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Screenings and vaccines guidelines recommend at age 65 (female at birth)

These are the screenings and vaccines national guidelines recommend for someone age 65 (female at birth). This is general information, not personalized medical advice — talk with your clinician about what is right for you.

8 recommendations for your age and sex — from the U.S. Preventive Services Task Force and the CDC. Guidelines last reviewed 2026-06-26.

Screenings

Colorectal cancer screening

every 10 years — or a stool test every 1–3 years

USPSTF · Colorectal Cancer: Screening (2021) · Grade A/B

U.S. Preventive Services Task Force

Screen adults 45–75 (Grade B 45–49, A 50–75); colonoscopy q10y, FIT annually, or stool-DNA q3y.

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Mammogram (breast cancer screening)

every 2 years

USPSTF · Breast Cancer: Screening (2024) · Grade B

U.S. Preventive Services Task Force

Biennial screening mammography for women ages 40–74 (Grade B).

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Cervical cancer screening (Pap/HPV)

every 3 years — or an HPV test every 5 years (ages 30–65)

USPSTF · Cervical Cancer: Screening (2018) · Grade A

U.S. Preventive Services Task Force

Ages 21–29 cytology q3y; 30–65 cytology q3y, or hrHPV/co-test q5y (Grade A).

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Bone density scan (osteoporosis screening)

starting at age 65

USPSTF · Osteoporosis to Prevent Fractures: Screening (2018) · Grade B

U.S. Preventive Services Task Force

Screen women ≥65 (and younger postmenopausal women at increased risk) (Grade B).

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Vaccines

Pneumococcal vaccine

a one-time series at 65

CDC/ACIP · Pneumococcal vaccination (2025)

CDC Advisory Committee on Immunization Practices

Recommended for all adults ≥65 (and high-risk adults <65).

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Flu vaccine

every year

CDC/ACIP · Influenza vaccination, adults (2025)

CDC Advisory Committee on Immunization Practices

Annual influenza vaccination for everyone ≥6 months.

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Shingles vaccine (RZV)

a two-dose series, once

CDC/ACIP · Recombinant zoster vaccine (RZV/Shingrix) (2025)

CDC Advisory Committee on Immunization Practices

Two doses for adults ≥50.

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Tetanus booster (Td/Tdap)

every 10 years

CDC/ACIP · Tetanus, diphtheria, pertussis (Td/Tdap) (2025)

CDC Advisory Committee on Immunization Practices

Td/Tdap booster every 10 years (Tdap once if not received).

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