My wife completed the medical exam at Juarez Mexico during the k1 process but we opted to not do the vaccination portion due to costs so her DS-3025 was marked incomplete but good enough to get her visa. Every civil surgeon I contacted would not fill out only the vaccination portion and would only do a complete i-693. So we ended up paying $550 for a complete i-693 plus she needed to redo her blood work for TB and syphilis which we already previously completed. That blood work cost an additional $100. I had insurance so all the vaccines were covered and the ones they told us to do were Tdap, Polio (IPV), MMR (first round only needed although second round a month later was recommended), Hepatitis B (first round only needed and also second round a month later was recommended), Varicella, Influenza, and COVID. The USCIS letter did not specify which vaccines it just asked for a completed vaccination record.