Optimal protection against preventable diseases for adolescents can be provided through routine vaccination. Vaccinations recommended by the Advisory Committee on Immunization Practices of the Centers of Disease Control and Prevention can reduce morbidity and mortality associated with influenza, meningococcal, human papillomavirus, tetanus, diphtheria, and pertussis infections. Most reported adverse reactions to these vaccinations are mild, and the benefits of immunization often outweigh the potential risks. In the present article, the authors discuss adverse events, contraindications, and precautions associated with adolescent immunizations.