Recommended Adult Immunization Schedule, United States, 2020*

Disclosures: To ensure the integrity of the ACIP, the U.S. Department of Health and Human Services has taken steps to ensure there is technical adherence to ethics statutes and regulations regarding financial conflicts of interest. Concerns regarding the potential for the appearance of a conflict are addressed or avoided altogether through preappointment and postappointment considerations. Individuals with particular vaccine-related interests will not be considered for appointment to the committee. Potential nominees are screened for conflicts of interest and, if any are found, are asked to divest or forgo certain vaccine-related activities. In addition, at the beginning of each ACIP meeting, each member is asked to declare his or her conflicts. Members with conflicts are not permitted to vote if the conflict involves the vaccine or biological being voted on. Details can be found at www.cdc.gov/vaccines/acip/committee/structure-role.html. Dr. Freedman and Dr. Kroger have nothing to disclose. Dr. Hunter reports travel expenses to ACIP meetings paid by the Centers for Disease Control and Prevention; grants from the Wisconsin Department of Health Services for speaking to clinicians in Milwaukee about adult vaccinations; and board membership in Immunize Milwaukee! (www.immunizationcoalitions.org/network-members/?coal=immunize-milwaukee_oid457), an ad hoc, nonincorporated, unfunded community coalition seeking to increase vaccination rates in metro Milwaukee. Dr. Ault reports travel expenses to the ACIP meetings paid by the Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists (ACOG). Dr. Ault is also on committees for ACOG and the National Cancer Institute and has travel expenses paid by those organizations. Dr. Ault was a member of a data safety and monitoring committee for an immunization trial and received consultant fees and travel expenses from ACI Clinical for this activity. Dr. Ault is also a volunteer medical advisor for “Families Fighting Flu” (www.familiesfightingflu.org) and receives no compensation from that nonprofit organization. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-0046.

Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Darren B. Taichman, MD, PhD, Executive Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Christina C. Wee, MD, MPH, Deputy Editor, reports employment with Beth Israel Deaconess Medical Center. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Yu-Xiao Yang, MD, MSCE, Deputy Editor, reports that he has no financial relationships or interest to disclose.

Corresponding Author: Mark Freedman, DVM, MPH, Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop H24-6, Atlanta, GA 30329-4027; e-mail, [email protected].

Current Author Addresses: Dr. Freedman: Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop H24-6, Atlanta, GA 30329-4027.

Dr. Hunter: City of Milwaukee Health Department, 1100 Delaplaine Court, Madison, WI 53715.

Dr. Kroger: Centers for Disease Control and Prevention, 1600 Clifton Road, MS H24-6, Atlanta, GA 30329.

Dr. Ault: University of Kansas Medical Center, Department of Obstetrics and Gynecology, 3901 Rainbow Boulevard, Mailstop 2028, Kansas City, KS 66160.

Author Contributions: Conception and design: M.S. Freedman.

Analysis and interpretation of the data: K. Ault, P.H. Hunter.

Drafting of the article: M.S. Freedman.

Critical revision for important intellectual content: K. Ault, P.H. Hunter, A. Kroger.

Final approval of the article: K. Ault, M.S. Freedman, P.H. Hunter, A. Kroger.

Administrative, technical, or logistic support: A. Kroger.

Collection and assembly of data: K. Ault, M.S. Freedman, A. Kroger.