Vaccines · 7 min read · Updated April 4, 2026
The vaccine part of Form I-693 follows CDC rules. The civil surgeon looks at your age, your vaccine records, any documented immunity, and any medical exceptions to decide what is still needed.
The CDC vaccination technical instructions page currently shows a last updated date of March 11, 2025, and those instructions matter more than general vaccine advice you may find online.
The civil surgeon checks your age on the day of the exam and compares it with the CDC table for adjustment-of-status applicants. The office also reviews whether your records are acceptable and whether any blanket waiver reason applies.
USCIS waived the COVID-19 vaccination requirement for adjustment-of-status applicants effective January 22, 2025. That means COVID-19 is no longer part of the current vaccine requirement set for this process.
Telling the doctor that you got a vaccine is usually not enough. CDC says acceptable documentation must come from a vaccine record or medical chart and include actual dates.
Some diseases can be documented with lab evidence of immunity, but that option does not apply to every vaccine question.
Usually no. CDC guidance generally requires at least one age-appropriate dose when the series is not complete and no waiver reason applies.
Sometimes. A reliable history of varicella may be enough, but the civil surgeon still has to document it correctly under CDC rules.
The civil surgeon may decide you need catch-up vaccines, immunity testing, or both depending on the disease and the records you are missing.
Records · 5 min read
Old vaccine records can help, but they need to be readable, dated, and believable enough for the civil surgeon to use.
Records · 4 min read
Records in another language can still help, but the office may need translation support before relying on them.
Process · 5 min read
Bring your ID, vaccine records, and any medical paperwork that may help the office understand your history.