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Thread: I-693 - Medical Exam and Vaccinations when applying for Green Card (I-485)

  1. #26
    In last page of I-693, doctor filled dates in 6th column instead of 5th column. I asked doctor but he said that will be ok. But my lawer is saying that "I’d say get it corrected if you can. Lets try and avoid any future RFEs"

    Any idea? Could you please check yours and let me know...

  2. #27
    Do I need to get Varicella? I got Tetanus and MMR today.
    The physician I went to did not mention any thing about varicella.
    Does MMR include Varicella?
    Any help?

  3. #28
    Oracle tackle's Avatar
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    Quote Originally Posted by fudge-it View Post
    Do I need to get Varicella? I got Tetanus and MMR today.
    The physician I went to did not mention any thing about varicella.
    Does MMR include Varicella?
    Any help?
    Varicella is the vaccine for chicken-pox. If you've got chicken-pox in the past, then you'll not need to take the Varicella vaccine. In one of my friend's case, he mentioned to the civil surgeon that he has had chicken-pox in the past (which was actually true) and the physician didn't ask him for any proof (titer-test results to check for antibodies) for that. He just took my friend's word on it. So, maybe your case is similar?

    Also, MMR vaccine does not include Varicella. MMRV vaccine does include the Varicella vaccine but it's for kids and is not administered to adults. So, you probably got just MMR.
    Last edited by tackle; 11-22-2011 at 09:42 AM.
    TSC | PD: 09/07/07 | RD: 11/01/11 | ND: 11/02/11
    FP Notice: 11/17/11 | FP Appt: 12/08/11 | FP early walk-in completed: 11/21/11
    EAD/AP: Approved 12/28/11, Received 12/31/11
    RFE#1: Notification 08/28/12, Received Notices 09/04/12 (submit BC),

    RFE#1: Responded 10/12/2012, Received "RFE response received" notice: 10/16/2012

    RFE#2: Notification 06/14/2013, Received Notices 06/16/2013 (submit EVL/EAD),
    RFE#2: Responded 06/19/2013.
    I-485 Approved (Primary & Dependent): 10/07/13


  4. #29
    Hmm...There was no question whether I had been punched for Varicella.
    So I wonder if Varicella is mandatory for 485 purposes.
    If it were to be mandatory, they would at least ask?

  5. #30
    They would have had a check-box where they would have asked you if you ever had chicken-pox before. If you would have answered YES then there is no reason for them to ask you again??

  6. #31
    Here is my experience with Medicals Philadelphia area

    We had got all our vaccinations from local county hospital in anticipation of getting current cost us $0, Yes it took us few days to get appointment and had to go twice so far and of course we couldn't feel our arms for couple days .

    Called few providers once we became current, Made an appointment with the least expensive one as insurance doesn't cover. Appointment was a week after we became current.

    Appointment day : Went to doctor's office and were asked to be seated, Nurse took our information and mentioned they accept only cash no check or CC . Had to go to ATM to get some cash. I was hoping to use my hsa card.

    Nurse took us inside and took our blood for blood work and gave PPD injection. She was very professional as neither me or my wife felt a pinch when she poked the long needle .

    Doctor came and checked few basic stuff ear, Nose, throat, poked stomach, checked breathing etc and said everything looked fine.

    Asked us to come back Day 3 for them to check PPD reaction and get paperwork

    Cost us $40 for paperwork + $20 for blood work + $10 for PPD Total $70 Per person.

    Day 3 . Went back for PPD test results they were negative and waited few mins once they prepared the report.

    Total cost $70 each for me and my spouse for $140.
    Last edited by meso129; 11-23-2011 at 08:41 PM.

  7. #32
    Nice dude..Which part of "I have not asked about Varicella" did you not understand?
    Anyway, I walked in today for the skin test check and I asked the nurse about Varicella, she said that Varicella is not necessary.
    She said only Tdap and MMR. For all of those confused souls out there, hope this helps..

