standard...... that being said, get it.. ask for a Twinrix which is a Hep A and Hep B combo just in case you needed A also. Cheap in many places, stateside overpriced! Follow up with the 3 or 4 injection protocol. Verify with titers. I had to boost mine 5 times to get titers right. If you think your spouse will work in a public education environment or in healthcare, he would need to get it later for work anyway. Th

6. TB always needed. of course, you can bring it a recent chest xray and ask he not bother .. he might play ball. IGRA serum check is pricy but now is permitted in lieu of the scratch test which sometimes yields false positives.

7. Many others are required for children but not for say adult aged 30. Most stateside civil surgeons will presume you had polio.

These are the broad strokes. There will be some inaccuracy owing to you using a civil surgeon authorized by uscis outside of the US...

good luck. hope this helped.

forgive the typos..