Childhood vaccination schedule

Template:Vaccination schedule Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Childhood vaccination schedule

The following table summarizes the vaccination schedule for Adolescents Aged 18 Years or Younger based on CDC 2017 recommendation.

Vaccine	Birth	1 mo	2 mos	4 mos	6 mos	12 mos	15 mos	2-3 yrs	4-6 yrs	7-10 yrs	11-12 yrs	16 yrs
Hepatitis B¹ (Hep B)	1st dose	2nd dose			3rd dose
Rotavirus² (RV) RV1 (2-dose series); RV5 (3-dose series)			1st dose	2nd dose	See footnote 2
Diphtheria, tetanus, & acellular pertussis³ (DTaP: <7 yrs)			1st dose	2nd dose	3rd dose		4th dose		5th dose
Haemophilus influenzae type b⁴ (Hib)			1st dose	2nd dose	See footnote 4	3rd or 4th dose, See footnote 4
Pneumococcal conjugate⁵ (PCV13)			1st dose	2nd dose	3rd dose	4th dose
Inactivated poliovirus⁶ (IPV: <18 yrs)			1st dose	2nd dose	3rd dose				4th dose
Influenza⁷ (IIV)					Annual vaccination (IIV) 1 or 2 doses						Annual vaccination (IIV) 1 dose only
Measles, mumps, rubella⁸ (MMR)					See footnote 8	1st dose			2nd dose
Varicella⁹ (VAR)						1st dose			2nd dose
Hepatitis A¹⁰ (Hep A)						2-dose series, See footnote 10
Meningococcal¹¹ (Hib-MenCY >6 weeks; MenACWY-D >9 mos; MenACWY-CRM ≥2 mos)			See footnote 11								1st dose	2nd dose
Tetanus, diphtheria, & acellular pertussis¹² (Tdap: >7 yrs)											Tdap
Human papillomavirus¹³ (HPV)												See footnote 13
Meningococcal B¹¹										See footnote 11
Pneumococcal polysaccharide⁵ (PPSV23)								See footnote 5

	Range of recommended ages for all children
	Range of recommended ages for catch-up immunization
	No recommendation
	Range of recommended ages for certain high-risk groups

Catch-up immunization

Catch-up immunization schedule for persons aged 4 months through 18 years who start late or who are more than 1 month behind.
The table below provides catch-up schedules and minimum intervals between doses for children whose vaccinations have been delayed. A vaccine series does not need to be restarted, regardless of the time that has elapsed between doses. Use the section appropriate for the child’s age. Always use this table in conjunction with above table and the footnotes that follow.

Children age 4 months through 6 years
Vaccine	Minimum Age for Dose 1	Minimum Interval Between Doses
Vaccine	Minimum Age for Dose 1	Dose 1 to Dose 2	Dose 2 to Dose 3	Dose 3 to Dose 4	Dose 4 to Dose 5
Hepatitis B¹	Birth	4 weeks	8 weeks and at least 16 weeks after first dose. Minimum age for the final dose is 24 weeks.
Rotavirus²	6 weeks	4 weeks	4 weeks²
Diphtheria, tetanus, and acellular pertussis³	6 weeks	4 weeks	4 weeks	6 months	6 months³
Haemophilus influenzae type b⁴	6 weeks	4 weeks if first dose was administered before the 1st birthday. 8 weeks (as final dose) if first dose was administered at age 12 through 14 months. No further doses needed if first dose was administered at age 15 months or older.	4 weeks⁴ If current age is younger than 12 months and first dose was administered at younger than age 7 months, and at least 1 previous dose was PRP-T (ActHib, Pentacel, Hiberix) or unknown. 8 weeks and age 12 through 59 months (as final dose)⁴ If current age is younger than 12 months and first dose was administered at age 7 through 11 months; OR If current age is 12 through 59 months and first dose was administered before the 1st birthday, and second dose administered at younger than 15 months; OR If both doses were PRP-OMP (PedvaxHIB; Comvax) and were administered before the 1st birthday. No further doses needed if previous dose was administered at age 15 months or older.	8 weeks (as final dose) This dose only necessary for children age 12 through 59 months who received 3 doses before the 1st birthday.
Pneumococcal⁵	6 weeks	4 weeks if first dose administered before the 1st birthday. 8 weeks (as final dose for healthy children) if first dose was administered at the 1st birthday or after. No further doses needed for healthy children if first dose was administered at age 24 months or older.	4 weeks if current age is younger than 12 months and previous dose given at <7 months old. 8 weeks (as final dose for healthy children) if previous dose given between 7-11 months (wait until at least 12 months old); OR if current age is 12 months or older and at least 1 dose was given before age 12 months. No further doses needed for healthy children if previous dose administered at age 24 months or older.	8 weeks (as final dose) This dose only necessary for children aged 12 through 59 months who received 3 doses before age 12 months or for children at high risk who received 3 doses at any age.
Inactivated poliovirus⁶	6 weeks	4 weeks⁶	4 weeks⁶	6 months⁶ (minimum age 4 years for final dose).
Measles, mumps, rubella⁸	12 months	4 weeks
Varicella⁹	12 months	3 months
Hepatitis A¹⁰	12 months	6 months
Meningococcal¹¹ (Hib-MenCY ≥6 weeks; MenACWY-D ≥9 mos; MenACWY-CRM ≥2 mos)	6 weeks	8 weeks¹¹	See footnote ¹¹	See footnote ¹¹

