Ages 40–64 Years: Immunizations

The following immunizations are recommended for women in this age group:


What and Why


Diphtheria and reduced tetanus toxoids and acellular pertussis vaccine booster (Tdap) or tetanus-diphtheria booster (Td)

A shot to immunize against the diseases tetanus, diphtheria, and pertussis

Substitute one-time dose of Tdap for TD booster shot that is given every 10 years

Herpes zoster vaccine

A shot to help prevent shingles, painful blisters caused by varicella

Once if aged 60 years and older and not previously immunized

Influenza vaccine

A shot to help prevent influenza (the flu)


Measles–mumps­–rubella vaccine

A shot to immunize against measles, mumps, and rubella

For those born in 1957 or later, if not previously immunized

Varicella vaccine

A series of two shots to help prevent chickenpox

One series if not previously immunized or never had chickenpox

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American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188
Mailing Address: PO Box 96920, Washington, DC 20024-9998