Prevention Checklist: USPSTF Screenings and Adult Vaccines by Age

Free preventive care checklist for adults: enter age, sex and a few risk factors to see the USPSTF screenings and CDC adult vaccines that apply, each with its grade and a link to the source.

Age

Sex assigned at birth

FemaleMale

Pregnant now

Tobacco smoking

NeverCurrentFormer

Pack-yearsPacks a day times years smoked Years since quitting

BMI

Under 2525 to 29.930 or moreNot sure

For diabetes screening, a BMI of 23 or more counts as overweight in Asian American adults.

Risk factors and conditions Tick any that apply. Each one adds the recommendations written for it.

Conditions

High blood pressure High cholesterol Diabetes Chronic heart, lung, liver or kidney disease Weakened immune systemFor example HIV, cancer treatment, a transplant or immunosuppressive drugs. No working spleenIncludes sickle cell disease.

Sexual health

Sexually active Higher risk for sexually transmitted infectionsFor example a new partner or more than one, a partner with an STI, or a past STI. Higher risk for HIVFor example a partner with HIV, a recent bacterial STI, inconsistent condom use, or injection drug use.

Other risks

Higher risk for hepatitis BFor example born where prevalence is 2% or more, HIV, injection drug use, or a household contact with hepatitis B. Higher risk for latent TBBorn in or lived in a country with high TB rates, or lived in a shelter or correctional facility. Higher risk of fallsA fall in the past year, or problems with walking or balance. Health care worker

Women's health

Personal or family history of breast, ovarian, tubal or peritoneal cancerOr ancestry linked to BRCA1 or BRCA2 mutations. Increased breast cancer risk on a risk model Postmenopausal No cervixAfter a hysterectomy that removed the cervix, for a reason other than cancer or precancer.

Pregnancy

High risk for preeclampsiaFor example prior preeclampsia, twins or more, chronic hypertension, diabetes, kidney or autoimmune disease. Higher risk of perinatal depressionFor example a history of depression, current symptoms, or recent stressful life events.

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Enter an age and sex to see the checklist.

For health care professionals. A summary of federal recommendations for average-risk adults without symptoms; it does not cover every risk group or replace clinical judgment. USPSTF and CDC do not endorse this tool.

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How the checklist works

Each card is a U.S. Preventive Services Task Force recommendation or a CDC adult immunization schedule entry, matched to the age, sex and risk factors you enter. Grade A and B services are recommended; Grade C services are offered selectively, after talking it through with the patient. Cards marked Check depend on something you have not entered yet, such as pack-years.

What it does not cover

Children and adolescents, symptoms, people already diagnosed with the condition being screened for, and high-risk groups that need specialist schedules (for example inherited cancer syndromes). Travel and occupational vaccines are not included.

All adult recommendations in the checklist

USPSTF recommendations as of Oct 27, 2026.

Screening

Abdominal aortic aneurysm screening Men 65 to 75 who have ever smoked Grade B
Abdominal aortic aneurysm screening Men 65 to 75 who have never smoked Grade C
Abdominal aortic aneurysm screening Women who have never smoked and have no family history of aneurysm Grade D
Breast cancer screening Women 40 to 74 Grade B
Cervical cancer screening Women 21 to 65 with a cervix Grade A
Cervical cancer screening Women over 65 with adequate prior screening who are not at high risk Grade D
Cervical cancer screening Women without a cervix after a hysterectomy for benign disease Grade D
Colorectal cancer screening Adults 45 to 49 Grade B
Colorectal cancer screening Adults 50 to 75 Grade A
Colorectal cancer screening Adults 76 to 85 Grade C
Lung cancer screening Adults 50 to 80 with 20 or more pack-years who smoke now or quit within the past 15 years Grade B
Prostate cancer screening Men 55 to 69 Grade C
Prostate cancer screening Men 70 and older Grade D
Osteoporosis screening Women 65 and older Grade B
Osteoporosis screening Postmenopausal women under 65 at increased risk Grade B
High blood pressure screening Adults 18 and older without known hypertension Grade A
Prediabetes and type 2 diabetes screening Adults 35 to 70 with overweight or obesity Grade B
Hepatitis C screening Adults 18 to 79 Grade B
HIV screening Adolescents and adults 15 to 65, and older adults at increased risk Grade A
Hepatitis B screening Adolescents and adults at increased risk Grade B
Syphilis screening Nonpregnant adolescents and adults at increased risk Grade A
Chlamydia and gonorrhea screening Sexually active women 24 and younger, and older women at increased risk Grade B
Latent tuberculosis screening Adults at increased risk Grade B
Depression screening All adults, including during pregnancy and after birth Grade B
Anxiety screening Adults 64 and younger, including during pregnancy and after birth Grade B
Unhealthy alcohol use Adults 18 and older, including during pregnancy Grade B
Unhealthy drug use screening Adults 18 and older Grade B
Intimate partner violence screening Women of reproductive age, including during pregnancy and after birth Grade B

