HeadquartersDepartments of the Army,the Navy,the Air Force,and the Coast GuardWashington, DC29 September 2006
Immunizations and Chemoprophylaxis*Army Regulation 40–562*BUMEDINST 6230.15A*AFJI 48–110*CG COMDTINST M6230.4F
Effective 29 October 2006
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 rrevision.
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 squality standards for immunization deliv-er y; e s tablishes electron ic imm uniz ati on
tracking systems as the preferred immuni-zation record; provides guidance for losti 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 nc r e d i t f o r p r e – e s i s t i n g i m m u n i t y , a n dcomplying with regulations for vaccinesand other products administered in inves-tigation new drug status or in accordancew 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 ; d e -scribes dividing initial entry immunizationinto 2 clusters; and describes the role of the Military Vaccine Office.
This regulation applies tot 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 lGuard/Army National Guard of the UnitedStates, and the U.S. Army Reserve unlessotherwise stated. It also applies to the fol-l o win g : U ni f o r m ed D e p a rtm e n t s o f t h e
Navy, Air Force, and Coast Guard (in-cluding the active and reserve componentso 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 sunder 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 DO D c ontr actor s; a n d f a m i l y me m b e rs
and other health care beneficiaries eligiblefor care within the military health caresystem. This regulation is applicable dur-ing mobilization.
Proponent and exception authority.
The proponent of this regulation is TheSurgeon General. The proponent has theauthority to approve exceptions or waiversto this regulation that are consistent withcontrolling law and regulations. The pro-ponent may delegate this approval author-ity, in writing, to a division chief withinthe proponent agency or its direct report-ing unit or field operating agency, in thegrade of colonel or the civilian equivalent.Activities may request a waiver to thisregulation by providing justification thatincludes a full analysis of the expectedbenefits and must include formal reviewby the activity’s senior legal officer. Allwaiver requests will be endorsed by thecommander 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 ht h e i r h i g her h e a d q u a rt e rs t o t he po licy
proponent. Refer to AR 25–30 for specificguidance.
Army management control process.
This regulation contains management con-trol provisions and identifies key manage-ment controls that must be evaluated.
Supp lem e ntatio n.
S uppleme nt ati on of
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 H Q D A , T h eS u r g e o n G e n e r a l , A T T N : D A S G – Z A ,Skyline Place Building 6, Falls Church,VA 22041–3258.
Users areinvited to send comments and suggestedimprovements 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 dBlank Forms) directly to HQDA, The Sur-geon General (DASG–ZA), Skyline PlaceB u i l d i n g 6 , F a l l s C h u r c h , V A22041–3258. Air Force users are invitedto send comments and suggested improve-ments on AF Form 847 (Recommenda-tions for Change of Publication) throughchannels to Headquarters, AFMSA/SGOP,1 1 0 L u k e A v e n u e , S u i t e 4 0 0 , B o l l i n gAFB, Washington, DC 20332–7050.
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 ArmyNational Guard/Army National Guard of the Uni t e d S t a t es , a n d t h e U .S . A rm y
: Ships and stations having medicaldepartment personnel.
*This regulation supersedes AR 40–562/BUMEDINST 6230.15/AFJI 48–110/CG COMDTINST M6230.4E, dated 1 November 1995.
AR 40–562/BUMEDINST 6230.15A/AFJI 48–110/CG COMDTINST M6230.4F • 29 September 2006i