Report of Medical Examination and
Vaccination Record
The Centers for Disease
Control and Prevention (CDC) have informed U.S. Citizenship and Immigration
Services that the availability of the seasonal influenza (flu) vaccine
varies both geographically and temporally. Please see CDC's message at
http://www.cdc.gov/ncidod/dq/update-civil-flu-vaccine.htm.
The seasonal flu vaccine is one of the vaccines required for applicants for
adjustment of status, 6 months through 18 years of age, and individuals ages
50 years or older. The receipt of the required vaccines is recorded on Form
I-693, Report of Medical Examination and Vaccination Record (10/14/2009
edition date).
Based on CDC's information, Form I-693 may be
accepted without the seasonal flu vaccine if the following conditions are
met:
• The civil surgeon (or for refugees only, the health department) does not
have the seasonal flu vaccine available; AND
• If Form I-693 is completed
by a civil surgeon, the civil surgeon either has referred the applicant to
the health department to obtain the seasonal flu vaccine, or has contacted
the health department for the availability of the seasonal flu vaccine, but
the health department does not have the seasonal flu vaccine available; AND
• The civil surgeon (or for
refugees only, the health department) notates on the form, in the row for
the seasonal flu vaccine of the vaccination chart, the following:
"vaccine unavailable at health department"
If the civil surgeon notates "vaccine unavailable at health department,"
USCIS will grant a blanket waiver for the seasonal flu vaccine. Note that
the form has to be properly annotated as shown above for the waiver to be
granted or the form may be returned.
This notice is effective immediately and extends through March 31, 2010.
Until further notice is given by CDC, the H1N1 influenza vaccine is not part
of the vaccination requirements for purposes of Form I-693.