Counseling and behavior

Tobacco cessation Adults who smoke Grade A
Healthy diet and physical activity counseling Adults with cardiovascular risk factors Grade B
Healthy diet and physical activity counseling Adults without cardiovascular risk factors Grade C
Weight-loss behavioral programs Adults with a BMI of 30 or more Grade B
STI prevention counseling Sexually active adults at increased risk Grade B
Falls prevention Adults 65 and older living in the community who are at increased risk of falls Grade B
BRCA risk assessment Women with a personal or family history of breast, ovarian, tubal or peritoneal cancer, or BRCA-associated ancestry Grade B

Preventive medication

Statin for primary prevention Adults 40 to 75 with a risk factor and a 10-year cardiovascular risk of 10% or more Grade B
Statin for primary prevention Adults 40 to 75 with a risk factor and a 10-year cardiovascular risk of 7.5% to under 10% Grade C
Aspirin for primary prevention Adults 40 to 59 with a 10-year cardiovascular risk of 10% or more Grade C
Aspirin for primary prevention Adults 60 and older Grade D
HIV preexposure prophylaxis Adults at increased risk of HIV Grade A
Breast cancer risk-reducing medication Women 35 and older at increased risk Grade B
Folic acid People who plan to or could become pregnant Grade A

Pregnancy

Asymptomatic bacteriuria screening Pregnant people Grade B
Gestational diabetes screening Pregnant people at 24 weeks or later Grade B
Hypertensive disorders of pregnancy Pregnant people Grade B
Low-dose aspirin for preeclampsia Pregnant people at high risk of preeclampsia Grade B
Hepatitis B screening in pregnancy Pregnant people Grade A
HIV screening in pregnancy Pregnant people, including those in labor whose status is unknown Grade A
Syphilis screening in pregnancy Pregnant people Grade A
Rh(D) typing and antibody testing Pregnant people at the first pregnancy-related visit Grade A
Healthy weight gain counseling Pregnant people Grade B
Perinatal depression prevention Pregnant and postpartum people at increased risk Grade B
Breastfeeding support Pregnant and postpartum people Grade B
Tobacco cessation in pregnancy Pregnant people who smoke Grade A

Vaccines

Influenza Adults 19 and older, including during pregnancy Everyone this age
COVID-19 Adults 19 and older Shared decision
RSV Adults 75 and older Everyone this age
RSV Adults 50 to 74 at increased risk of severe RSV With risk factors
RSV in pregnancy Pregnant people at 32 to 36 weeks, September through January Everyone this age
Tdap or Td All adults Everyone this age
Tdap in pregnancy Every pregnancy Everyone this age
Shingles (recombinant zoster) Adults 50 and older Everyone this age
Shingles (recombinant zoster) Adults 19 to 49 with a weakened immune system With risk factors
Pneumococcal Adults 50 and older who have not had a conjugate vaccine Everyone this age
Pneumococcal Adults 19 to 49 with a risk condition With risk factors
HPV Adults through age 26 not fully vaccinated Everyone this age
HPV Adults 27 to 45 not fully vaccinated Shared decision
Hepatitis B Adults 19 to 59 not vaccinated Everyone this age
Hepatitis B Adults 60 and older with risk factors, and any who want protection With risk factors
Hepatitis A Adults at increased risk, and any who want protection With risk factors
MMR Adults born in 1957 or later without evidence of immunity Everyone this age
Varicella Adults born in 1980 or later without evidence of immunity Everyone this age
Meningococcal (MenACWY and MenB) Adults with no working spleen, complement deficiency or HIV (MenACWY), and some workers, travelers and students With risk factors
MenB Adults 19 to 23 not at increased risk Shared decision
Hib Adults with no working spleen, or after a stem cell transplant With risk factors

Questions clinicians ask

What do USPSTF grades A, B, C, D and I mean?

A and B: the Task Force recommends the service (high or moderate certainty of a moderate to substantial net benefit). C: offer it selectively, because the net benefit is small. D: recommend against it. I: the evidence is insufficient to weigh benefits and harms.

Does insurance cover these services?

Under the Affordable Care Act, most private plans must cover USPSTF A and B recommendations without cost sharing. Coverage rules for vaccines follow the federal schedule and can change; check the plan.

Where does the vaccine list come from?

From the CDC adult immunization schedule as published on cdc.gov, with the date shown above the vaccine cards. Several medical societies publish their own schedules, which can differ.

Is anything I enter saved?

No. The checklist runs in your browser. Nothing you enter is sent to 2 Minute Medicine or saved.

Prevention Checklist: USPSTF Screenings and Adult Vaccines by Age

How the checklist works

What it does not cover

All adult recommendations in the checklist

Screening

Counseling and behavior

Preventive medication

Pregnancy

Vaccines

Questions clinicians ask

Recent Reports

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