AFI48-110 — Immunizations And Chemoprophylaxis For The Prevention Of Infectious Diseases

AFI48-110 governs the Military Vaccination Program, including immunization standards, requirements, exemptions, records, and chemoprophylaxis.

Search AFI48-110

  • Publication number: AFI48-110
  • Title: IMMUNIZATIONS AND CHEMOPROPHYLAXIS FOR THE PREVENTION OF INFECTIOUS DISEASES
  • Date: 2023-05-20

View AFI48-110 on armypubs.army.mil


AFI48-110 addresses personnel subject to immunization, specific vaccine requirements, biological warfare defense, and investigational or emergency-use products. It requires screening for contraindications, completion of immunization series, and documentation of immunizations and exemptions.

Topics covered

  • Military vaccination program
  • Immunization standards
  • Chemoprophylaxis
  • Immunization exemptions
  • Vaccine records
  • Biological warfare defense
  • Investigational new drug products
  • Emergency use authorization products

Questions and answers

What policy does AFI48-110 use for military immunizations?

The Military Service policy concerning immunizations follows the recommendations of the CDC and the Advisory Committee on Immunization Practices (ACIP) and the prescribing information on the manufacturer’s package inserts, unless there is a military-relevant reason to do otherwise. (paragraph 2–1)

Can a vaccine or drug licensed by the FDA be used under AFI48-110?

Any vaccine or drug licensed by the U.S. Food and Drug Administration (FDA) or the U.S. Department of Health and Human Services (DHHS) may be used, as well as vaccines or drugs compliant with applicable DOD investigational new drug (IND) or emergency use authorization (EUA) processes. (paragraph 2–1)

Can an interrupted immunization series be restarted?

Restarting an immunization series or adding extra doses is not necessary when an initial series of a vaccine or toxoid is interrupted; instead, give delayed doses as soon as feasible. (paragraph 2–1)

What happens to a vaccine dose given too early?

Doses in an initial series administered 5 or more days earlier than the minimum interval should not be counted as valid doses. (paragraph 2–1)

What screening is required before administering a vaccine?

Screen all potential vaccines for contraindications, precautions, or warnings per the prescribing information on the manufacturer’s package insert. (paragraph 2–1)

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