Rite Aid Immunization Evaluation

Make sure you are up to date with your immunizations. Take this quick quiz to find out which immunizations you may need.

Section 1 of 5

About You

Are You
This is a required field. Please indicate your gender.
For women - Are you pregnant or could you become pregnant in the next three month?
What is your birth date? (Some vaccines are age-related)
Month Day Year
/ /
What state do you live in?
This is a required field. Please indicate which state you live in.
Are you a first year college student who lives in a dormitory at college or a new military recruit?
Are you a resident in a senior independent living facility, nursing home, chronic-care facility, or adult care home?
Will you be traveling outside the U.S. in the near future?
Are you a children's daycare worker, parent, family member or caregiver for children under the age of 1?
Are you a health care provider?
Have you received any vaccines in the last 28 days?
Have you had a serious reaction to a vaccine?
Have you had a neurological disorder such as seizures or other disorders that affect the brain or have had a disorder that resulted from a vaccine (e.g. Gullian-Barre Syndrome)?
Do you have allergies to medications, food (i.e. eggs), latex or any vaccine component (i.e. neomycin, formaldehyde, gentamicin, thimerosal, bovine protein, phenol, polymyxin, gelatin, baker's yeast or yeast)?
During the past year, have you received a transfusion of blood or blood products?
Have you had chickenpox in the past or have you been vaccinated against chickenpox?
Do you take cortisone, prednisone, other steroids, or anticancer drugs or have you had x-ray treatments?
Do you have any of these diseases or medical conditions? Check all that apply to you.
Because it could impact the immunizations recommended to maintain your health, please review the behaviors listed below and check those that are applicable.
Please click 'Get My Results' to manually add your immunization history.

That's it! Just click 'Get My Results to find out which vaccines you may need.

Please note: All answeres are completely confidential, will not be stored and are not associated with your name when results are printed. The recommendations you will receive are not a substitue for medical consultation or medical advice. All recommendations should be reviewed with a certified immunizing pharmacist or a health provider before any immunizations are given.

© 2001-2008 Rite Aid Corp. All rights reserved.