Vaccination programs are an important part of military public health and deployment readiness. However, sometimes a particular
vaccination is not indicated for an individual to receive. There are 2 main types of exemptions from immunizations: medical and administrative.
A medical exemption is a function that can only be validated by a health care professional. An administrative exemption is a non-medical
function that is usually controlled by the individual's unit commander.
For exact guidance please see Army Regulation 40–562, BUMEDINST 6230.15B, AFI 48–110_IP, CG COMDTINST M6230.4G (page 6)
Healthcare professionals at the Immunization Healthcare Branch
are available for consultation regarding exemption recommendations. Both healthcare professionals and service members are encouraged to contact the
IHB Clinical Services for vaccine medical exemption guidance.
An underlying health condition
*Air Force, permanent medical exemptions require a medical evaluation board and/or flying waiver in accordance with AFI 48-123.
**Indefinite or permanent exemptions may be reversed if an alternate form of prophylaxis is available, if a medical condition or vaccination guideline changes,
or if a provider experienced in vaccine adverse-event management determines that the risk of acquiring the disease is greater than the risk of vaccine exposure.
Electronic and paper health records should annotate temporary and/or permanent medical exemptions.
Individuals who disagree with a provider's exemption recommendation may be referred for a second opinion to providers experienced in vaccine adverse-event management, such as the
IHB Clinical Services.
Beneficiaries not in the military should contact their local state health department for state laws.
Smallpox Exemption Codes
Army Regulation 40–562, BUMEDINST 6230.15B, AFI 48–110_IP, CG COMDTINST M6230.4G