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Childhood Routine Vaccination Schedule

The following is the routine childhood vaccination or immunization schedule. There is also a catch-up schedule for children who are behind on immunizations and a different schedule for children considered high-risk for infection. Your child's health care provider or nurse can give you information about the routine and other schedules.

Vaccine

Disease prevented

Number of vaccines and age for giving them

Hepatitis (HepB)

Hepatitis B, an infection that can cause chronic, severe liver disease

1st: Birth

2nd: 1 to 2 months

3rd: 6 to 18 months

Rotavirus (RV)

Rotavirus infection, which causes severe diarrhea in infants and children up to 2 years old

1st: 2 months

2nd: 4 months

3rd: 6 months

Diphtheria, Tetanus, Pertussis (DTaP)

Diphtheria, a disease that causes inflammation of the throat and airways, which can block breathing

Tetanus (lockjaw), a disease that causes severe, painful spasms of neck, jaw, and other muscles; can cause death

Pertussis (whooping cough), a disease that causes prolonged loud coughing and gasping; can interfere with breathing and can cause death

1st: 2 months

2nd: 4 months

3rd: 6 months

4th: 15 to 18 months

5th: 4 to 6 years

Note: Your child also needs an extra dose (called the Tdap) at 11–12 years old.The Td booster should then be received every 10 years throughout life.

Haemophilus influenzae Type b (Hib)

Haemophilus influenzae Type b (Hib), a severe bacterial infection that causes pneumonia (lung infection), meningitis (inflammation of the covering of the brain and spinal cord), and other serious infections

1st: 2 months

2nd: 4 months

3rd: 6 months (This dose depends on the vaccine used)

4th: 12 to 15 months

Inactivated Poliovirus (IPV)

Polio, an infection that can paralyze the muscles

1st: 2 months

2nd: 4 months

3rd: 6 to 18 months

4th: 4 to 6 years

Note: Infants, children, and adults traveling to countries where polio is still active, and staying for more than 4 weeks, should get age-appropriate polio vaccines or a polio booster within 12 months before travel.

Measles, Mumps, Rubella (MMR)

Measles, a disease that ca ear infections and pneumonia

Mumps, a disease that affects the glands in the neck and may affect the testes

Rubella (German measles), a disease that can cause birth defects in women exposed while pregnant

1st: 12 to 15 months

2nd: 4 to 6 years

Varicella

Chickenpox, a disease that causes itchy rash, with fever and fatigue; can lead to scarring, pneumonia, encephalitis (brain inflammation), and other serious infections

1st: 12 to 15 months

2nd: 4 to 6 years

Meningococcal

Bacterial meningitis, inflammation of the membrane covering the brain and spinal cord. It can result in death

Once at 11 to12 years, with a booster at 16.

Pneumococcal (PCV)

Pneumococcal disease, can cause ear infections, pneumonia, meningitis, or bacteremia.

1st: 2 months

2nd: 4 months

3rd: 6 months

4th: 12 to15 months

Influenza

Flu, different strains of which appear each year; the flu can be serious, especially for very young children. It can result in pneumonia and hospitalizations.

Yearly beginning at age 6 months.

2 doses are given for children who have never had flu vaccines 

Hepatitis A (HepA)

Hepatitis A, an infection that can cause sudden liver inflammation

1st: 12 to 23 months

2nd: 6 to 18 months after the first dose

Human Papillomavirus (HPV)

Certain types of genital HPV infection, a sexually transmitted disease (STD), which can cause genital warts and/or cervical, vaginal, or vulvar cancers in women

For girls:

1st: 11 to 12 years

2nd: 2 months after 1st

3rd: 4 months after 2nd

For boys:

1st: 18 years

2nd and 3rd same as for girls

 

Online Medical Reviewer: Holloway, Beth, RN, M.Ed.
Online Medical Reviewer: MMI board-certified, academically affiliated clinician
Date Last Reviewed: 8/28/2014
© 2000-2014 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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