What is a vaccination suplement and when do I need it!

[Rocio 0]

[rebeccajo 14]

Kaydee, we have a different point of view on this. As Pax said, some of us posters are advising other members to do what USCIS wants. You would rather go against the grain. By your own words in previous threads, you stated you were willing to roll the dice and deal with a greencard delay if that happened to you.

There is anecdoctal evidence aplenty of approval delays because of the lack of the I-693A. Such evidence is contained within the link I posted above, as well as other various threads in this community. When that thread originated (before you were a member) a great many people put a considerable amount of effort to come to a conservatice consensus of how to handle this situation. I don't think that research (what you regard as "inaccuracies") should go unheeded.

It is IMPOSSIBLE to get an I-693A at your overseas medical. The form is only available to US civil surgeons. Therefore, the form CANNOT be in the mysterious brown envelope. If ones vaccines were up to speed, and the consulate MD stated such on the DS-3025 (vaccine worksheet), and if the worksheet were included in the packet, and lastly if ones stateside adjudicating officer in the US is satisfied and chooses to forgive the lack of the I-693A, then fine - no harm, no foul.

Sir, you are entitled to any opinion you like on here. Opinions are like armpits - everybody has at least two, and sometimes they stink. It's your condescending tone that never ceases to amaze me. It certainly doesn't allow us to help one another on here, now does it?

[kaydee457 13]

Kaydee, we have a different point of view on this. As Pax said, some of us posters are advising other members to do what USCIS wants. You would rather go against the grain. By your own words in previous threads, you stated you were willing to roll the dice and deal with a greencard delay if that happened to you.

There is anecdoctal evidence aplenty of approval delays because of the lack of the I-693A. Such evidence is contained within the link I posted above, as well as other various threads in this community. When that thread originated (before you were a member) a great many people put a considerable amount of effort to come to a conservatice consensus of how to handle this situation. I don't think that research (what you regard as "inaccuracies") should go unheeded.

It is IMPOSSIBLE to get an I-693A at your overseas medical. The form is only available to US civil surgeons. Therefore, the form CANNOT be in the mysterious brown envelope. If ones vaccines were up to speed, and the consulate MD stated such on the DS-3025 (vaccine worksheet), and if the worksheet were included in the packet, and lastly if ones stateside adjudicating officer in the US is satisfied and chooses to forgive the lack of the I-693A, then fine - no harm, no foul.

Sir, you are entitled to any opinion you like on here. Opinions are like armpits - everybody has at least two, and sometimes they stink. It's your condescending tone that never ceases to amaze me. It certainly doesn't allow us to help one another on here, now does it?

Rebaccjo. I prefer this response over the last. I am not going "against the grain" nor ignoring anecdotal or empirical results.

My contention, given that the form is titled "supplement", is simply that if a beneficiary is not given copies of anything following the medical that a "supplemental" is not required, period.

It seemed that way for me. One cannot "supplement" what one does not have. You, and others were given copies of your vaccination record and therefore no doubt required a supplement, or not.

The point is that I cannot see, regardless of how hapless and nonsensical this process may be, they (the USCIS) would not request a supplement unless it's necessary. How does a Physician fill out a "supplement" when no follow-up immunizations are required? Just doesn't make sense.

Hence, my wife received no copies of anything other than the infamous "Brown envelope". Yes, she asked for copies and was told she didn't need any.

I took the "logical stance" that if they (the USCIS/State Department) did not provide us copies of her medical that we, by default, did not require the "supplement".

We did not as our approval seems to back up.

It is IMPOSSIBLE to get an I-693A at your overseas medical. The form is only available to US civil surgeons. Therefore, the form CANNOT be in the mysterious brown envelope. If ones vaccines were up to speed, and the consulate MD stated such on the DS-3025 (vaccine worksheet), and if the worksheet were included in the packet, and lastly if ones stateside adjudicating officer in the US is satisfied and chooses to forgive the lack of the I-693A, then fine - no harm, no foul.

Never said this nor implied this. This is wholly your assumption.

I don't think anyone is "forgiving anything". I assert my belief that if the beneficiary were not notified of a follow-up by having been supplied with copies of a lacking vaccination worksheet then the supplement is not required.

It makes no sense to be otherwise; hence I submitted none and viola, NO RFE's and a greencard.

Luck? I think not.

Your assertion- the supplement is always required I don't subscribe to.

We can agree to disagree......

