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
*AFI 48–110_IP
*CG COMDTINST M6230.
4G
Effective 7 November 2013
H i s t o r y . T h i s p u b l i c a t i o n i s a m a j o r
revision.
Summary. This regulation for immuni-
z a t i o n a n d c h e m o p r o p h y l a x i s u p d a t e s
quality standards for immunization deliv-
e r y ; e s t a b l i s h e s e l e c t r o n i c i m m u n i z a t i o n
tracking systems as the preferred immuni-
zation record; provides guidance for lost
i m m u n i z a t i o n r e c o r d s , i m m u n i z a t i o n
c r e d i t f o r p r e - e x i s t i n g i m m u n i t y , a n d
complying with regulations for vaccines
and other products administered in inves-
tigational, new drug status or in accord-
a n c e w i t h e m e r g e n c y u s e a u t h o r i z a t i o n ;
describes dividing initial entry immuniza-
tion into two clusters; and describes the
role of the Military Vaccine Office.
Applicability. This regulation applies to
t h e A c t i v e A r m y , t h e A r m y N a t i o n a l
Guard/Army National Guard of the United
States, and the U.S. Army Reserve, unless
otherwise stated. It also applies to the fol-
l o w i n g : u n i f o r m e d D e p a r t m e n t s o f t h e
Navy, Air Force, and Coast Guard (in-
cluding the active and reserve components
o f e a c h S e r v i c e ) ; n o n m i l i t a r y p e r s o n s
under military jurisdiction; selected Fed-
e r a l e m p l o y e e s ; s e l e c t e d e m p l o y e e s o f
Department of Defense contractors; and
F a m i l y m e m b e r s a n d o t h e r h e a l t h c a r e
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 s t i n g a c t i v i t y a n d f o r w a r d e d t h r o u g h
t h e i r h i g h e r h e a d q u a r t e r s t o t h e p o l i c y
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).
S u p p l e m e n t a t i o n . S u p p l e m e n t a t i o n o f
this regulation and establishment of com-
mand and local forms are prohibited with-
o u t p r i o r a p p r o v a l f r o m T h e S u r g e o n
G e n e r a l ( D A S G – Z A ) , 7 7 0 0 A r l i n g t o n
Blvd., Falls Church, VA 22041–5143.
Suggested improvements. Users are
invited to send comments and suggested
improvements on DA Form 2028 (Recom-
m e n d e d C h a n g e s t o P u b l i c a t i o n s a n d
B l a n k F o r m s ) d i r e c t l y t o T h e S u r g e o n
G e n e r a l ( D A S G – Z A ) , 7 7 0 0 A r l i n g t o n
Blvd., Falls Church, VA 22041–5143. Air
Force users are invited to send comments
and suggested improvements on AF Form
8 4 7 ( R e c o m m e n d a t i o n s f o r C h a n g e o f
P u b l i c a t i o n ) t h r o u g h c h a n n e l s t o H e a d -
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,
a n d s t a t i o n s h a v i n g m e d i c a l d e p a r t m e n t
personnel. Air Force: Active Air Force,
the Air National Guard, and Air Force
R e s e r v e . C o a s t G u a r d : A c t i v e C o a s t
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/AFI 48–110_IP/CG COMDTINST M6230.4G • 7 October 2013 i
UNCLASSIFIED