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Childhood Routine Vaccine Schedule

The following is the routine childhood vaccine or immunization schedule. There is also a catch-up schedule for children who are behind on vaccines, and a different schedule and some other vaccines t for children considered high-risk for infection. Your child's healthcare 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. This is 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. This 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. This is a disease that causes inflammation of the throat and airways, which can block breathing.

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

Pertussis (whooping cough). This is a disease that causes prolonged loud coughing and gasping. It 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 to 12 years old. Your child should then get the Tdap or Td booster every 10 years throughout life.

Haemophilus influenzae type b (Hib)

Haemophilus influenzae type b (Hib). This is a severe bacterial infection that causes lung infection (pneumonia), inflammation of the covering of the brain and spinal cord (meningitis), 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. This is 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. This is a disease that cause ear infections and pneumonia.

Mumps. This is a disease that affects the glands in the neck. It may affect the testes.

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

1st: 12 to 15 months

2nd: 4 to 6 years

Varicella

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

1st: 12 to 15 months

2nd: 4 to 6 years

Meningococcal

Bacterial meningitis. This is inflammation of the membrane covering the brain and spinal cord. It can result in death. Two types of vaccines are available:

  • Meningococcal conjugate vaccine, or MenACWY. Prevents meningitis caused by meningococcal bacteria types A, C, W, and Y

  • Serogroup B meningococcal vaccine, or MenB. Prevents meningitis caused by meningococcal bacteria type B

MenACWY. Advised for all children; once at 11 to 12 years, with a booster at 16.

Catch-up vaccine may be given between ages 13 to 15 years, with a booster between ages 16 to 18 for children not vaccinated as a preteen.

MenB. May be advised for some children and teens over 10 years old depending on their health and risk. Talk with your child's healthcare provider.

Pneumococcal (PCV)

Pneumococcal disease. This can cause ear infections, pneumonia, meningitis, and 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 are younger than 9 years old and have never had flu vaccines. 

Hepatitis A (HepA)

Hepatitis A. This is 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, which is a sexually transmitted infection (STI), can cause genital warts or cervical, vaginal, or vulvar cancers in women

1st: 9 to 14 years

2nd: 6 to 12 months after 1st

3 dose series if not started until after age 15 years

Online Medical Reviewer: Barry Zingman MD
Online Medical Reviewer: L Renee Watson MSN RN
Online Medical Reviewer: Pat F Bass MD MPH
Date Last Reviewed: 3/1/2020
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