[HARLANC 0]

WOW-this subject is not that complicated.

all immigrants are required to meet the u.s health standards(vacinations). this is not a standard issued by the dept of state or dept of homeland security.

the state department will not deny a k-1 who applies with only a medical examination, but they also note the lack of suppliment on paperwork given to fiance.

the officer taking the paper work at the poe does not care about the medical examination or if it includes a suppliment.

when making an appliciation for aos--you should know know your status.

we received a request for medical examintion info and a suppliment.

i called the info line and got transfered to a officer---i explained my wife was a k-1 and that we were allowed to provide the suppliment at our interview.

he agreeded and i wrote a letter to chicago-- i reminded them, that we were a k-1 and had to have a medical exam before we crossed the border. I, also stated that the rules and regulations allowed the suppliment to be presented at the aos interview.

the next letter i got was a letter for a aos interview.

vacination suppliments and exams are required for all immigrants--(with very few exceptions)

we did not have the suppliment done in mexico--we had it done a month before a aos interview.

we knew about the rule the whole time and wanted to delay the payment of fees.

the proplem is that when chicago took over the processing of the aos appliciations, the poe were sending the medical information to texas.(k-1 crossing on the south and west borders)

so, the medical info was having a hard time finding its way to chicago and after it got there, it was having a harder time finding its way to a file.

harlan

[kaydee457 13]

WOW-this subject is not that complicated.

all immigrants are required to meet the u.s health standards(vacinations). this is not a standard issued by the dept of state or dept of homeland security.

the state department will not deny a k-1 who applies with only a medical examination, but they also note the lack of suppliment on paperwork given to fiance.

the officer taking the paper work at the poe does not care about the medical examination or if it includes a suppliment.

when making an appliciation for aos--you should know know your status.

we received a request for medical examintion info and a suppliment.

i called the info line and got transfered to a officer---i explained my wife was a k-1 and that we were allowed to provide the suppliment at our interview.

he agreeded and i wrote a letter to chicago-- i reminded them, that we were a k-1 and had to have a medical exam before we crossed the border. I, also stated that the rules and regulations allowed the suppliment to be presented at the aos interview.

the next letter i got was a letter for a aos interview.

vacination suppliments and exams are required for all immigrants--(with very few exceptions)

we did not have the suppliment done in mexico--we had it done a month before a aos interview.

we knew about the rule the whole time and wanted to delay the payment of fees.

the proplem is that when chicago took over the processing of the aos appliciations, the poe were sending the medical information to texas.(k-1 crossing on the south and west borders)

so, the medical info was having a hard time finding its way to chicago and after it got there, it was having a harder time finding its way to a file.

harlan

harlan- vaccinations are required for all beneficiaries. What is required is a record of vaccinations given prior to AOS and is contained in the "brown envelope".

The supplement's purpose is to add those vaccinations that were not given outside the US due to availability of vaccines or boosters are required to be given withing six months, etc. Also, there are other reasons.

The argument, er debate here, is whether or not one should impose on their spouse the anguish of having an entire set of new vaccinations due to a lack of a copy of a medical record detailing vaccinations that were given. That's what some have recommended from time to time.

Many here advocate that regardless of whether or not you have a copy of the vaccinations given that the supplement is required.

I say no and I think I have proven so by not providing one with my AOS.

I was not going to subject my wife to a whole new barrage of vaccinations to satisfy this forum imposed psuedo requirement.

Edited May 1, 2006 by kaydee457

[Jasman0717 9]

Claudeth needed one because Manila said she needed a tetanus shot. I took her to a civil surgeon and they did the shot and the supplemental which they sealed in an envelope and I mailed it with her I-485

[rebeccajo 14]

I say no and I think I have proven so by not providing one with my AOS.

I was not going to subject my wife to a whole new barrage of vaccinations to satisfy this forum imposed psuedo requirement.

Kaydee, you miss the point.

Nobody is advocating a whole new round of vaccines. All you do is see the civil surgeon in the US and prove what vaccines were done in the home country. If you do that by DS-3025, or letters from doctors, or a school-days vaccine booklet, or a titre test, then fine. Whatever works. It should cost less than 50 bucks, you get the supplement, you stick it in the AOS packet (or take it to the interview) and VOILA! Green card!

I don't feel that your experience proves anything other than a good result for you. And I can say that because of our personal AOS experience.

We were approved for the I-864 with an income shortfall. I had the assets to make up the difference and that's what the playbook says is allowed. But there is 'totality of circumstance' that any adjudicating officer can use to decline an affidavit or petition. I was not willing to submit my husband's petition to that type of scrutiny. I sent a co-sponsor's affidavit with his petition - that affidavit was handed back to us at the interview.

