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Expanded Immunization Program
New and expanded Ontario Immunization Program.

Immunization Schedule for Adults

Recommended Adult Immunizations

*New* One lifetime dose of tetanus, diphtheria and acellular pertussis (Tdap) is recommended for adults 19-64 years of age who have not previously received a dose of acellular pertussis vaccine during adolescence. This lifetime dose is free and will replace one of the Td booster doses given every 10 years.  

VACCINE WHO SCHEDULE/
DOSE
REMINDERS
Tetanus, Diphtheria (Td) or Tetanus, Diphtheria and Pertussis (whooping cough) (Tdap) All adults Td every 10 years
  • A deep or dirty wound may require a Td booster shot given at a shorter interval.
  • Recommended that 1 dose of Tdap be given in adulthood
Influenza
(flu shot)
All adults One dose every year Flu strains change yearly so annual flu
vaccinations are recommended
Pneumococcal Polysaccharide
  • All individuals > 65 years of age
  • All residents of nursing homes, homes for the aged and chronic care facilities or wards
  • Individuals with certain medical conditions
One dose Revaccination is indicated under certain circumstances, speak to your health care provider
Measles, Mumps, Rubella (MMR) All adults born in 1970 or later without evidence of immunity (blood titres) or adults not immunized in childhood Two doses
(at least 4–8 weeks apart)
  • MMR should not be given during pregnancy.
  • Talk to your health care provider if you plan on becoming pregnant
Varicella (chickenpox) Individuals who have never had chickenpox disease Two doses
(at least 4–8 weeks apart)
  • Varicella is a live vaccine and should not be given during pregnancy.
  • Talk to your health care provider if you plan on becoming pregnant
  • Vaccine is free for specific high-risk adults
Herpes Zoster
(shingles)
Individuals > 60 years of age. One dose Recommended for prevention of herpes zoster and its complications in persons 60 years and older without contraindications

Travel vaccines: For specific travel information, visit the Public Health Agency of Canada website or go to your local travel clinic.

Many vaccines are recommended; however, some vaccines may be required for certain occupations, travel or educational institutions. Examples of these vaccines include:

  • Hepatitis A vaccine
  • Hepatitis B vaccine
  • Combined hepatitis A/B vaccine
  • Inactivated polio vaccine
  • Meningococcal vaccines
Immunize On Time. Report Every Time.

Revised: Tuesday December 06 2011

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