Children and adolescents age 7 through 18 years
Vaccine	Minimum Age for Dose 1	Minimum Interval Between Doses
Vaccine	Minimum Age for Dose 1	Dose 1 to Dose 2	Dose 2 to Dose 3	Dose 3 to Dose 4	Dose 4 to Dose 5
Meningococcal¹¹ (MenACWY-D ≥9 mos; MenACWY-CRM ≥2 mos)	Not Applicable (N/A)	8 weeks¹¹
Tetanus, diphtheria; Tetanus, diphtheria, and acellular pertussis¹²	7 years12	4 weeks	4 weeks if first dose of DTaP/DT was administered before the 1st birthday. 6 months (as final dose) if first dose of DTaP/DT or Tdap/Td was administered at or after the 1st birthday	6 months If first dose of DTaP/DT was administered before the 1st birthday.
Human papillomavirus¹³	9 years	Routine dosing intervals are recommended.¹³
Hepatitis A¹⁰	N/A	6 months
Hepatitis B¹	N/A	4 weeks	8 weeks and at least 16 weeks after first dose.
Inactivated poliovirus⁶	N/A	4 weeks	4 weeks6	6 months6
Measles, mumps, rubella⁸	N/A	4 weeks
Varicella⁹	N/A	3 months if younger than age 13 years. 4 weeks if age 13 years or older.

Specific conditions

Vaccines that might be indicated for children and adolescents aged 18 years or younger based on medical indications.

VACCINE	Pregnancy	Immunocompromised status (excluding HIV infection)	HIV infection CD4+ count (cells/μL)		Kidney failure, endstage renal disease, on hemodialysis	Heart disease, chronic lung disease	CSF leaks/ cochlear implants	Asplenia and persistent complement component deficiencies	Chronic liver disease	Diabetes
VACCINE	Pregnancy	Immunocompromised status (excluding HIV infection)	<15% of total CD4 cell count	≥15% of total CD4 cell count	Kidney failure, endstage renal disease, on hemodialysis	Heart disease, chronic lung disease	CSF leaks/ cochlear implants	Asplenia and persistent complement component deficiencies	Chronic liver disease	Diabetes
Hepatitis B¹
Rotavirus²
Rotavirus²		SCID
Diphtheria, tetanus, & acellular pertussis³ (DTaP)
Haemophilus influenzae type b⁴
Pneumococcal conjugate⁵
Inactivated poliovirus⁶
Influenza⁷
Measles, mumps, rubella⁸
Varicella⁹
Hepatitis A¹⁰
Meningococcal ACWY¹¹
Tetanus, diphtheria, & acellular pertussis¹² (Tdap)
Human papillomavirus¹³
Meningococcal B¹¹
Pneumococcal polysaccharide⁵

	Vaccination according to the routine schedule recommended
	Recommended for persons with an additional risk factor for which the vaccine would be indicated
	Vaccination is recommended, and additional doses may be necessary based on medical condition. See footnotes.
	No recommendation
	Contraindicated
	Precaution for vaccination