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1) The first round is all that is needed to satisfy immigration, however the follow up shots or being tested for immunity (Titer tests) are recommended after arrival just to be safe. My wife did not go for the second shots, HOWEVER she was required to have the Titer tests done to satisfy the admissions requirements for college she took classes at.

 

2) And yes may have problems with connection in Japan, short layovers are allowed, however an overnight one will pose a problem.

 

. . .

 

This is only the case for K-Visas, the statement of "WIFE" having a visa in hand makes the assumption she has a CR-1 or IR-1 visa which gets a green-card upon arrival, there will be no Civil surgeon involved since there is no adjustment of status. Only Wife visa that would be concerned with this is the K-3 visa which are very rare.

 

 

 

The "Civil Surgeon" plays a vital role in the immigration process - THEY make the decision on EXACTLY which shots are required for EVERY Immigrant, based on that immigrants personal situation, any requirements in place, and even potentially any breaking epidemics - check the CDC web site for more information. I'm not sure what the "Civil Surgeons" in China are called, but they serve exactly the same function.

 

 

 

It looks like the overseas "Civil Surgeons" are known as "Panel Physicians" in CDC lingo - note: these links are not really important, unless you are interested in learning more about the CDC and its role in the Immigration process.

 

Technical Instructions for Panel Physicians

 

The Centers for Disease Control (CDC), United States Public Health Service (PHS), is responsible for ensuring that aliens entering the United States do not pose a threat to the public health of this country. The visa medical examination is one means of evaluating the health of aliens applying for entry into the United States.

 

These instructions are for the use of panel physicians and consular officers who are evaluating aliens applying for immigrant visas and aliens applying for refugee status at locations outside the United States.* Other aliens, not applying for an immigrant visa, may in some instances be referred for an examination. These technical instructions also apply to those examinations.

 

 

 

. . . and in the U.S.

2009 Technical Instructions for Vaccination for Civil Surgeons

 

 

 

Technical Instructions for Panel Physicians and Civil Surgeons

 

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