title: “Vaccine Checklist for Immigration Medical Exam” area: “Health” legacy_source: “legacy_import/operations/Vaccine Checklist for Immigration Medical Exam.md” imported_at: “2026-09-25T02:15:53.396Z” verification_status: “indexed”
title: “Vaccine Checklist for Immigration Medical Exam” description: “Comprehensive vaccination requirements and checklist for immigration medical examination” tags: [zjk, immigration, vaccines, medical-exam, i485, consular-processing] published: true date: 2025-09-28 last_updated: 2025-09-28 exam_type: “immigration_medical” timing: “future_i485_or_consular” priority: “medium”
Vaccine Checklist for Immigration Medical Exam
📋 Cover Letter
To: USCIS Civil Surgeon
From: Zaitullah Jan Khebarkhil
Date: [To be determined - when medical exam is scheduled]
Subject: Vaccination Records Review - Immigration Medical Examination
Dear Civil Surgeon,
I am writing to request a review of my vaccination records in preparation for my immigration medical examination. I am preparing for either Form I-485 (Adjustment of Status) or consular processing following the approval of my I-360 Special Immigrant Visa petition.
Case Information:
- Primary Application: I-589 Asylum Application (Receipt: MGL2522421624)
- Secondary Application: I-360 SIV Petition (filed September 14, 2025)
- A-Number: A244-153-0333 (I-589 system)
- Applicant: Zaitullah Jan Khebarkhil
- Date of Birth: January 1, 1997
- Age: 28 years old
I have compiled my vaccination history and am prepared to receive any missing immunizations as required for U.S. immigration. Please review the attached records and advise on any additional vaccinations needed.
Thank you for your assistance with my immigration medical examination.
Sincerely,
Zaitullah Jan Khebarkhil
📅 Medical Exam Timeline
| Phase | Timeline | Status |
|---|---|---|
| Current Phase | Asylum Interview (Oct 15, 2025) | Pending |
| I-360 Adjudication | Spring 2026 (projected) | Pending |
| Medical Exam | After I-360 approval | Future |
| I-485/Consular | 2026-2027 | Future |
💉 Required Vaccinations
Note: COVID-19 vaccination is no longer required for U.S. immigration as of January 22, 2025.
✅ Vaccination Requirements Checklist
| Vaccine | Required | Status | Notes |
|---|---|---|---|
| Mumps, Measles & Rubella (MMR) | ✅ Required | [ ] Complete | Must show documentation of two doses or laboratory evidence of immunity |
| Polio | ✅ Required | [ ] Complete | Series of doses as recommended for age |
| Tetanus & Diphtheria (Td or Tdap) | ✅ Required | [ ] Complete | A booster (Td or Tdap) within the last 10 years is required |
| Pertussis | ✅ Required | [ ] Complete | Included in the Tdap vaccine |
| Haemophilus influenzae type B (Hib) | ⚠️ Age-dependent | [ ] Complete | Required for applicants aged 5 and younger (ZJK is 28, may not be required) |
| Hepatitis B | ✅ Required | [ ] Complete | Full series required unless immune |
| Seasonal Influenza | ⚠️ Seasonal | [ ] Complete | Required if medical exam occurs during flu season (Oct 1 – Mar 31) |
| COVID-19 | ❌ Not Required | N/A | No longer required as of January 22, 2025 |
📋 Pre-Exam Preparation Checklist
Document Collection
- Current Vaccination Records - Gather all available vaccination documentation
- Medical History - Compile complete medical history
- Previous Medical Exams - Any previous immigration or general medical exams
- Prescription Medications - List of current medications
- Allergy Information - Document any known allergies
Vaccination Records to Locate
- Childhood Vaccinations - Records from Afghanistan (if available)
- U.S. Vaccinations - Any vaccinations received since 2021
- Military Service Vaccinations - Vaccinations received during service with U.S. forces
- Travel Vaccinations - Any vaccinations for travel or resettlement
Civil Surgeon Selection
- USCIS-Designated Civil Surgeon - Find approved civil surgeon in Indianapolis area
- Schedule Consultation - Initial consultation to review records
- Cost Estimate - Obtain cost estimate for exam and vaccinations
- Timeline Planning - Schedule exam for appropriate time in case progression
🏥 Civil Surgeon Information
Finding a Civil Surgeon
- USCIS Website: Use the civil surgeon locator tool
- Location: Indianapolis, IN area preferred
- Requirements: Must be USCIS-designated civil surgeon
- Services: Must provide Form I-693 (Report of Medical Examination and Vaccination Record)
What to Expect
- Initial Consultation - Review of vaccination records and medical history
- Missing Vaccinations - Administration of any required vaccinations
- Medical Examination - Complete physical examination
- Laboratory Tests - Required blood tests and screenings
- Form I-693 - Completion of official medical report
💰 Cost Considerations
Estimated Costs
- Medical Examination:
100-500 - Vaccinations:
50-200 per vaccine - Laboratory Tests:
100-300 - Form I-693: Included in exam fee
- Total Estimated Cost:
400-1,500
Cost-Saving Tips
- Insurance Coverage - Check if health insurance covers any vaccinations
- Public Health Clinics - Some vaccinations may be available at reduced cost
- Package Deals - Some civil surgeons offer package pricing
- Timing - Schedule during off-peak times if possible
📝 Action Items
Immediate Actions (Current)
- Locate Vaccination Records - Gather all available vaccination documentation
- Research Civil Surgeons - Find USCIS-designated civil surgeons in Indianapolis area
- Cost Planning - Budget for medical exam and vaccinations
Future Actions (After I-360 Approval)
- Schedule Consultation - Meet with civil surgeon to review records
- Complete Missing Vaccinations - Receive any required immunizations
- Schedule Medical Exam - Complete full immigration medical examination
- Obtain Form I-693 - Receive completed medical report for immigration filing
🚨 Important Notes
Timing Considerations
- Medical Exam Validity: Form I-693 is valid for 2 years from civil surgeon signature
- Filing Deadline: Must be submitted with I-485 or before consular interview
- Vaccination Timing: Some vaccinations require multiple doses over time
- Seasonal Vaccines: Influenza vaccine timing depends on exam date
Special Considerations for ZJK
- Age Factor: Some vaccines (like Hib) may not be required for 28-year-old
- Previous Vaccinations: May have received some vaccinations during military service
- Language Support: Ensure civil surgeon can communicate effectively
- Cultural Sensitivity: Afghan cultural considerations for medical examination
📞 Resources
USCIS Resources
- Civil Surgeon Locator: USCIS Civil Surgeon Locator
- Vaccination Requirements: USCIS Vaccination Requirements
- Form I-693: USCIS Form I-693
Local Resources
- Indianapolis Health Department: [Check local health department for vaccination clinics]
- Community Health Centers: [Local community health centers may offer reduced-cost vaccinations]
Document Prepared: September 28, 2025
Client: Zaitullah Jan Khebarkhil (ZJK)
Case: I-589 Asylum Application / I-360 SIV Petition
Next Milestone: Asylum Interview (October 15, 2025)
Future Milestone: Medical Exam (After I-360 approval)