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Question about medial at POE

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My fiance got her medical check and did not get the vaccinations, but I think these are not required to enter the country right? They are required when she gets her social security card? I was reading POE reviews and some people said they look at your medical documents. What are they checking for? What if she does not have all the vaccines?

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This appears to be for a K1. Vaccinations are checked when you file your adjustment of status. At POE they are looking at the visa itself and what is in the sealed envelope.

Seasonal vaccination like the flu is required only if it is the correct season at the time of the medical checkup, not when you file the adjustment of status. I added this last part here to help you not get ripped off by civil surgeons here in the states like they did me.

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This appears to be for a K1. Vaccinations are checked when you file your adjustment of status. At POE they are looking at the visa itself and what is in the sealed envelope.

Seasonal vaccination like the flu is required only if it is the correct season at the time of the medical checkup, not when you file the adjustment of status. I added this last part here to help you not get ripped off by civil surgeons here in the states like they did me.

There is a sealed envelope? Do you mean the medical envelope she takes to the interview, or is she supposed to have a sealed envelope for POE? What if she opened it? I better ask her haha.

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My fiance got her medical check and did not get the vaccinations, but I think these are not required to enter the country right? They are required when she gets her social security card? I was reading POE reviews and some people said they look at your medical documents. What are they checking for? What if she does not have all the vaccines?

I believe the vaccinations encouraged before POE

but definitely required before AOS filing.

Usually it should be cheaper to get it done overseas,

because once you do it in US with civil surgeon doctor,

they will often require a full medical exam again and

it could run $500 ~ $1000 to get all the shots and the exam.

Take a look at her medical exam and vaccination log report,

and find out from her clearly as to what happened.

Did they give her a choice and she opted out?

Or did she provided evidence of prior vaccination history.

There is no vaccination check for SS card,

but when you file AOS, they will recheck the medical exam and vaccinations again.


10-04-2013 We met online
11-21-2013 We met in person in Shanghai for 2 weeks

12-13-2013 I-129F packet sent via express

12-19-2013 USCIS NOA #1 (text and email) received

12-24-2013 USCIS assigns Alien Registration Number
12-31-2013 USCIS NOA #1 hard copy received
06-02-2014 USCIS web site shows NOA #2 approval
06-06-2014 USCIS web site shows case sent to NVC

06-xx-2014 Fiancee acquired birth, marriage, and police certificates from local police station (wrong)

06-16-2014 NVC creates case with GUZ### number

06-19-2014 NVC sends case sent to Guangzhou, China
06-24-2014 Received packet 3 express mail from embassy
06-25-2014 Completed DS-160 and paid K1 visa fee

06-26-2014 Mailed packet 3 response back to Embassy

06-26-2014 Requested police certificate from Russian embassy

07-08-2014 Received packet 4 email from Embassy

07-17-2014 Picked up Russian police certificate

07-25-2014 Fiancee medical exam (received MMR & Varicella, but they missed required TD shot)

07-31-2014 Picked up medical exam reports

08-01-2014 Request (correct) birth, marriage, and police certificates from Notarial Service (GongZhengChu)

08-06-2014 Picked up birth, marriage, and police certificates from Notarial Service

