The Adult Vaccine Quiz

Questions:

1. Are you
   Male Female
 I could become pregnant  I am pregnant now  I am not planning to become pregnant  I could not become pregnant
2. What year were you born? (some vaccines are age-related) 1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999
3. Will you be traveling outside the U.S. in the near future?
   Yes No
4. Do you have a weakened immune system due to illness or medications?
   Yes No
5. Are you HIV positive? Yes
    HIV infection with a CD4 count of less than 200  HIV infection with CD4 count of 200 or higher
   No
6. Are you a first-year college student who lives in a dormitory at college or a new military recruit?
   Yes No
7. Are you a resident in a nursing home or chronic-care facility?
   Yes No
8. 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.
9. 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 (including hepatitis C virus infection, cirrhosis, fatty liver disease, alcoholic liver disease, autoimmune hepatitis, and high blood liver test results)  Spleen has been damaged or removed  Cancer or cancer treatments  Bone marrow transplant
10. Review the items listed below and check those that apply to you:
     Man who has sex with men  Alcoholism  Smoke cigarettes  Other factors that can increase your risk for hepatitis A or B (for example: use illicit drugs, have more than one sexual partner in the past 6 months, concern about having a sexually transmitted disease)
11. 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.