Immunization Schedule

The recommended immunization schedule may differ depending on where you live, your child's health, the type of vaccine, and the vaccines available.

Some of the vaccines may be administered as part of a combination vaccine, resulting in fewer shots for the child. Consult your doctor about which vaccines your children require.

Birth

HepB: Hepatitis B vaccine. Ideally, the first dose is given within 12–24 hours of birth, but kids not previously immunized can get it at any age. Some low birth weight infants will get it at 1 month or when they're discharged from the hospital.

1–2 months

HepB: The second dose should be administered one to two months after the first.

2 months

DTaP: Vaccination against diphtheria, tetanus, and acellular pertussis

Hib: Vaccine against Haemophilus influenzae type B

IPV: Poliovirus vaccine that has been inactivated

PCV: Pneumococcal conjugate vaccine

RV: Rotavirus vaccine

4 months

DTaP

Hib

IPV

PCV

RV

6 months

DTaP

Hib: Depending on the brand of vaccine used in previous Hib immunizations, a third dose may be required.

PCV

RV: Depending on the brand of vaccine used in previous RV immunizations, a third dose may be required.

6 months and annually

Influenza (Flu):Every year, children aged 6 months and up are advised to get the flu vaccine:

-Children under the age of nine who receive the flu vaccine for the first time (or who have only received one dose prior to July 2022) will receive it in two doses at least a month apart.

- Those under the age of 9 who have previously received at least two doses of flu vaccine (before July 2022) will only require one dose.

- Children over the age of 9 only require one dose.

The vaccine is administered via needle injection (the flu shot) or nasal spray. This flu season (2022-2023), both types of vaccine can be used because they appear to work equally well. Your doctor will advise you based on your child's age and overall health. The nasal spray is only available to healthy people aged 2 to 49. People with weakened immune systems or certain medical conditions (such as asthma), as well as pregnant women, should not receive the nasal spray vaccine.

6–18 months

HepB

IPV

12–15 months

Hib

MMR: Vaccination against measles, mumps, and rubella (German measles). MMRV is a vaccine that is sometimes given in conjunction with the varicella vaccine.

PCV

Varicella (chickenpox)

12–23 months

HepA: Hepatitis A vaccine is administered in two doses at least six months apart.

15–18 months

DTaP

4–6 years

DTaP

MMR

IPV

Varicella

9–16 years

Dengue vaccine: This vaccine is given in three doses to children who have already had dengue fever and live in dengue-infested areas (such as Puerto Rico, American Samoa, and the U.S. Virgin Islands).

11–12 years

HPV: Human papillomavirus vaccine, administered in two doses over a six- to twelve-month period. It can be given as early as the age of nine. It is given in three shots over six months to teenagers and young adults (ages 15-26). It is advised for both girls and boys to use to prevent genital warts and certain types of cancer.

Tdap: Booster for tetanus, diphtheria, and pertussis. Also advised during every pregnancy a woman has.

MenACWY: Vaccination against meningococcal disease. Meningococcal bacteria types A, C, W, and Y are all protected against. A booster dose is advised at the age of 16.

16–18 years

MenB: Meningococcal bacterium type B protection. Depending on the brand, children and adolescents may receive the MenB vaccine in two or three doses. Unlike the meningococcal conjugate vaccine, which is recommended for everyone, the teens, their parents, and the doctor make the decision to get the MenB vaccine. It is only advised for children aged 10 and up who have specific conditions that weaken their immune system or during an outbreak.

Other Things to Know

The HepA vaccine can be given to babies as young as 6 months if they are going to a place where hepatitis A is common (they will still need routine vaccination after their first birthday). It is also recommended for older children who have not previously received it.

The MMR vaccine Babies as young as 6 months old can be given it if they will be traveling internationally. These children should still receive the recommended routine doses at 12-15 months and 4-6 years of age, but the second dose can be administered as soon as four weeks after the first if they will be traveling and at risk.

The flu vaccine is especially important for children who are at risk of flu-related health problems. Children under the age of five are at high risk, as are those with chronic medical conditions such as asthma, heart disease, sickle cell disease, diabetes, or HIV.

Pneumococcal vaccines can be given to older children (age 2 and up) who have immune system conditions such as asplenia or HIV infection, or other conditions such as a cochlear implant, chronic heart disease, or chronic lung disease.

The meningococcal vaccines can be given to children as young as 8 weeks old who are at risk for a meningococcal infection, such as meningitis (depending on the vaccine brand). This includes children who have certain immune disorders. Children who live in (or will travel to) countries where meningitis is common or where an outbreak is occurring should also receive the vaccine.

COVID- 19 vaccines and booster shots are recommended for adults and kids 6 months of age and older. Everyone who is eligible should get these as soon as possible.

Adults who were fully immunized against polio as children can receive a polio vaccine booster dose if they are at risk of contracting the disease. This can include individuals who:

travel to areas where there's a high risk for catching polio

might be exposed to poliovirus at work

have close contact at home with someone who has polio

Note: An outbreak occurs when a disease occurs in greater numbers than expected in a specific area. If you have any questions about vaccinating your family during an outbreak, consult your doctor or the state or local health department.

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