On Jan 22, 2025 , USCIS announced that USCIS will no longer require for adjustment of status Green card applicants to provide proof of COVID-19 vaccination . USCIS will not issue any Request for Evidence or Notice of Intent to Deny related to proving a COVID-19 vaccination.
This important change ends COVID-19 vaccination documentation from the requirements outlined in Form I-693, Report of Immigration Medical Examination and Vaccination Record.
On March 11, 2025, the Centers for Disease Control and Prevention (CDC) updated their Technical Instructions for Civil Surgeons to remove the COVID-19 vaccination from the list of required vaccinations for aliens seeking admission as immigrants. Therefore, documentation of having completed the COVID-19 vaccination is not required for any immigration medical examinations associated with adjustment applications pending on or after Jan. 20, 2025.
Until USCIS updates Form I-693, Report of Immigration Medical Examination and Vaccination Record, civil surgeons can either cross out the COVID-19 section or write “N/A,” and if the alien meets all the vaccination requirements, mark “Applicant completed vaccination requirements or may be eligible for blanket waivers as indicated above.”
Form I-693, Report of Immigration Medical Examination and Vaccination Record, is a key document in the adjustment of status process. It serves to demonstrate that an applicant is free from any health conditions that would make them inadmissible to the United States under public health grounds. The form, completed by a USCIS-authorized civil surgeon, includes a review of the applicant’s medical history, a physical examination, and documentation of required vaccinations.