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Adult Immunization ScheduleVaccine | How often? | Disease Prevented | Who needs it? | Hepatitis (Hep B) | One series of three injections | Hepatitis B, a disease that causes chronic liver disease | Adults with high risk of exposure, such as health care providers and sanitation workers | Influenza | Every year | "Flu," which can be especially dangerous to the elderly and people with immune disorders | Adults over age 65; adults with chronic heart, lung or kidney disease; adults with diabetes or an immune disorder; nursing home residents; health care workers | Measles, mumps, rubella (MMR) | One time | Measles, a disease marked by red spots, fever and coughing Mumps, a disease that causes swelling of the salivary glands and may affect the ovaries or testes Rubella ("German measles") A form of measles that, if caught by a pregnant woman, can cause birth defects | Adults born after 1956 who are no known to be immune to all three diseases | Pneumococcal | At least once possibly more often | Pneumonia, an infection that caused inflammation of the lungs | Adults age 65 and older;adults with chronic illnesses such as asthma, COPD, coronary artery disease, or diabetes; adults with immune disorders | Tetanus, diptheria (Td) | Every 10 years | Tetanus("lockjaw") a disease that causesmuscles of the neck and jaw to spasm Diphtheria, an infection that causes fever, weakness and breathing difficulties | All adults | Travelers' diseases | As needed | Infections such as cholera, typhoid, yellow fever, polio and rabies | Adults traveling out of the country. Required immunizations will vary depending on the country you plan to visit. Talk with your healthcare provider and the embassy or consulate. |

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