Headquarters
Departments of the Army,
the Navy,
the Air Force,
and the Coast Guard
Washington, DC
7 October 2013
Medical Services
Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases
Army Regulation 40–562
BUMEDINST 6230.15B
AFIAFIAir Force instruction 48–110_IP
CG COMDTINST M6230.
4G
Effective 7 November 2013
History. This publication is a major
revision.
Summary. This regulation for immuni-
z at ion and chemoprophylaxis updates
quality standards for immunization deliv-
ery; establishes electronic immunization
tracking systems as the preferred immuni-
zation record; provides guidance for lost
immunization records, immunization
credit for p re - existing immunity, and
complying with regulations for vaccines
and other products administered in inves-
tig at iona l, new drug status or in accord-
an ce with emergency use authorization;
describes dividing initial entry immuniza-
tion into two clusters; and describes the
role of the Military Vaccine Office.
Applicability. This regulation applies to
the Active Army, the Army National
Guard/Army National Guard of the United
States, and the U.S. Army Reserve, unless
otherwise stated. It also applies to the fol-
lowing: uniformed Departments of the
Navy, Air Force, and Coast Guard (in-
cluding the active and reserve components
ofeach Service ) ; nonmilitary persons
under military jurisdiction; selected Fed-
era l employees; selected employees of
Department of Defense contractors; and
Family members and other healthcare
beneficiaries eligible for care within the
military health care system. This regula-
tion is applicable during mobilization.
Proponent and exception authority.
The proponent of this regulation is The
Surgeon General. The proponent has the
authority to approve exceptions or waivers
to this regulation that are consistent with
controlling law and regulations. The pro-
ponent may delegate this approval author-
ity, in writing, to a division chief within
the proponent agency or its direct report-
ing unit or field operating agency, in the
grade of colonel or the civilian equivalent.
Activities may request a waiver to this
regulation by providing justification that
includes a full analysis of the expected
benefits and must include formal review
by the activity’s senior legal officer. All
waiver requests will be endorsed by the
commander or senior leader of the requ-
e sting activity and forwarded through
their higher headquarters to the policy
proponent. Refer to AR 25–30 for specific
guidance.
Army internal control process. This
regulation contains internal control provi-
sions and identifies key internal controls
that must be evaluated (see appendix E).
Supplementation. Supplementation of
this regulation and establishment of com-
mand and local forms are prohibited with-
out prior approval from The Surgeon
General ( DASG – Z A ) ,7700Arlington
Blvd., Falls Church, VA 22041–5143.
Suggested improvements. Users are
invited to send comments and suggested
improvements on DA FormDA FormDepartment of the Army form 2028 (Recom-
mended Changesto Publications and
Blank Forms ) directlyto The Surgeon
General ( DASG – Z A ) ,7700Arlington
Blvd., Falls Church, VA 22041–5143. Air
Force users are invited to send comments
and suggested improvements on AF Form
847 ( Recommendations for Changeof
Publication ) through channels to Head -
quarters, AFMSA/SGOP, 7700 Arlington
Blvd., Falls Church, VA 22041–5143.
Distribution. This publication is availa-
ble in electronic media only and is in-
tended for command levels A, B, C, D,
and E for the Active Army, the Army
National Guard/Army National Guard of
the United States, and the U.S. Army Re-
serve. Navy/Marine Corps: Ships, units,
and stations having medical department
personnel. Air Force: Active Air Force,
the Air National Guard, and Air Force
Reserve. Coast Guard: Active Coast
Guard and Coast Reserves.
*This regulation supercedes AR 40–562/BUMEDINST 6230.15A/AFJI 48–110/CG COMDTINST M6230.4F, dated 29 September 2006.
AR 40–562/BUMEDINST 6230.15B/AFIAFIAir Force instruction 48–110_IP/CG COMDTINST M6230.4G • 7 October 2013
i
UNCLASSIFIED

Personnel (Also see appendix D for a chart on the required immunizations for military personnel.)

This appendix gives details about medical and administrative exemption codes, as well as information on duration.