08-14-2014 Passed Interview Guangzhou embassy

09-01-2014 Received passport, visa, & sealed envelope

09-13-2014 POE

09-17-2014 Went to CBP office to get (US entry) I-94 updated correctly

09-18-2014 Applied for Social Security Card
09-19-2014 Applied for Marriage License (via online)
09-25-2014 Received Social Security Card
09-30-2014 Picked up Marriage License
10-09-2014 Marriage by Justice of Peace
10-09-2014 Got Certified Marriage Certificate Copies
10-17-2014 Received a letter from SS office that they need the marriage license
10-09-2014 Applied to change the social security card name
10-24-2014 Went back to SS office to provide the marriage certificate documents again!!!
12-09-2014 Submitted AOS, EAD, and AP
12-16-2014 Received 16 emails and 16 text NOA messages
01-05-2015 Received Biometrics appointment letter for (01-12-2015)
01-12-2015 Had Biometrics (fingerprint & picture) - Required Marriage Certificate!!!
02-17-2015 EAD and AP is approved
02-23-2015 Received AP is approval letter
02-25-2015 Received EAD/AP combo card (expires 02/16/2016)
02-27-2015 Applied for SS card name change (they took her SS card)
02-27-2015 Driver's learner permit test was denied since the SS card was given to SS office for name change
03-17-2015 Received SS card with married name
03-17-2015 Started to change all her accounts to married name
03-23-2015 Received potential interview waiver letter
03-27-2015 DMV rejects learner's permit due to "legal status=pending" and vision test failure
04-05-2015 Vision test for learner's permit
04-06-2015 DPS sent us letter that DHS cleared my wife's status to acquire driver's license.
04-10-2015 Passed Driver Learner's Permit
04-22-2015 Received Driver Learner's Permit ID card (expires 02/16/2016)
08-27-2015 Green Card approved
08-31-2015 Received Green Card "Welcome Notice Was Mailed" letter
09-05-2015 Received Green card
10-26-2015 Passed Driver's License Road Test (on 3rd attempt)
11-03-2015 Received Driver's License (expires 02/16/2022)
11-06-2015 Applied to remove conditional work remark on SS card
11-23-2015 Received updated Social Security Card.
- - - - - - - - - - Pending Future Processing - - - - - - - - - -
05-27-2017 File 10 Year Green Card
08-27-2017 2 Year Green Card Expires
05-27-2018 File USC

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I believe the vaccinations encouraged before POE

but definitely required before AOS filing.

Usually it should be cheaper to get it done overseas,

because once you do it in US with civil surgeon doctor,

they will often require a full medical exam again and

it could run $500 ~ $1000 to get all the shots and the exam.

Take a look at her medical exam and vaccination log report,

and find out from her clearly as to what happened.

Did they give her a choice and she opted out?

Or did she provided evidence of prior vaccination history.

There is no vaccination check for SS card,

but when you file AOS, they will recheck the medical exam and vaccinations again.

I wonder if my health insurance covers those vaccinations. I believe they gave her a choice and she opted out. Ok, well my main concern was that we would have trouble at POE, and it appears that is not the case now.

Thank you!

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I wonder if my health insurance covers those vaccinations. I believe they gave her a choice and she opted out. Ok, well my main concern was that we would have trouble at POE, and it appears that is not the case now.

Thank you!

Health insurance might cover the shots, but any shots she gets in US needs to be

transcribed to I-693 by a civil surgeon, and most would require another full medical exam

which can cost $500+.

You need to update the timeline.

But if she already had the medical exam and refused the shot,

and already had the interview, then it might be too late to get it in China.


10-04-2013 We met online
11-21-2013 We met in person in Shanghai for 2 weeks

12-13-2013 I-129F packet sent via express

12-19-2013 USCIS NOA #1 (text and email) received

12-24-2013 USCIS assigns Alien Registration Number
12-31-2013 USCIS NOA #1 hard copy received
06-02-2014 USCIS web site shows NOA #2 approval
06-06-2014 USCIS web site shows case sent to NVC

06-xx-2014 Fiancee acquired birth, marriage, and police certificates from local police station (wrong)

06-16-2014 NVC creates case with GUZ### number

06-19-2014 NVC sends case sent to Guangzhou, China
06-24-2014 Received packet 3 express mail from embassy
06-25-2014 Completed DS-160 and paid K1 visa fee

06-26-2014 Mailed packet 3 response back to Embassy

06-26-2014 Requested police certificate from Russian embassy

07-08-2014 Received packet 4 email from Embassy

07-17-2014 Picked up Russian police certificate

07-25-2014 Fiancee medical exam (received MMR & Varicella, but they missed required TD shot)

