This ensures the Policy Manual guidance includes the most up-to-date information. These vaccineswill likely be marked as contraindicated onForm I-693if the applicant was pregnant at the time of the medical examination.[11]. Q. USCIS requires all green card applicants to receive vaccinations for eight specified diseases, and "[a]ny other vaccine-preventable diseases recommended by the Advisory Committee for Immunization Practices." The U.S. Department of State also lists 14 required vaccinations for immigrant visa applicants seeking entry to the United States. Please follow the links below for the latest guidance for Exchange Visitor Program sponsors and participants. A. CDC publishes the Technical Instructions for Civil Surgeons, including the vaccination requirements, at www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/technical-instructions-civil-surgeons.html *** Rotavirus vaccination should not be initiated for infants aged 15 weeks 0 days or older. From August 1, 2008 through December 13, 2009, the zoster vaccination was required forapplicantsages 60 years or older unless the applicant had received the varicella vaccine. Q. Under the Immigration and Nationality Act (INA) section 212(a)(1)(A)(ii), a noncitizen who seeks admission as an immigrant or who seeks adjustment of status to that of a lawful permanent resident, who fails to show proof that they were vaccinated against vaccine-preventable diseases, is inadmissible and therefore ineligible for admission or adjustment of status. The civil surgeon may annotate in the remarks section that the applicant did not receive one or more vaccines because of a contraindication that is based on pregnancy or a condition other than pregnancy. If CDC determines there is a nation-wide shortage of a vaccine, it will recommend to USCIS to post a message onuscis.govto explain to applicants and civil surgeons whether the vaccine is required and under what circumstances. It is up to the civil surgeon to determine whether you have such a condition that prevents you from receiving a particular vaccine at the time of the immigration medical examination. If this box is checked, the applicant may be inadmissible. In addition, if the vaccine is available to the applicant but due to limited supply, it would cause significant delay for the applicant to receive the vaccination, then the civil surgeon should also annotate not routinely available on Form I-693. Assess for contraindications and precautions that might apply to the applicant. This table describes vaccine requirements for U.S. immigrant visa and status adjustment applicants only and does not include recommendations for other clinical purposes. ACIP vaccine-specific updatesare also posted online periodically and can be found on CDCs website. The COVID-19 vaccine is the latest to join the list of required vaccinations. Q. I am pregnant and do not wish to receive any vaccinations. If the applicant refused to be vaccinated on account of a religious or moral conviction, the officer should direct the applicant to file a waiver. For example, refugees and asylees seeking adjustment of status should file Form I-602, Application by Refugee for Waiver of Grounds of Excludability. In the context of overseas vaccinations, the term panel physicians use to indicate the unavailability of a vaccine is notroutinely available. Therefore, if the adjustment applicant is permitted to use the vaccination assessment completed overseas,[14]then officers should not find the applicant inadmissible solely based on the lack of the vaccine(s) that is not routinely available. Officers should also not issue an RFE for corrective action. The following instructions and accompanying tables describe the procedures that should be followed by panel physicians performing the vaccination portion of the medical examination for any person who seeks a US immigrant visa. If the missing vaccinations would still be required, the officer should send an RFE for an updatedForm I-693showing the applicant has received those vaccinations. [^ 6] SeeSection D, Vaccination Chart[8 USCIS-PMB.9(D)] for more information. A lock ( A locked padlock ) or https:// means you've safely connected to the .gov website. Certain vaccine series can only be completed with multiple visits to the civil surgeon. The instructions in this document supersede all previous vaccination-related Technical Instructions, Updates to the Technical Instructions, and memoranda or letters to panel physicians. Please read the instructions to Form I-693 to determine if you must repeat the immigration medical examination, including the vaccination assessment, based on your current status in the United States and the immigration category under which you are applying for adjustment of status. Individuals seeking adjustment of status based on an approved Form I-130, Petition for Alien Relative, or Form I-140, Immigrant Petition for Alien Worker, are required to file Form I-601, Application for Waiver of Grounds of Inadmissibility. Fraud Warning ***Rotavirus vaccination should not be initiated for infants aged 15 weeks 0 days or older. 3058, 3058 (November 30, 2010). Do I have to receive all the vaccines that are on CDC's list and that are age appropriate, if I have a medical condition that prevents me from receiving the required vaccines? [8 USCIS-PMB.9(D)]. For example, if a vaccine was age appropriate at the time of the medical exam based on the vaccination chart,[9]but the civil surgeon markedthat the vaccine is not medically appropriate because it is not age appropriate, then it is clear that the civil surgeons mark is incorrect. [^ 14] See Chapter 3, Applicability of Medical Examination and Vaccination Requirement [8 USCIS-PM B.3] for more information on applicants who may use the vaccination assessment completed overseas for adjustment purposes. Do I have to receive all the required vaccines, even though I have been vaccinated before? ACIP immunization schedules for children and adults are updated annually. Generally, national vaccination shortage principles do not apply overseas. This availability differs by location, but the vaccine is usually available from October until March. COVID-19 Vaccination Required for Immigration Medical Examinations. If another physician or department or pharmacy carries the vaccine and can administer the vaccine, you should get the vaccine and request documentation that you have received the vaccine. Q. My civil surgeon says that a vaccine is currently not available. For historical versions before June 11, 2021, navigate to the USCIS Policy Manual within the USCIS website at:https://archive.org, Select a date to view the historical version, An official website of the U.S. Department of Homeland Security, An official website of the United States government, Part A - Admissibility Policies and Procedures, Part D - Criminal and Related Grounds of Inadmissibility, Part H - Labor Certification and Select Immigrant Qualifications, Part Q - Practicing