Vaccine Administration Guidelines for Adults

Parameter

Needle Size

Comments

By route

Subcutaneous

23–25 gauge

5/8" long

The needle should be inserted into fatty tissue over the triceps.

Intramuscular

23–25 gauge for injection into the deltoid

Needle length is determined by sex and weight (see below).

By sex and weight for intramuscular injection

Male or female, < 60 kg

5/8–1" long

A 5/8" needle may be used for intramuscular injection into the deltoid muscle only if subcutaneous tissue is not bunched and injection is made at a 90° angle.

Females, 60–90 kg

1–1.5" long

Males, 60–118 kg

1–1.5" long

Females, > 90 kg

1.5" long

Males, > 118 kg

1.5" long