EXEMPTION
FROM VACCINATION
Age: Some countries do not require an International Certificate of Vaccination
for infants under 6 months or 1 year of age. Check the individual country requirements for
age exemptions.
Medical grounds: If a physician thinks that a particular vaccination should not
be performed for medical reasons, the traveler should be given a signed, dated statement
of the reasons on the physician's letterhead stationery.
There are no other acceptable reasons for exemption from vaccination.
UNVACCINATED PERSONS
Travelers who do not have the required vaccinations upon entering a country may be
subject to vaccination, medical follow-up, and/or isolation. In a few countries,
unvaccinated travelers are denied entry.
TRAVEL ON MILITARY ORDERS
Since military requirements may exceed the requirements indicated in this booklet, any
person who plans to travel on military orders (civilians and military personnel) should
contact the nearest military medical facility to determine the requirements for the trip.
PERSONS AUTHORIZED TO VACCINATE AND TO VALIDATE THE
INTERNATIONAL CERTIFICATE OF VACCINATION
Yellow fever vaccinations must be given at official Yellow Fever Vaccination Centers as
designated by respective State health departments, and the certificate must be validated
by the center that administers the vaccine. Other vaccinations may be given under the
supervision of any licensed physician. Validation of the certificate can be obtained at
most city, county, and State health departments, or from vaccinating physicians who
possess a "Uniform Stamp." State health departments are responsible for
designating non-Federal Yellow Fever Vaccination Centers and issuing Uniform Stamps to be
used to validate the International Certificate of Vaccination. Information regarding the
location and hours of Yellow Fever Vaccination Centers may be obtained by contacting local
or State health departments. Physicians administering vaccine to travelers should
emphasize that an International Certificate of Vaccination must be validated to be
acceptable to quarantine authorities. Failure to secure validation may cause a traveler to
be revaccinated, quarantined, or denied entry.
PERSONS AUTHORIZED TO SIGN THE CERTIFICATE
The International Certificate of Vaccination must be signed by a licensed physician or
by a person designated by the physician to sign the certificate. A signature stamp is not
acceptable.
