NIP: Adult Immunization Quiz

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What Vaccines Do YOU Need?
	Vaccines are recommended for children, but adolescents* and adults can benefit from vaccines, too. Answer the questions in this quiz to find out what vaccines YOU may need. * This quiz provides information for people age 11 years and older.
	1. Complete the quiz. 2. Get a list of vaccines you may need. 3. Discuss the vaccines with your doctor or healthcare professional.
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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.
3. What year were you born? (Some vaccines are age-related.)

Part Two, Your Lifestyle and Your Work
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 internationally in the near future?
	Yes	No
2. Are you a college freshman who lives in a dormitory at college?
	Yes	No
3. Are you a resident in a nursing home?
	Yes	No
4. Do you work with patients in a nursing home, doctor’s office, hospital, or other healthcare setting?
	Yes	No

Part Three, Your Health Status
Your health and medical history can affect the vaccines you need.

1. Are you at risk for hepatitis A? (Check hepatitis A risk factors.)
	Yes	No
2. Are you at risk for hepatitis B? (Check hepatitis B risk factors.)
	Yes	No
3. Have you had chickenpox?
	Yes	No	Not Sure
4. Do you have asthma?
	Yes	No
5. Do you have any of these diseases or medical conditions? Blood disorder (like anemia, leukemia, or sickle cell anemia) Cancer or cancer treatments Diabetes (also called sugar diabetes) Heart or lung disease Liver or kidney disease Weakened immune system (HIV/AIDS, cancer treatments)
	Yes	No
6. Has your spleen been damaged or removed? (Find out about your spleen.)
	Yes	No
That's it! Just click "My Results" to find out which vaccines can help you.

This page last modified on September 10, 2004

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