When Vaccine Waivers Are Available

USCIS requires that all age-appropriate vaccines on the CDC's recommended immunization schedule be documented on Form I-693. However, waivers are available in two circumstances: medical contraindications and religious or moral objections.

A medical contraindication waiver is available when a vaccine is medically contraindicated for the applicant — for example, due to a severe allergy to a vaccine component or a medical condition that makes vaccination unsafe.

A religious or moral objection waiver is available when the applicant objects to all vaccinations based on sincere religious beliefs or moral convictions.

Medical Contraindication Waivers

For a medical contraindication waiver, the civil surgeon must document the specific medical reason why the vaccine cannot be administered. This typically requires a physician's letter or medical records supporting the contraindication.

Common medical contraindications include severe allergic reactions to vaccine components, certain immunodeficiency conditions, and pregnancy (for live vaccines). The civil surgeon will evaluate the contraindication and document it on Form I-693.

Religious or Moral Objection Waivers

For a religious or moral objection waiver, the applicant must object to all vaccinations — not just specific vaccines. The objection must be based on sincere religious beliefs or moral convictions, not personal preference or fear of side effects.

The civil surgeon documents the objection on Form I-693. USCIS reviews the waiver as part of the adjudication process. Applicants who receive a religious or moral objection waiver may be required to sign a statement acknowledging the waiver.

Documentation Required

To support a vaccine waiver, attorneys should ensure the following documentation is in order:

• For medical contraindications: physician's letter documenting the specific contraindication, relevant medical records, and the civil surgeon's documentation on Form I-693
• For religious or moral objections: the applicant's signed statement of objection and the civil surgeon's documentation on Form I-693
• For both types: clear notation on Form I-693 of the specific vaccine(s) waived and the basis for the waiver

USCIS Review of Vaccine Waivers

USCIS reviews vaccine waivers as part of the I-485 adjudication. Waivers that are properly documented by the civil surgeon are generally accepted without further inquiry. Vague or unsupported waivers frequently draw RFEs. Attorneys should verify that the civil surgeon has documented the waiver clearly and completely before submission.