  8. #33
    There is a mention of 'Varicella' on Page-5-Vaccination Records of I693.
    And the CS needs to fill appropriate info in each of the rows in that table either taken or not needed or not age appropriate, etc.

    And I think it varies from surgeon to surgeon whether to ask for proof of vaccination(s) or just take your words and fill the items appropriately.

    Quote Originally Posted by fudge-it View Post
    Hmm...There was no question whether I had been punched for Varicella.
    So I wonder if Varicella is mandatory for 485 purposes.
    If it were to be mandatory, they would at least ask?

  9. #34
    Q, suninphx, others from the PHX area, any recommendations on civil surgeons for the medical exam?
    NSC (originally TSC, transferred to NSC on 02/13/13) |-| PD - 04/25/08 |-| MD - 01/19/12 |-| RD - 01/27/12 |-| ND - 01/31/12 |-| Check Encashed - 02/02/12 |-| NRD - 02/04/12 |-| FPND - 02/09/12 |-| FPNRD - 02/17/12 |-| FP Early Walk-In - 02/24/12 |-| EAD/AP Approval & card production notice - 03/07/12 |-| EAD/AP RD - 03/12/12 |-| EAD/AP renewal RD - 12/11/12 |-| EAD/AP renewal approval - 01/22/13 |-| 485 Approval notice - 09/04/13 |-| GC RD - 09/11/13|

  10. #35
    485 List
    Can you please point me to location thread
    for all the steps/docs required for 485 filling ?
    Thanks

  11. #36
    Quote Originally Posted by meso129 View Post
    Here is my experience with Medicals Philadelphia area

    We had got all our vaccinations from local county hospital in anticipation of getting current cost us $0, Yes it took us few days to get appointment and had to go twice so far and of course we couldn't feel our arms for couple days .

    Called few providers once we became current, Made an appointment with the least expensive one as insurance doesn't cover. Appointment was a week after we became current.

    Appointment day : Went to doctor's office and were asked to be seated, Nurse took our information and mentioned they accept only cash no check or CC . Had to go to ATM to get some cash. I was hoping to use my hsa card.

    Nurse took us inside and took our blood for blood work and gave PPD injection. She was very professional as neither me or my wife felt a pinch when she poked the long needle .

    Doctor came and checked few basic stuff ear, Nose, throat, poked stomach, checked breathing etc and said everything looked fine.

    Asked us to come back Day 3 for them to check PPD reaction and get paperwork

    Cost us $40 for paperwork + $20 for blood work + $10 for PPD Total $70 Per person.

    Day 3 . Went back for PPD test results they were negative and waited few mins once they prepared the report.

    Total cost $70 each for me and my spouse for $140.

    Can you please share the name of the civil surgeon you went to in Philadelphia? I just became current and need to schedule an appt ASAP. Thanks

  12. #37
    You mean this ... http://www.qesehmk.org/forums/showth...to-file-I485??
    or http://www.qesehmk.org/forums/showth...ling-Checklist
    Ideally your lawyer should provide you with what is required.

    Quote Originally Posted by codesmith View Post
    485 List
    Can you please point me to location thread
    for all the steps/docs required for 485 filling ?
    Thanks

    NSC - EB2I | PD: Sept, 2007 | RD: 03-Nov, 2011 | ND: 08-Nov, 2011 | FP Notice: 10-Dec,2011| FP Done: 30-Dec,2011
    EAD/AP(Approval Email): 09-Dec, 2011 | EAD/AP(Physical Card): 15-Dec, 2011
    GC(Approval Email): 27-Jan, 2012 | GC(Physical Card): 01-Feb, 2012


  13. #38
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    Angry

    I got current in the Jan bulletin and called a few places in the NYC area for medicals. Got one same day and went with my wife.

    They asked for ID and made us fill out forms. We had to check a box about Chicken Pox. Then the doc took a blood sample and gave us TDap and Flu shots and also the TB test.

