Pediatria

Recommended Immunization Schedule for Persons Aged 0 Through 6 Years—
For those who fall behind or start late, see the catch-up schedule Vaccine ▼
1

Age ►

Birth HepB

1 month

2 4 6 12 15 18 19–23 months months months months months months months HepB RV DTaP Hib PCV IPV RV DTaP Hib PCV IPV RV 2 DTaP Hib4 PCV
see footnote 3

2–3 years

4–6 years

HepB

Rotavirus

2Diphtheria, Tetanus, Pertussis Haemophilus influenzae type b4 Pneumococcal
5

DTaP

DTaP

Range of recommended ages for all children except groups

Hib PCV IPV Influenza (Yearly) MMR Varicella HepA (2 doses)
see footnote 8 see footnote 9

PPSV IPV

Inactivated Poliovirus6 Influenza7 Measles, Mumps, Rubella8 Varicella
9

MMR Varicella HepA Series MCV

Range of recommended ages forcertain

Hepatitis A10 Meningococcal11
This schedule includes recommendations in effect as of December 15, 2009. Any dose not administered at the recommended age should be administered at a subsequent visit, when indicated and feasible. The use of a combination vaccine generally is preferred over separate injections of its equivalent component vaccines. Considerations should include providerassessment, patient preference, and the potential for adverse 1. Hepatitis B vaccine (HepB). (Minimum age: birth) At birth:

events. Providers should consult the relevant Advisory Committee on Immunization Practices statement for detailed recommendations: http://www.cdc.gov/vaccines/pubs/ acip-list.htm. Clinically significant adverse events that follow immunization should be reported to the VaccineAdverse Event Reporting System (VAERS) at http://www. vaers.hhs.gov or by telephone, 800-822-7967. 6. Inactivated poliovirus vaccine (IPV) and at least 6 months following the previous dose. at age 4 through 6 years. See MMWR 7. Influenza vaccine (seasonal). (Minimum age: 6 months for trivalent inactivated

After the birth dose: -

ing medical conditions that predispose them to influenzacomplications), either LAIV or TIV may be used, except LAIV should not be given to children aged 2 through 4 years who have had wheezing in the past 12 months.

at age 9 through 18 months (generally at the next well-child visit).

9 years who are receiving influenza vaccine for the first time or who were vaccinated for the first time during the previous influenza season but only received 1 dose. seeMMWR 2009;58(No. RR-10). 8. Measles, mumps, and rubella vaccine (MMR). (Minimum age: 12 months)

2. Rotavirus vaccine (RV). second dose may be administered before age 4, provided at least 28 days have elapsed since the first dose. 9. Varicella vaccine. (Minimum age: 12 months)

or older.

indicated. 3. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP).

elapsed since thefirst dose.

least 6 months have elapsed since the third dose. 4. Haemophilus influenzae type b conjugate vaccine (Hib). 4 months, a dose at age 6 months is not indicated. 2, 4, or 6 months for the primary series but can be used as the final dose in children aged 12 months through 4 years. See MMWR 1997;46(No. RR-8). 5. Pneumococcal vaccine.

28 days after the first dose, it can be acceptedas valid. 10. Hepatitis A vaccine (HepA). (Minimum age: 12 months) 2 doses at least 6 months apart. visits whom immunity against hepatitis A is desired. 11. Meningococcal vaccine. (Minimum age: 2 years for meningococcal conjugate ment component deficiency, anatomic or functional asplenia, and certain other

1 dose of PCV to all healthy children aged 24 through 59 months who are not completelyvaccinated for their age. MMWR 2009; or older with certain underlying medical conditions, including a cochlear implant.

The Recommended Immunization Schedules for Persons Aged 0 through 18 Years are approved by the Advisory Committee on Immunization Practices (http://www.cdc.gov/vaccines/recs/acip), the American Academy of Pediatrics (http://www.aap.org), and the American Academy of Family...