4 or more doses of IPV can be administered before age 4 years when a combination vaccine containing IPV is used. 3. consult your doctor. New for 2020! All routine child and adolescent vaccines are covered by VICP except for pneumococcal polysaccharide vaccine (PPSV23). *can be used in this age group. Persons traveling to or working in countries with high or intermediate endemic hepatitis A: Test for HBsAg and anti-HBs at age 9–12 months. Doses of OPV administered before April 1, 2016, should be counted (unless specifically noted as administered during a campaign). Doses administered within 14 days of starting therapy or during therapy should be repeated at least 3 months after therapy completion. month apart. 3 This schedule of recommended immunizations may vary depending upon where you live, your child's health, the type of vaccine, and the vaccines available. Chronic heart disease (particularly cyanotic congenital heart disease and cardiac failure), chronic lung disease (including asthma treated with high-dose, oral corticosteroids), diabetes mellitus: Cerebrospinal fluid leak, cochlear implant: Sickle cell disease and other hemoglobinopathies; anatomic or functional asplenia; congenital or acquired immunodeficiency; HIV infection; chronic renal failure; nephrotic syndrome; malignant neoplasms, leukemias, lymphomas, Hodgkin disease, and other diseases associated with treatment with immunosuppressive drugs or radiation therapy; solid organ transplantation; multiple myeloma: *Incomplete series = Not having received all doses in either the recommended series or an age-appropriate catch-up series. Some of the vaccines may be given as part of a combination vaccine so that a child gets fewer shots. Only trivalent OPV (tOPV) counts toward the U.S. vaccination requirements. *Unvaccinated = Less than routine series (through 14 months) OR no doses (15 months or older). Doses of any vaccine administered ≥5 days earlier than the minimum age or minimum interval should not be counted as valid and should be repeated as age-appropriate. any time) will need only 1 dose. For guidance to assess doses documented as “OPV,” see. (MenB). Five doses of the diphtheria, tetanus, pertussis combination vaccine are given, with the first dose usually given at 2 months of age, the second at 4 months, the third at 6 months, the fourth at about 15 months of age, and the fifth at about 5 years of age. The Recommended Immunization Schedules for Children and Adolescents Aged 18 Years or Younger, United States, 2020, are available to view online or to download from the Centers for Disease Control and Prevention. Intervals of ≥4 months are determined by calendar months. gets fewer shots. Anatomic or functional asplenia (including sickle cell disease), HIV infection, persistent complement component deficiency, complement inhibitor (e.g., eculizumab, ravulizumab) use: Travel in countries with hyperendemic or epidemic meningococcal disease, including countries in the African meningitis belt or during the Hajj: First-year college students who live in residential housing (if not previously vaccinated at age 16 years or older) or military recruits: Adolescent vaccination of children who received MenACWY prior to age 10 years: Note: Menactra should be administered either before or at the same time as DTaP. The maximum age for use of MMRV is 12 years. However, a dose is still recommended at or after age 4 years and at least 6 months after the previous dose. The nasal spray is only for healthy people ages 2–49. In the first 6 months of life, use minimum ages and intervals only for travel to a polio-endemic region or during an outbreak. The maximum age for the final dose is 8 months, 0 days. For calculating intervals between doses, 4 weeks = 28 days. Note: An outbreak is when a disease happens in greater numbers Learn how to display current schedules from your website. Use any influenza vaccine appropriate for age and health status annually: 2 doses, separated by at least 4 weeks, for. Please enable scripts and reload this page. Centers for Disease Control and Prevention. For information regarding vaccination in the setting of a vaccine-preventable disease outbreak, contact your state or local health department. For MenACWY booster dose recommendations for groups listed under “Special situations” and in an outbreak setting and for additional meningococcal vaccination information, see meningococcal MMWR publications. Administer recommended vaccines if immunization history is incomplete or unknown. For detailed revaccination recommendations, please see the. If you have questions about vaccinating your family Some of the vaccines may be given as part of a combination vaccine so that a child High-risk conditions below: When both PCV13 and PPSV23 are indicated, administer PCV13 first. The following 2020 schedules indicate the recommended ages for routine administration of currently li censed vaccines for children and adolescents. Slight variations in this schedule are possible. Practice Management, Improvement and Communication, Ordering, Financing, and Maintaining Supply, Education in Quality Improvement for Pediatric Practice (EQIPP), APLS: The Pediatric Emergency Medicine Resource, Pediatric Education for Prehospital Professional (PEPP), Pediatric First Aid for Caregivers and Teachers (PedFACTS), Advancing Pediatric Educator Excellence (APEX) Teaching Program. (Use combination vaccines instead of separate injections when appropriate). Skip directly to site content Skip directly to page options Skip directly to A-Z link. The following 2020 schedules indicate the recommended ages for routine administration of currently li​censed vaccines for children and adolescents. Series containing oral polio vaccine (OPV), either mixed OPV-IPV or OPV-only series: *Fully vaccinated = 5 valid doses of DTaP OR 4 valid doses of DTaP if dose 4 was administered at age 4 years or older.

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