    We have to go back for the blood test results, TB follow up and X-rays if needed. We should have our medicals done early next week. Relatively painless albeit expensive experience.

  14. #39
    Pandit
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    Did anybody have a positive PPD (TB skin test) and a negative chest X ray, and got their GC approval without any issue? I am concerned about RFEs based on a a positive PPD.
    PD - 3/15/2008 EB2 I TSC l RD - 1/6/2012 l ND - 1/10/2012
    CPO - Awaited

  15. #40

    Positive PPD is common in Asians - No worries

    Quote Originally Posted by ontheedge View Post
    Did anybody have a positive PPD (TB skin test) and a negative chest X ray, and got their GC approval without any issue? I am concerned about RFEs based on a a positive PPD.
    PPD positive is very common in Asians. Do not worry too much. As long as chest X Ray is negative, no worries. X ray report MUST be included within sealed 693 form by civil surgeon. Enjoy and help on HR 3012 by signing petition and spread the word.

  16. #41
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    I got current in the Jan bulletin, so went for our medical exams today. The doctor gave us the TB test, took our blood samples and gave the physical exam.

    Based on the questionnaire, they asked me to get the TDaP and MMR, and for my wife to get TDaP, MMR and Varicella (she didnt have chicken pox when she was little).

    We went to Walgreens to get the shots. They refused to give Varicella to my wife with MMR and told we need to wait 6 weeks between these 2 shots. But that will take us to end of Jan. Anyone else face similar problem?

    Please share....

  17. #42
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    Quote Originally Posted by la_2002_ch View Post
    I got current in the Jan bulletin, so went for our medical exams today. The doctor gave us the TB test, took our blood samples and gave the physical exam.

    Based on the questionnaire, they asked me to get the TDaP and MMR, and for my wife to get TDaP, MMR and Varicella (she didnt have chicken pox when she was little).

    We went to Walgreens to get the shots. They refused to give Varicella to my wife with MMR and told we need to wait 6 weeks between these 2 shots. But that will take us to end of Jan. Anyone else face similar problem?

    Please share....
    Quote Originally Posted by maggie View Post
    PPD positive is very common in Asians. Do not worry too much. As long as chest X Ray is negative, no worries. X ray report MUST be included within sealed 693 form by civil surgeon. Enjoy and help on HR 3012 by signing petition and spread the word.
    Thanks, appreciate your quick response. If PPD is positive (20mm) but X-ray is negative and the doctor does not refer to the county health department for preventive care, does USCIS proactively issue any RFEs for making sure meds were taken?
    PD - 3/15/2008 EB2 I TSC l RD - 1/6/2012 l ND - 1/10/2012
    CPO - Awaited

  18. #43
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    Quote Originally Posted by la_2002_ch View Post
    I got current in the Jan bulletin, so went for our medical exams today. The doctor gave us the TB test, took our blood samples and gave the physical exam.

    Based on the questionnaire, they asked me to get the TDaP and MMR, and for my wife to get TDaP, MMR and Varicella (she didnt have chicken pox when she was little).

    We went to Walgreens to get the shots. They refused to give Varicella to my wife with MMR and told we need to wait 6 weeks between these 2 shots. But that will take us to end of Jan. Anyone else face similar problem?

    Please share....
    Was she vaccinated for chickenpox? If not, ideally the doctor should've ordered titers (blood work) to see if immunity is present. If yes, she won't need the vaccine at all.
    PD - 3/15/2008 EB2 I TSC l RD - 1/6/2012 l ND - 1/10/2012
    CPO - Awaited

  19. #44
    Got the receipts today

    PD 02/13/08
    TSC
    RD 12/01
    ND 12/05

  20. #45
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    Quote Originally Posted by ontheedge View Post
    Was she vaccinated for chickenpox? If not, ideally the doctor should've ordered titers (blood work) to see if immunity is present. If yes, she won't need the vaccine at all.
    We know for sure she was not vaccinated for chicken pox. So she does need the vaccine. But main concern is when can she get it? Do we really need to wait 6 weeks from yesterday i.e. when she got the MMR shot?

