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Section 1. Active and Passive Immunization
IMMUNIZATION IN SPECIAL CLINICAL CIRCUMSTANCES
Adolescent 1 and College Populations
Adolescents and young adults may not be protected against all vaccine-preventable diseases. This age group may include people who escaped natural infection and who (1) were not immunized with all recommended vaccines; (2) received appropriate vaccines but at too young an age (eg, measles vaccine before 12 months of age); (3) received incomplete immunization regimens (eg, only 1 or 2 doses of HBV vaccine); (4) failed to respond to vaccines administered at appropriate ages; or (5) have waned immunity despite appropriate immunization.
To ensure age-appropriate immunization, all children should have a routine appointment at 11 to 12 years of age for the following purposes: (1) to immunize people who previously have not received 2 doses of MMR vaccine; (2) to give varicella and/or hepatitis B vaccine and meningococcal conjugate vaccine as indicated; (3) to provide a dose of Tdap vaccine; and (4) to provide other immunizations and preventive services that are indicated. Additional vaccines that may be indicated at this preadolescent visit include influenza, pneumococcal, and hepatitis A vaccines. Specific indications for each of these vaccines are given in the respective disease-specific chapters in Section 3.
Appointments for needed doses of vaccines that are not administered during the aforementioned visit should be scheduled. During all subsequent adolescent visits, immunization status
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