Polygamists, International Child Abductors, Unlawful Voters, and Tax Evaders, Technical Update - Implementation of COVID-19 Vaccination Requirement for Immigration Medical Examination, POLICY ALERT - COVID-19 Vaccination Requirement for Immigration Medical Examination, Technical Update - Replacing the Term Alien, Technical Update - Moving the Adjudicators Field Manual Content into the USCIS Policy Manual, Technical Update - Health-Related Grounds of Inadmissibility, Technical Update - Replacing the Term Foreign National, POLICY ALERT - Validity of Report of Medical Examination and Vaccination Record (Form I-693), POLICY ALERT - Definition of Certain Classes of Medical Conditions and Other Updates Relating to Health-Related Grounds of Inadmissibility, Technical Update - Vaccination Requirements for Pregnant or Immuno-Compromised Applicants, POLICY ALERT - Health-Related Grounds of Inadmissibility and Waivers, To protect your privacy, please do not include any personal information in your feedback. The requirement was eliminated on December 14, 2009, and affects any admissibility determination underINA 212(a)(1)(A)(ii)on that date or thereafter. Last updated: 15/06/2023 8:58 Print this page Contact. If the applicant had no religious or moral reason for refusal, the applicant is inadmissible. Q. With summer travel kicking off, many foreign national workers based in the U.S . If vaccines are not properly handled or stored, their potency is reduced and they may not produce immunity. If you wish to remain on travel.state.gov, click the "cancel" message. Panel physicians can find patient vaccine information sheets in many languages on CDCs webpage for Vaccine Information Statements. Will USCIS accept a Form I-693 if the vaccination chart is incomplete? If the adopting parent(s) prefers that the child meet the vaccination requirement as part of the visa application process, the child may benefit from the waiver(s) for those vaccinations which the panel physician determines are medically inappropriate. For purposes of the immigration medical examination, the civil surgeon is required to administer the flu vaccine when it is available to them. Q. Updates to Australia's immigration and border arrangements during the COVID-19 (Coronavirus) pandemic. As with other vaccinations, additional doses recommended for older age groups, health conditions or immunocompromise are not required for immigration. Vaccination Technical Instructions for Civil Surgeons | CDC These Questions and Answers provide basic information about the general vaccination requirements for immigrants (including individuals seeking adjustment of status), and specifically about the assessment made by the civil surgeon to determine whether an applicant meets the vaccination requirements. [^ 24] When the waiver application is for a child, the childs parent must satisfy the waiver requirements underINA 212(g)(2)(C). U.S. Will Require Immigrant Visa Applicants To Prove COVID Vaccination For purposes ofForm I-693, the flu season commences annually on October 1 and runs through March 31. This technical update incorporates the policy guidance that U.S. An officer should also never issue an RFE for additional vaccines if the applicant is no longer pregnant at the time of the adjudication of the adjustment of status. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. What is a U.S. Visa? If you have a medical condition that prevents you from receiving a vaccine that is appropriate for your age, the civil surgeon will annotate the Form I-693 accordingly and mark the vaccine as contraindicated. The U.S. Department of State is currently working with the CDC to implement this requirement. Diversity Visa 2020 and 2021 Updates Who pays for the vaccinations? The civil surgeon records the results of the immigration medical examination, including the results of the vaccination assessment, on USCIS Form I-693. PDF Instructions for Report of Immigration Medical Examination - USCIS For more information about the COVID-19 vaccination requirement see the CDC Technical Instructions. Vaccination Technical Instructions for Panel Physicians | CDC The officer should not return the assessment to the civil surgeon if he or she has enough information to determine health-related inadmissibility. This is because such a finding involves medical judgment. Vaccination Requirements | USCIS A. In addition to these, the statute also requires that an individual receive any other vaccinations recommended by the ACIP. Beginning October 1, 2021, all immigrant (excluding K visas) applicants must be fully vaccinated for COVID-19 for the medical examination to be considered complete. The Pink Books chapter on General Recommendations on Immunizationgives a helpful summary of ACIPs contraindications, precautions, misconceptions about contraindications, and a list of screening questions that panel physicians can use. USCIS . The civil surgeon will check that this information matches 02/08/2023 Form I-693 and the identifying information at the top of each page. An officer may only grant a blanket waiver for a vaccine based on a vaccination shortage if the following circumstances are met: CDC declares that there is a nationwide vaccination shortage, and issues the appropriate statement on its website for civil surgeons; USCIS issues the appropriate statement on uscis.gov;and. Adoption Notice: Updates to Medical Exam Requirements - Travel A contraindication is a condition that prevents you from receiving a particular vaccine. Epidemiology and Prevention of Vaccine-Preventable Diseases Pink Book. No. Q. The Department of State encourages all immigrant visa applicants to get vaccinated against COVID-19 as soon as possible to avoid unnecessary delays in their visa processing. This chapter also gives detailed, concise information about vaccinating pregnant women, people with immunosuppression, and general considerations about giving multiple vaccines at one time. An officer, however, should usually deferto a civil surgeons finding that a vaccine is not medically appropriate because of a contraindication. Therefore, the officer should determine, from the vaccination assessment completed by the civil surgeon, whether the applicant received all vaccines, which blanket waivers should be granted, and whether the applicant requires any other waivers. U.S. DEPARTMENT of STATE BUREAU of CONSULAR AFFAIRS, https://www.cdc.gov/immigrantrefugeehealth/panel-physicians/covid-19-technical-instructions.html. This will enable the civil surgeon to determine which vaccines you need to receive. Update on Change to U.S. Travel Policy Requiring COVID-19 Vaccination for nonimmigrant travel. Travel insurance Travel insurance is important if you become sick with COVID-19 overseas. The application fee for visitor visas for business . Post Emergency COVID-19 Guidelines and Protocol Previous Versions Facility Status Dashboard This information is updated on Fridays.
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