Beginning October 1, 2021, all applicants of Adjustment of Status or Refugee Status will be required to take the COVID19 vaccine as part of their medical examination (Form I-693) completed by a Civil Surgeon or Panel Physician. If an applicant has already completed their medical exam and it is still valid before October 1, then they will not be required to have the COVID19 vaccine. The Civil Surgeon is responsible for checking and confirming that appropriate documentation is provided evidencing completion of the COVID vaccine. There are certain exceptions for why an applicant would not be required to take the vaccine. Examples include blanket waivers for applicants too young to receive the vaccine, medical contraindications to the vaccine, accessibility to the vaccine in certain states, and an individual waiver based on religious or moral convictions. To learn more information on the specific requirements for the medical exam (Form I-693) and the exceptions to vaccines please visit uscis.org