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Immunization Schedule for Infants and Children

 

Immunization Schedule for Infants and Children

Immunization Schedule for Infants and Children

Age	Immunizations	Comments
Birth -2 months	HBV	If mother is HbsAg positive or unknown status, the first dose of HBV should be given within 12 hours of birth along with hepatitis B immune globulin 0.5 mL. Recommended that all infants receive the first dose before hospital discharge, but may be given by age 2 months if mother known to be HbsAg negative.
1-4 months	HBV	The second HBV dose should be given at least four weeks after the first dose. For infants of HbsAg positive or unknown status mothers, the second dose should be given at 1-2 months of age.
2 months	DTaP, Hib, IPV, PCV	-
4 months	DTaP, Hib, IPV, PCV	-
6 months	DTaP, (Hib), PCV	Dose 3 of Hib is not indicated if the product for doses 1 and 2 was Pedvax HIB.
6-18 months	HBV, IPV	The third HBV dose should be administered at least 16 weeks after the first dose and at least 8 weeks after the second dose. For infants of HbsAg positive or unknown status mothers, the third dose should be given at but not before 6 months of age.
12-15 months 12-18 months	Hib, PCV, MMR VAR	Tuberculin testing may be done at the same visit if indicated. Varicella vaccine is recommended in children who do not have a reliable history of having had the clinical disease.
15-18 months	DTaP	The 4th dose of DTaP should be given 6-12 mo after the third dose of DTaP and may be given as early as 12 mo, provided that the interval between doses 3 and 4 is at least 6 mo.
4-6 years	DTaP, IPV, MMR	DTaP and IPV should be given at or before school entry. DTaP should not be given after the 7th birthday
11-12 years	MMR	Omit if MMR dose was given at age 4-6 years.
14-16 years	Td	Repeat every 10 years throughout life

Note :

HBV = Hepatitis B virus vaccine;
DTaP = diphtheria and tetanus toxoids and acellular pertussis vaccine;
Hib = Haemophilus influenzae type b conjugate vaccine;
IPV = inactivated polio vaccine;
MMR = live measles, mumps, and rubella viruses vaccine;
PCV = pneumococcal conjugate vaccine (Prevnar);
Td = adult tetanus toxoid (full dose) and diphtheria toxoid (reduced dose), for children >7 yr and adults;
VAR = varicella virus vaccine.
HbsAg = hepatitis B surface antigen.

Catch-Up Schedule for Children 7-18 Years

Age	Immunizations	Comments
First visit	HBV, IPV, MMR, Td, VAR	Varicella vaccine if child has not had varicella disease.
Interval after First visit 4 weeks	HBV, IPV, Td, VAR, MMR	If child is >13 years old, a second varicella vaccine dose is needed 4-8 weeks after the first dose.
Future visits	Td IPV HBV	Third Td dose due 6 months after second dose. Fourth Td dose due in another 6 months if first dose given at age <12 months and current age <11 years. Fourth Td dose due in 5 years from third dose if first dose given at age >12 months and third dose given at age <7 years and current age >11 years. Fourth dose due 10 years after third dose if third dose given at age >7 years. Third IPV dose due 4 weeks after second dose if <18 years. Third HBV dose due 8 weeks after second dose.
10 years later	Td	Repeat every 10 years

Note :
HBV = Hepatitis B virus vaccine;
DTaP = diphtheria and tetanus toxoids and acellular pertussis vaccine;
Hib = Haemophilus influenzae type b conjugate vaccine;
IPV = inactivated polio vaccine;
MMR = live measles, mumps, and rubella viruses vaccine;
PCV = pneumococcal conjugate vaccine (Prevnar);
Td = adult tetanus toxoid (full dose) and diphtheria toxoid (reduced dose), for children >7 yr and adults;
VAR = varicella virus vaccine