![]() Command decisions may be made with medical, judge advocate and/or chaplain consultationĮlectronic and paper health records must annotate temporary and/or permanent medical exemptions.Īll exemptions, administrative or medical, must be documented in the immunization section and clinical notes of individual medical records.Granted according to Service-specific policies.The commander has not directed immunization because of overriding mission requirements.Service member is not assigned, deployed or scheduled to perform duties in an area where specific immunization is indicated.Planned separation or retirement within 180 days, provided the following conditions are met:.* Medical exemptions, either temporary or permanent, may be revoked based on changes in infection risk, immunization options, or other changes that impact risk-benefit decisions. There are many vaccine-preventable infections (e.g., influenza and many others) for which CDC ACIP has determined that history of prior infection or serologic testing cannot be used to define immunity vaccine exemptions are not appropriate in these cases. For example, a history of laboratory-confirmed measles or a blood test (serology) demonstrating measles antibodies is considered by CDC ACIP to meet the criteria for measles immunity exemption from measles vaccine may apply to patients meeting these criteria. Note: CDC ACIP defines which vaccine-preventable infections are applicable to this kind of vaccine exemption. "Medical, Immune" exemption may be based on evidence of existing immunity to a vaccine-preventable infection."Medical, Reactive" exemption may be based on previous severe reaction (e.g., anaphylaxis) after a specific vaccine.Contraindication to a specific vaccine, as defined by the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices (CDC ACIP) and/or a determination by a medical provider that vaccination will seriously endanger a patient's health. ![]() ![]()
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