07-31-2014 Picked up medical exam reports

08-01-2014 Request (correct) birth, marriage, and police certificates from Notarial Service (GongZhengChu)

08-06-2014 Picked up birth, marriage, and police certificates from Notarial Service

08-14-2014 Passed Interview Guangzhou embassy

09-01-2014 Received passport, visa, & sealed envelope

09-13-2014 POE

09-17-2014 Went to CBP office to get (US entry) I-94 updated correctly

09-18-2014 Applied for Social Security Card
09-19-2014 Applied for Marriage License (via online)
09-25-2014 Received Social Security Card
09-30-2014 Picked up Marriage License
10-09-2014 Marriage by Justice of Peace
10-09-2014 Got Certified Marriage Certificate Copies
10-17-2014 Received a letter from SS office that they need the marriage license
10-09-2014 Applied to change the social security card name
10-24-2014 Went back to SS office to provide the marriage certificate documents again!!!
12-09-2014 Submitted AOS, EAD, and AP
12-16-2014 Received 16 emails and 16 text NOA messages
01-05-2015 Received Biometrics appointment letter for (01-12-2015)
01-12-2015 Had Biometrics (fingerprint & picture) - Required Marriage Certificate!!!
02-17-2015 EAD and AP is approved
02-23-2015 Received AP is approval letter
02-25-2015 Received EAD/AP combo card (expires 02/16/2016)
02-27-2015 Applied for SS card name change (they took her SS card)
02-27-2015 Driver's learner permit test was denied since the SS card was given to SS office for name change
03-17-2015 Received SS card with married name
03-17-2015 Started to change all her accounts to married name
03-23-2015 Received potential interview waiver letter
03-27-2015 DMV rejects learner's permit due to "legal status=pending" and vision test failure
04-05-2015 Vision test for learner's permit
04-06-2015 DPS sent us letter that DHS cleared my wife's status to acquire driver's license.
04-10-2015 Passed Driver Learner's Permit
04-22-2015 Received Driver Learner's Permit ID card (expires 02/16/2016)
08-27-2015 Green Card approved
08-31-2015 Received Green Card "Welcome Notice Was Mailed" letter
09-05-2015 Received Green card
10-26-2015 Passed Driver's License Road Test (on 3rd attempt)
11-03-2015 Received Driver's License (expires 02/16/2022)
11-06-2015 Applied to remove conditional work remark on SS card
11-23-2015 Received updated Social Security Card.
- - - - - - - - - - Pending Future Processing - - - - - - - - - -
05-27-2017 File 10 Year Green Card
08-27-2017 2 Year Green Card Expires
05-27-2018 File USC

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Health insurance might cover the shots, but any shots she gets in US needs to be

transcribed to I-693 by a civil surgeon, and most would require another full medical exam

which can cost $500+.

You need to update the timeline.

But if she already had the medical exam and refused the shot,

and already had the interview, then it might be too late to get it in China.

Oh yes I can update my timeline now. I did not want to update it because our case was in AP until a few days ago. I did not want to post details of our case on here during that time.

It is too late for her to get the shots in China, we will just have to do it in USA.

Thank you for the information!

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If she can get the shots done in china, have them entered in international shot record book.. [its yellow in colour].

regardless of your insurance plan, a civil surgeon will not accept your insurance.


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If she can get the shots done in china, have them entered in international shot record book.. [its yellow in colour].

regardless of your insurance plan, a civil surgeon will not accept your insurance.

I wonder what my insurance company will do if I send them the bill :devil:

I can pay with my HSA if nothing else, so at least it will be tax free.

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There is a sealed envelope? Do you mean the medical envelope she takes to the interview, or is she supposed to have a sealed envelope for POE? What if she opened it? I better ask her haha.

Hope she did NOT! open it?

It says right on the front of the SEALED envelope DO NOT OPEN!

Could cause problems at POE if opened.

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