SORIANO MED | PRIMARY CARE & INTERNAL MEDICINE | ROCKLEDGE, FLORIDA
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Adult preventive care | Brevard County

Adult immunizations.
Evidence. Choice. Prevention.

We strongly recommend appropriate vaccinations to help prevent serious illness. We welcome a thoughtful conversation about the evidence, expected benefits, possible side effects, and your concerns. Routine vaccination is not a blanket requirement for receiving care at Soriano Med.

Selected adult vaccine guide

Prevention at every stage.

This selected CDC-based summary is not a complete schedule. Recommendations depend on your history and risk. Reviewed November 5, 2026.

EVERY YEAR

Influenza

An annual flu vaccine is recommended for adults. Adults 65 and older preferentially receive a higher-dose, adjuvanted, or recombinant option when available.

ROUTINE BOOSTERS

Tetanus, diphtheria & pertussis

Have at least one adult Tdap dose, then Td or Tdap every 10 years. Wounds may require an earlier dose. Tdap is recommended during each pregnancy, usually at 27-36 weeks.

AGE 50+ / SELECTED YOUNGER ADULTS

Shingles

Two Shingrix doses are recommended at age 50 and older, and at age 19 and older for people who are or will be immunocompromised. Prior shingles does not remove the recommendation.

AGE 50+ / RISK-BASED

Pneumococcal disease

Recommended for adults 50 and older and some adults 19-49 with risk factors, including diabetes, COPD, or cigarette smoking. Depending on prior doses, options include PCV20 or PCV21 alone, or PCV15 followed by PPSV23. Your vaccine history determines the next step.

OLDER ADULTS / INCREASED RISK

RSV

One dose is recommended for all adults 75 and older and adults 50-74 at increased risk of severe RSV. It is not currently an annual vaccine. A separate maternal recommendation applies at 32-36 weeks of pregnancy with seasonal timing determined by the prenatal team.

ROUTINE / RISK-BASED

Hepatitis B

Complete vaccination at ages 19-59. At 60 and older, vaccination is recommended with risk factors and may also be given to anyone seeking protection. The series depends on the product.

CATCH-UP / SHARED DECISION

HPV

Catch-up vaccination is recommended through age 26. Adults 27-45 may benefit after discussion. The number of doses depends on age at the first dose and immune status.

CHECK IMMUNITY

MMR & chickenpox

Adults without evidence of immunity may need MMR or varicella vaccination. Live vaccines generally require avoidance during pregnancy and certain forms of immunosuppression.

EXPOSURE / TRAVEL / PERSONAL RISK

Hepatitis A & other vaccines

Hepatitis A is recommended for risk-based indications or requested protection. Travel, occupation, exposure, and medical conditions may also warrant meningococcal, Hib, polio, mpox, or other vaccines.

For the full schedule and individual eligibility, review the CDC adult schedule and detailed notes, then discuss your circumstances with your clinician.

Shared decisions

Bring your concerns.
We will take them seriously.

We can review the quality of evidence, how much protection a vaccine offers, common reactions, rare serious risks, and how your personal health changes the balance. Our role is to give a clear recommendation and support informed choices.

Bring your records

Bring prior vaccination records, a medication list, and information about previous reactions or allergies. Tell us about pregnancy or plans for pregnancy and immune-suppressing treatments.

Confirm availability & cost

Ask our office which vaccines are available in-house and which may need a pharmacy or another provider. Confirm insurance coverage and potential costs before vaccination.

Keep prevention personal

Diabetes, lung disease, heart disease, kidney disease, and immune conditions can change recommendations. A missed series often can be continued without restarting.

Common questions

A plan you understand.

Can I discuss vaccines before deciding?

Yes. We strongly recommend appropriate vaccinations and welcome a serious, respectful discussion about the evidence and your goals. Tell us what is making you hesitant so we can address the specific concern.

Is this the complete CDC adult schedule?

No. This is a selected educational guide. COVID-19 vaccination is outside this summary; discuss your vaccination history and individual recommendations with your clinician. The linked CDC schedule contains the full set of current recommendations.

What if I have a chronic condition or had a reaction before?

Do not assume that every vaccine is right for you or that a prior reaction rules out every vaccine. Your clinician should review the specific vaccine, reaction, timing, medical history, and possible precautions before recommending a plan.

How do I schedule a discussion?

Book an appointment or call 321-877-0007. For personal medical questions, use your approved patient portal. Do not send medical information through public website tools.

Your next step

Build your prevention plan.

Review your vaccine history and health priorities with our team.

For general education. This page does not replace individual medical advice. For medical emergencies, call 911.