All Adults

All adults should receive:

•  Annual influenza vaccine⁽¹⁾⁽²⁾

•  Boosters of tetanus and diphtheria vaccine⁽²⁾ every 10 years

•  Varicella vaccine⁽¹⁾ if non‐immune

A single dose of pertussis vaccine⁽²⁾ should be given in adulthood and prioritized to people around small children or pregnant women after 26 weeks gestation.

(1) Live attenuated vaccine
(2) Inactive or component vaccine
(3) Only covered by MSP for certain indications

PPSV‐23: 23 valent pneumococcal polysaccharide vaccine
PCV‐13: 13 valent pneumococcal conjugate vaccine

Live attenuated vaccines should be administered on the same day or ≥28 days apart to ensure immunogenicity.

Generally, live attenuated vaccines should not be given to patients with underlying immunocompromising conditions or pregnant women.