1. The second MMR may be given at either ages 4-6 or 11-12 years.
2. Those who have not been vaccinated, have not had chickenpox, or for whom a blood test indicates they are not immune should be vaccinated at this age.
3. HBV vaccination at these ages is recommended if it was not given earlier.
4. Reimmunize if born after 1956. Women trying to get pregnant should have a blood test to check for rubella immunity.
5. People younger than 65 who have chronic diseases, especially respiratory illnesses, such as asthma, should also consider receiving the pneumococcal vaccine and annual flu shots and may require more than one pneumococcal vaccine.
Adapted from The Advisory Committee on Immunization Practices, American Academy of Pediatrics, 1997.
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