I-693 Vaccination List: Old vs. New Requirements

I-693 Vaccination List: Old vs. New Requirements

The required vaccinations listed on the I-693 form for U.S. immigration purposes have evolved over time. Below is a comparison of the key differences between the older vaccination requirements and the most current list as of July 2025.

Overview of Key Vaccines

Disease/Vaccine Old Requirement (pre-2020/2022) New Requirement (post-2024/2025)
Polio Required Required, new formulations/polio changes as of May 2024
Measles, Mumps, Rubella Required if born after 1956 Required if born after 1956
Tetanus/Diphtheria/Pertussis Required Required
Hepatitis B Required for children and young adults Still required (up to age 59)
Hepatitis A Not required before Aug 1, 2008 Required for 12 months–18 years
Influenza Only if during flu season, for select ages Required seasonally, for all ≥6 months of age during flu season
Varicella Required Required
Haemophilus influenzae type b (Hib) Not required pre-Aug 2008 Required for children
Meningococcal Not required pre-Aug 2008 Required for 11–18 years age group
Pneumococcal Required for children Still required for children 2–59 months
Rotavirus Not required pre-Aug 2008 Now required in infancy
COVID-19 Required from Oct 2021 to Jan 2025 No longer required as of Mar 2025
Human Papillomavirus (HPV) Required for females 2008–2009 only Not required after Dec 2009
Zoster (Shingles) Required for 60+ only Aug 2008–Dec 2009 Not required after Dec 2009

Major Recent Changes

  • COVID-19 Vaccine: Was required for all applicants starting October 2021, expanded to children as young as 6 months. As of January 20, 2025, the COVID-19 vaccine is no longer required for immigration cases, and all related RFEs or denials based on this are removed.
  • Polio Vaccine: The polio vaccination requirement has new CDC instructions as of May 1, 2024, but remains mandatory for relevant age groups.
  • HPV and Zoster: Both were temporarily required (HPV for young women, Zoster for older adults) but have not been on the official list for over a decade.
  • Rotavirus, Hepatitis A, Meningococcal: These vaccines were added after August 1, 2008, and continue to be enforced for appropriate younger age groups.

Age-Specific Requirements

Children (≤10 years):

  • Additional requirements such as Hib, Rotavirus, and Pneumococcal.

Adolescents (11–17 years):

  • Must have Hepatitis A, Meningococcal, plus standard series.

Adults (18–64 years):

  • Standard vaccines (MMR, Polio, Tdap, Varicella, Influenza).

Elderly (≥65 years):

  • MMR not required if born before 1957; Pneumonia emphasized.

Guidance for Applicants

Only age-appropriate vaccinations are required for each applicant, not the full list. If proof of previous age-appropriate vaccinations is available, additional shots may not be needed. Civil surgeons record all vaccines on the I-693 based on these evolving requirements.

Summary:

The main differences between the old and new I-693 vaccination requirements are the addition and removal of specific vaccines over time (notably COVID-19, HPV, Rotavirus), more age-tailored guidelines, and periodic updates from the CDC and USCIS. Always confirm age-specific and current year specifics prior to your exam.

NOTE: Always refer to the USCIS website for accurate information. This page is intended for understanding.

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How to multiple 1crore rupees with 7% interest in a safe reinvestment strategies?

Here's how you can approach this: 

1. Reinvest the Interest Earned If your savings account offers 7% annual interest, you can reinvest the interest earned back into the same account or another high-interest account. This creates a compounding effect, where your interest earns additional interest over time. For example: If you deposit ₹1 crore and earn ₹7 lakhs in interest annually, reinvesting the ₹7 lakhs will increase your principal to ₹1.07 crore. In the next year, your interest will be calculated on ₹1.07 crore, resulting in ₹7.49 lakhs in interest, and so on. This compounding strategy is safe and effective for growing your wealth over time. 
 
2. Diversify Across Multiple High-Interest Accounts Some banks offer tiered interest rates based on account balances. For example, there a Banks in India offers 7% interest for balances between ₹5 lakhs and ₹1 crore. To maximize returns: Split your funds across multiple accounts in different banks offering similar rates. This ensures you stay within the high-interest balance range and reduces risk by diversifying across institutions. 

3. Explore Fixed Deposits with Higher Rates While savings accounts offering 7% interest are rare, some banks or financial institutions may offer fixed deposits (FDs) with even higher rates (e.g., 7.5%-8%) for specific tenures . You can: Use the interest earned from your savings account to open FDs. This locks in a higher rate for a fixed period, providing predictable returns. 

4. Ladder Your Investments To maintain liquidity while earning higher returns, consider a laddering strategy: Divide your funds into multiple fixed deposits or savings accounts with staggered maturity dates. This ensures you have access to funds periodically while still earning competitive interest rates. 

5. Monitor and Adjust for Better Rates Interest rates can fluctuate based on market conditions. Regularly monitor banks offering competitive rates (e.g., DBS Bank, which offers up to 7% interest) and shift your funds if better opportunities arise. Be cautious of any fees or penalties for transferring funds. 

6. Consider Low-Risk Alternatives If you're open to alternatives beyond savings accounts, explore low-risk investment options like: Government bonds or Treasury bills: These are safe and may offer returns comparable to or slightly higher than 7%. Debt mutual funds: These funds invest in fixed-income securities and can provide stable returns with low risk. 

Key Takeaway To multiply your interest safely: Reinvest your earnings to benefit from compounding. Diversify across multiple high-interest accounts. Explore fixed deposits or low-risk alternatives for higher returns. Regularly monitor rates and adjust your strategy. By following these steps, you can maximize your returns while keeping your investments safe.