  21. #46
    Here's something might be helpful: http://www.immunize.org/askexperts/e...r.asp#products
    But since she already got MMR, I think she will have to wait for atleast 4 weeks. If you don't want to wait and give it a try, you can ask your doctor to run a titer for chickenpox. If it comes ok, you are good to go or else you will need to take the vaccine. There is no negative effect if you run titer. Cost can be the only concern if your insurance doesn't cover those tests.

    FYI: I am not a medical professional.
    Quote Originally Posted by la_2002_ch View Post
    We know for sure she was not vaccinated for chicken pox. So she does need the vaccine. But main concern is when can she get it? Do we really need to wait 6 weeks from yesterday i.e. when she got the MMR shot?

    NSC - EB2I | PD: Sept, 2007 | RD: 03-Nov, 2011 | ND: 08-Nov, 2011 | FP Notice: 10-Dec,2011| FP Done: 30-Dec,2011
    EAD/AP(Approval Email): 09-Dec, 2011 | EAD/AP(Physical Card): 15-Dec, 2011
    GC(Approval Email): 27-Jan, 2012 | GC(Physical Card): 01-Feb, 2012


  22. #47
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    Quote Originally Posted by gc0907 View Post
    Here's something might be helpful: http://www.immunize.org/askexperts/e...r.asp#products
    But since she already got MMR, I think she will have to wait for atleast 4 weeks. If you don't want to wait and give it a try, you can ask your doctor to run a titer for chickenpox. If it comes ok, you are good to go or else you will need to take the vaccine. There is no negative effect if you run titer. Cost can be the only concern if your insurance doesn't cover those tests.

    FYI: I am not a medical professional.
    Thanks so much for the details. We checked with her parents and looks like she had chicken pox when she was 4. We told the same to the civil surgeon. He says he will run the titer on her blood samples (already with him) and if all well, he will issue the records in the sealed envelope. Well I hope all of this pays, as now I am being screwed by my employer. I dont knwo what to do.

    sorry for ranting.

  23. #48

    Immunization Table

    Guys,
    I found this online someplace, but it answers a ton of questions about immunizations. Basically the message is, not everyone needs every single vaccine listed in the 693 document. It varies by age.

    Hope this helps.

    http://www.immigrationdoctor.com/immuntable.html

  24. #49
    Pandit
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    Quote Originally Posted by la_2002_ch View Post
    Thanks so much for the details. We checked with her parents and looks like she had chicken pox when she was 4. We told the same to the civil surgeon. He says he will run the titer on her blood samples (already with him) and if all well, he will issue the records in the sealed envelope. Well I hope all of this pays, as now I am being screwed by my employer. I dont knwo what to do.

    sorry for ranting.
    Dont worry, thats why we were suggesting to get titers done. If she has immunity because of the previous disease, she will not need the vaccine. Good luck
    PD - 3/15/2008 EB2 I TSC l RD - 1/6/2012 l ND - 1/10/2012
    CPO - Awaited

  25. #50
    Pandit
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    I want to share our experience with everyone so that you're not inadvertently screwed by the Civil Surgeon.

    My spouse's PPD came out positive due to BCG vaccination given during childhood. As usual, he was asked to take a chest X-ray; it was done in a matter of hours and came out negative. We went to pick up the sealed report the next day, and fortunately, we looked at the photo copy of report. Section 4 that needs to be filled out with the results of the chest X-ray was BLANK! So it seemed like an X-ray was ordered, but not followed through. I pointed that out, and they were like 'Oh, we are sorry!'. They opened the sealed report, made the corrections and resealed it. So much for efficiency.
    PD - 3/15/2008 EB2 I TSC l RD - 1/6/2012 l ND - 1/10/2012
    CPO - Awaited

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