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剛從USCIS網站看到：

ALERT: Effective Dec. 2, 2024, if you are required to submit Form I-693, or a partial Form I-693 (such as the Vaccination Record), you must submit it with your Form I-485. Otherwise, we may reject your Form I-485.? 

-Just follow the USCIS Instruction you cited here to submit it with your I-485 filing at the same time.