Measles, Mumps, and Rubella (MMR) Vaccine For Adults, 19 Years of Age and Older Precautions and Contraindications Screen all patients for precautions and contraindications to immunization. Recommended Schedule: All adults born in 1957 or after who do not have a medical contraindication should receive at least one dose of MMR vaccine unless they have documentation of at least one dose of measles, mumps-, and rubella-containing vaccine or evidence of immunity to measles, mumps, and rubella. Evidence of immunity would be documentation of physician diagnosed measles, documentation of physician diagnosed mumps, or laboratory evidence of immunity to measles, mumps, and / or rubella. A second dose of MMR is recommended for some adults born in 1957 or after who: Are students attending colleges and other post-high school educational institutions Plan to travel internationally Are close contacts of a suspected or confirmed case of measles or mumps and who have documentation of only one dose of MMR vaccine All adults born before 1957 are generally considered immune to measles, mumps, and rubella. Adequate vaccination of persons who travel outside the United States would be two doses of MMR vaccine. Individuals, who are close contacts of a suspected or confirmed case of measles or mumps and have no documented doses of MMR vaccine, may receive at least one dose of MMR vaccine. Health Care Workers should have presumptive evidence of immunity to measles, mumps, and rubella which includes any of the following: Written documentation of vaccination with: 2 of MMR vaccine administered at least 28 days apart OR 2 of live measles vaccine administered at least 28 days apart AND 2 doses of live mumps vaccine administered at least 28 days apart AND 1 dose of live rubella vaccine Laboratory evidence of immunity Laboratory confirmation of disease (measles and or infection or disease (rubella) Revaccination with MMR vaccine is recommended for certain persons who should be considered unvaccinated and need to receive at least one dose of a measles-containing vaccine. (See the Pink Book, 13th edition, for information.)
Measles, Mumps, and Rubella (MMR) Vaccine For Adults, 19 Years of Age and Older Precautions and Contraindications Screen all patients for precautions and contraindications to immunization. Recommended Schedule: All adults born in 1957 or after who do not have a medical contraindication should receive at least one dose of MMR vaccine unless they have documentation of at least one dose of measles, mumps-, and rubella-containing vaccine or evidence of immunity to measles, mumps, and rubella. Evidence of immunity would be documentation of physician diagnosed measles, documentation of physician diagnosed mumps, or laboratory evidence of immunity to measles, mumps, and / or rubella. A second dose of MMR is recommended for some adults born in 1957 or after who: Are students attending colleges and other post-high school educational institutions Plan to travel internationally Are close contacts of a suspected or confirmed case of measles or mumps and who have documentation of only one dose of MMR vaccine All adults born before 1957 are generally considered immune to measles, mumps, and rubella. Adequate vaccination of persons who travel outside the United States would be two doses of MMR vaccine. Individuals, who are close contacts of a suspected or confirmed case of measles or mumps and have no documented doses of MMR vaccine, may receive at least one dose of MMR vaccine. Health Care Workers should have presumptive evidence of immunity to measles, mumps, and rubella which includes any of the following: Written documentation of vaccination with: 2 of MMR vaccine administered at least 28 days apart OR 2 of live measles vaccine administered at least 28 days apart AND 2 doses of live mumps vaccine administered at least 28 days apart AND 1 dose of live rubella vaccine Laboratory evidence of immunity Laboratory confirmation of disease (measles and or infection or disease (rubella) Revaccination with MMR vaccine is recommended for certain persons who should be considered unvaccinated and need to receive at least one dose of a measles-containing vaccine. (See the Pink Book, 13th edition, for information.)
Immunizations.docx