Uniting for Ukraine Vaccine Attestation

Yкраїнський переклад

The information here is a preview of the required vaccine attestations in your account.

Pre-travel attestations:

 Measles Vaccine (Select one):

• I have received at least one dose of measles vaccine.
• I am not vaccinated against measles but qualify for an exception to this requirement because I am younger than 12 months old or was born prior to 1957.
• I am not vaccinated against measles, but qualify for an exception to this requirement because I:
  • Have a history of a severe (anaphylactic) reaction to a previous dose or to any component of the vaccine (such as gelatin or neomycin);
  • Am pregnant;
  • Had a recent blood transfusion or other blood products;
  • Have a known severe immunodeficiency; or
  • Have a family member (parent, brother, or sister) with a history of hereditary or congenital immune system problem.

Polio Vaccine (Select one):

• I have received at least one dose of polio vaccine.
• I am not vaccinated against polio but qualify for an exception to this requirement because I am younger than 6 weeks old.
• I am not vaccinated against polio but qualify for an exception to this requirement because I have a history of a severe (anaphylactic) reaction to a previous dose or to any component of the vaccine.
• I am not vaccinated against polio because the vaccine is not approved or licensed for use in my age group, but I will get vaccinated within 14 days of arrival in the US.

COVID-19 Vaccine (Select one):

• I have received at least one dose of an FDA approved or authorized COVID-19 vaccine or a COVID-19 vaccine with WHO emergency use listing (EUL).
• I have not received at least one dose of an FDA approved or authorized COVID-19 vaccine or a COVID-19 vaccine with WHO EUL but qualify for an exception to this requirement because I am younger than 5 years old.
• I have not received at least one dose of an FDA approved or authorized COVID-19 vaccine or a COVID-19 vaccine with WHO EUL but qualify for an exception to this requirement because I have a history of a known medical contraindication to the COVID-19 vaccine. Contraindications are listed at https://www.cdc.gov/vaccines/covid-19/clinical-considerations/interim-considerations-us.html#contraindications. 
• I am older than 5 years of age, but I not vaccinated against COVID-19 because the vaccine is not approved or licensed for use in my age group. I will get vaccinated within 14 days of arrival in the US.

Attestation required within 14 days after U.S. arrival:

Tuberculosis Screening (Select one):

• I have undergone tuberculosis screening starting with an IGRA (interferon-gamma release assay) blood test. I will take appropriate measures, including additional screening, such as chest radiograph, isolation, and treatment measures, if the tuberculosis screen is positive. I have my IGRA result and the documentation that I followed-up if I had a positive test result. 
• I have not undergone tuberculosis screening but qualify for an exception to this requirement because I am younger than 2 years old.

Select if Applicable:

• I did not receive a polio vaccine prior to arriving in the United States because it was not approved or licensed for my age group, but I have now been vaccinated against polio. 
• I did not receive a COVID-19 vaccination prior to arriving in the United States because it was not approved or licensed for my age group, but I have now FDA approved or authorized COVID-19 vaccine or a COVID-19 vaccine with WHO EUL