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 Military Vaccine Agency - Vaccine Healthcare Centers Network
are available for consultation regarding exemption recommendations. Both healthcare professionals and service members are encouraged to contact the
MILVAX-VHCN 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
MILVAX-VHCN 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