What Is Part 5 of Form I-693 (Vaccination Record)?
Quick Answer
Part 5 of Form I-693 documents the applicant's vaccination history and any vaccines administered during the immigration medical examination. The civil surgeon reviews vaccination records, determines which required vaccines have been received, administers missing vaccines or orders titer testing, and documents all findings in this section.
What Vaccines Are Documented in Part 5?
Part 5 covers all vaccines required by USCIS for immigration purposes. These include vaccines for influenza, tetanus/diphtheria/pertussis (Tdap), measles/mumps/rubella (MMR), varicella, pneumococcal disease, hepatitis A, hepatitis B, meningococcal disease, polio, and COVID-19, among others. The specific vaccines required depend on the applicant's age and the current USCIS vaccination schedule, which is based on the CDC's Advisory Committee on Immunization Practices (ACIP) recommendations.
What Vaccination Records Are Accepted?
The civil surgeon accepts official vaccination records such as immunization cards, medical records from a physician or clinic, school immunization records, and official records from foreign health authorities. Records must show the vaccine name, date administered, and the administering provider. Unofficial records or self-reported vaccination history without documentation are generally not accepted. Bring all available vaccination records to your appointment.
What Happens When Records Are Missing?
If you cannot provide documentation for a required vaccine, the civil surgeon has two options: administer the vaccine during the appointment, or order titer testing to check for immunity. Titer testing (serologic testing for antibodies) can demonstrate immunity even without vaccination records. If titers show adequate immunity, the vaccine is not required. If titers are negative or equivocal, the vaccine must be administered. Some vaccines cannot be verified by titers and must be administered if records are unavailable.
Titer Testing Documentation
When titer testing is used to document immunity, the civil surgeon records the titer test results in Part 5 alongside the relevant vaccine. The results must meet the minimum protective antibody levels specified in the USCIS technical instructions. Titer testing adds time and cost to the process, so bringing complete vaccination records to your appointment is strongly recommended. Our office can advise you on which titers are acceptable for each vaccine.
Vaccines Administered During the Appointment
If you are missing required vaccines, our office can administer most of them during your appointment. Vaccines administered on-site are documented in Part 5 with the vaccine name, lot number, date, and site of administration. Some vaccines require multiple doses given weeks apart — in these cases, the civil surgeon will document the doses received and note that additional doses are required. USCIS may accept the form with a documented schedule for remaining doses.
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