NCIRD: Adolescent and Adult Vaccine Quiz

NCIRD: Adolescent and Adult Vaccine Quiz

Adolescent and Adult Vaccine Quiz

Did you know that certain vaccines are recommended for adults and adolescents?* Take this quick quiz to find out which vaccines YOU may need.

* This quiz provides information for people age 11 years and older.

Instructions:

1. Answer the questions below.
2. Get a list of vaccines you may need based on your answers (this list may include vaccines you have already had).
3. Discuss the vaccines on the list with your doctor or healthcare professional.

Part One, About You

1. Are you
    Female    Male
2. For women only (Some vaccines can affect pregnancy.)
    I could become pregnant   I am pregnant now   I am not planning to become pregnant   I could not become pregnant
3. What year were you born? (Some vaccines are age-related)
                          19001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003           

Part Two, About Your Life
You may need certain vaccines because of where you live, the kind of work you do, or other lifestyle factors.

1. Will you be traveling outside the U.S. in the near future?
    Yes   No
2. Do you have a weakened immune system due to illness, medications or
   HIV with CD4 count less than 200?
    Yes   No
3. Are you a first-year college student who lives in a dormitory at college or a new military recruit?
    Yes   No
4. Are you a resident in a nursing home or chronic-care facility?
    Yes   No
5. Do you work with patients in a nursing home, doctor’s office, hospital, or other healthcare setting?
    Yes   No
Some of the conditions and behaviors listed below can put you at higher risk of certain infections.
6. Do you have any of these diseases or medical conditions? Check all that apply to you.
    Heart disease
    Diabetes type 1 or 2 (also called sugar diabetes)
    Chronic lung disease
    Kidney failure, end-stage renal disease, or on dialysis
    Chronic liver disease
    Spleen has been damaged or removed
    Cancer or cancer treatments
    HIV with CD4 count greater than or equal to 200
    Has had a bone marrow transplant
7. Review the behaviors listed below and check those that apply to you:
    Man who has sex with men
    Alcoholism
    Smoke cigarettes
    Other behaviors that can increase your risk for hepatitis A or B (for example: use of illicit drugs, more than one sexual partner in the past 6 months, concern about having a sexually transmitted disease)
8. Have you had chickenpox disease in the past or have you been vaccinated against chickenpox?
    Yes   No    Not Sure

That's it! Just click "My Results" to find out which vaccines you may need.

Disclaimer

Related Pages

• Adults Need Vaccines Too
• Adult Immunization Schedule
• Current Childhood and Adolescent Immunization Schedule
• For Parents: Vaccines for Your Children
• Adolescent and Adult Vaccine Quiz web buttons