We proved it can be done for income. You proved it can be done with vaccines. What does that show? That sometimes the rules work.

I prefer to approach USCIS with my deck full. I'm not into #######-shooting with my husband's life. I doubt that you are with your wife's life either. But you play a loud gong that could potentially impact someone else's experience. And THAT is all I am saying.

There is nothing 'psuedo' about it.

Edited May 2, 2006 by rebeccajo

[Jenn! 918]

I'm not into #######-shooting with my husband's life.

The worst that would happen if one didn't submit the supplement is an RFE, no? Not really that big of a deal.

[rebeccajo 14]

I'm not into #######-shooting with my husband's life.

The worst that would happen if one didn't submit the supplement is an RFE, no? Not really that big of a deal.

Just another 60 day delay or so.

[Jenn! 918]

Many here advocate that regardless of whether or not you have a copy of the vaccinations given that the supplement is required.

I say no and I think I have proven so by not providing one with my AOS.

Or maybe when USCIS read your cover letter, they conceded that the requirements are somewhat unclear and allowed you to bypass what their intended requirement was.

[rebeccajo 14]

Many here advocate that regardless of whether or not you have a copy of the vaccinations given that the supplement is required.

I say no and I think I have proven so by not providing one with my AOS.

Or maybe when USCIS read your cover letter, they conceded that the requirements are somewhat unclear and allowed you to bypass what their intended requirement was.

I suppose that's possible. He does know how to plead a case, doesn't he? I think more likely his wife's packet contained the necessary information. Not all consulate medicals turn out that way. That's the ONLY reason it's suggested in this forum that the supplement be sent. We aren't trying to force egomaniacal, vast stores of wisdom on people. We are trying to suggest ways to get the job done correctly and smoothly.

Edited May 2, 2006 by rebeccajo

[davidandbess 0]

well for what it's worth I got my vaccie SUPPLEMENT today from the local health centre for $25

all the other shall we say private clinics wanted $100 /$220. you are in and out within 15mins.

I like many others on here would rather present to much info rather than the lack of it.

Regards David

[kaydee457 13]

Many here advocate that regardless of whether or not you have a copy of the vaccinations given that the supplement is required.

I say no and I think I have proven so by not providing one with my AOS.

Or maybe when USCIS read your cover letter, they conceded that the requirements are somewhat unclear and allowed you to bypass what their intended requirement was.

I suppose that's possible. He does know how to plead a case, doesn't he? I think more likely his wife's packet contained the necessary information. Not all consulate medicals turn out that way. That's the ONLY reason it's suggested in this forum that the supplement be sent. We aren't trying to force egomaniacal, vast stores of wisdom on people. We are trying to suggest ways to get the job done correctly and smoothly.

There's really no mystery to my success even though you want to imply that it was luck.

Yes, there were, and are people that have actually suggested from time to time that their spouses go out and get a full barrage of vaccinations (ignorant of the titre test) in order to satisfy this "requirement".

You neglect the fact that there are lots of people that do not get copies of the DS3025 (as I stated a few times before) and you seem to ignore my contention that if you are not given a copy of anything then more than likely you're not needing any vaccination follow-up.

Is this not a possibility? Does this not make sense to you? If not, then why would you need a "supplement" to a completed and documented USCIS hurdle, and why would they (the physician) not notify the patient?

You seem to want to apply your own personal experience, as well as others, concerning your consulate/country to everyone.

I really don't wish to argue this any further as it's clear that I followed through, logically, with what I thought to be the circumstances and was successful. It clearly makes no sense to be otherwise.

You choose to ignore what's intuitively obvious to me. I respect that.

This was my experience and it worked for me. Please do not attempt to diminish its success with innuendo such as "roll the dice", "go against the grain", etc. as it serves no purpose other than to skew the truth.

[rebeccajo 14]

You seem to want to apply your own personal experience, as well as others, concerning your consulate/country to everyone.

Didn't I just say in my above post that I would NOT recommend my own personal experience to others?

*sigh*

Oh well.

I tried.

Edited May 2, 2006 by rebeccajo

[houstongirl 0]

thank you so much for all your valuable comments! I did receive my medical exam and all my vaccinations here in the US in January, so that leads me to believe that I don't need a supplement since all the vaccinations were checked and given as necessary. I am also not a K visa so the requirements might be different.

Thanks again for everything and especially for all your well wishes...

You guys ROCK!

=)