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- NIP: KecsiChlld Schedule main page
At a glance:.
This Schedule lists the ages (birth to 18 years old) for when each
vaccine or series of shots is to be given. If your child has m issed any shots, check
with your doctor about getting back on track.
Contents of this page:
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2.005 schedule
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2005 Catch-up schedule
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Note: There is no need to restart a vaccine series- regardless of the
time that has elapsed between doses. Use the appropriate chart on
the catch-up schedule for your chiId’s age..
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15
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18
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24
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This scheduleindicates the recommendedages.forroutine administrationqf currently
licensedchilfihoodvaccines,as of December1, 2004, for childrenthrough age
18 years.Any dose not administeredat the recommendedage shouldbe administered
at any subsequentvisit when indicatedand feasible.
$#@&Indicatesage groupsthat warrant special effort to administerthose vaccines
not previouslyadministered,Additional vaccines may be licensedand recommended
duringthe year. Licensedcombinationvaccines may be used wheneverany
componentsof the combinationare indicatedand other componentsof the vaccine
are not ~ontrai~dicat~d~
Providersshouldcdnz@tthe manufacturers’
packageinserts
for detailedrecommendations,~linically’signi~cantadverseevdnts that follow
immunizationshould be reportedto the V&cine Adverse Event ReportingSystem
plete a VAERSform are availableat
Only if mother HBsAg(-)
Catch-up immunization
Recommended Childhood and Adoiescent Immunization Schedule
UNITED
STATES
0 2005
1. Hepatitis B (HepB) vaccine. All infants shouldreceivethe first doseof HepB
vaccine soonafter birth and beforehospitaldischarge;the first dose may also be
administeredby age 2 months if the motheris hepatitisB surfaceantigen(HBsAg)
negative.Only monovalentHepBmay be usedfor the birth dose. Monovalentor
combinationvaccine containingHepBmay be usedto compietethe series.Four
dosesof vaccinemay be administeredwhen a birth dose is given.The second
doseshouldbe administeredat least 4 weeks after the first dose,exceptfor
combinationvaccineswhich cannotbe administeredbeforeage 6 weeks. The third
dose shouldbe given at least 16 weeks after the first doseand at least 8 weeks
after the seconddose.The last dose in the vaccinationseries(thirdor fourth dose)
shouldnot be administeredbefareage 24 weeks.
4. Measles, mumps, and rubella vaccine (MMR). The seconddose of MMR
is recommendedroutinelyat age 4-6 years but may be administeredduringany
visit, providedat least 4 weeks have elapsedsince the first dose and both doses
are administeredbeginningat or after age 12 months.Thosewho have not
previouslyreceivedthe seconddoseshouldcompletethe scheduleby age
11-12years.
infants born to HBsA~positive mothers shouldreceiveHepBand 0.5 ml of
hepatitisB immuneglobulin(HBtG)at separatesites within 12 hoursof birth. The
seconddose is recommendedat age 1-2 months.The final dose in the
im~uniz~tionseriesshouldnot be ~dm~nis~ered
beforeage 24 weeks. These
infants shouldbe tested for HBsAg and antibodyto HBsAg (anti-HBs)at age
9-l 5 months.
6. Pneumococcal vaccine. The heptavalentpneumo~oc~a~ conjugate
vaccine (PCV) is recommendedfor all childrenaged2-23 months and for
certainchildrenaged24-59 months.The final dose in the seriesshouldbe given at
age r 12 months.PneiuniocrZccal p~ysa~cbarid~ vaccine fPPV) is
recommendedin additionto PCVfor certainhigh-riskgroups.SeeMNIWR
2~gU;49~RR-9):1~35.
infants born to mothers whose HBsAg status is unknown shouldreceivethe
first dose of the HepBserieswithin 12 hoursof birth. Maternalbloodshouldbe
drawn as soon as possibleto determinethe mother’sHBsAgstatus; if the HBsAg
test is positive, the infantshouldreceiveHBiG as soon as possible(no later than
age 1 w.eek).The seconddose is recommendedat age l-2 months.The last dose
in the immunizationseries‘shouldnot be administeredbeforeage24 weeks.
7. Influenza vaccine. Influenzavaccine is recommendedannuallyfor children
aged r6 monthswith certainrisk factors (including,but not limited to, asthma,
cardiacdisease,sickle cell disease,~
humanimmunodeficj~ncyvirus [HIV], and
diabetes),healthcareworkers,and other persons(inctudinghouseholdmembers)in
close contactwith personsin groupsat high risk (see~~~~ 2DO~;53~RR-6]~1-4~~.
Lnaddition,healthychildrenaged6-23 months and close contacts of healthy
childrenagedO-23 months are re~pmmendedto receiveinfluenzavaccine because
childreninthis age groupare at substantiallyincreasedrisk for influenza-related
hospitai~ations.For healthypersonsaged5-49 years,the intranasaily
administered,live, attenuatedinfluenzavaccine (LAW)is an acceptabfealternative
to the i~tramus~ui~rtrivabnt ina~t~va~od
influenza.vaccine
(TIV),See~~~~
2g~4;~3~RR-6~~1-4g,
ChildrenreceivingTiV shouldbe administereda dosage
appropriatefor their age (0.25mL if aged6-35 monthsor 0.5 mL if aged ~3 years).
Childrenaged 18 yearswho are receivinginfluenzavaccine for the first time
shouldreceive2 doses(separatedby at least 4 weeks for TIV and at least 6 weeks
for LAIV).
2. diphtheria and tetanus %oxaids and acellular pertussis (DTaP)
v~~~~ne. The fourthdoseof DTaPmay be administeredas early as,age
12 months,provided6 monthshave efepsedsince the third doseand the child is
unlikelyto returnat age 15-l 8 months.Thefinal dosein the seriesshauidbe given
at age r4 years.Tetanus and dipbthe~a toxoids (Td] is re&ommended
at
age 11-12 years if at least 5 years haveelapsedsince the last doseof tetanusand
diphtheriatoxoid-containingvaccine.SubsequentroutineTd boostersare
recommendedevery 10 years.
5. Varicella vaccine. Varicellavaccine is recommendedat any visit at or after age
12 monthsfor susceptiblechildren(i.e., those who lack a reliablehistory of
chickenpox).Susceptiblepersonsaged L 13 years shouldreceive2 doses
administers at ieast 4 weeks apart.
3. ffaemophilus influenzae type b (Hib) conjugate vaccine. ThreeHib
conjugatevaccinesare licensedfor infant use. if PRP-OMP(PedvaxHW or
8. Hepatitis A vaccine. HepatitisA vaccine is recommendedfor childrenand
adolescentsin selectedstates and regionsand for certainhigh-riskgroups;consult
ComVax’+[Merck]) is administeredat ages 2 and 4 months,a doseat age
your local public healthauthority.Childrenand adolescentsin these states, regions,
6 months is not required.DTaP/Hibcombinationproductsshouldnot be usedfor
and high-riskgroupswho havenot beenimmunizedagainsthepatitisA can begin
primaryimmunizationin infants at ages 2, 4 or 6 months but can be usedas
the hepatitisA immunizationseriesduringany visit. The 2 doses in the series
boostersafter any Hib vaccine.The final dose in the seriesshouldbe administered
at age 2 12 months.
shouldbe administeredat least 6 months apart.SeelwlvlWR 1999;48(RR-12):1-37.
Recommended Immunization Schedule
UNITED
STATES 2005
l
The tables below give catch-up schedules and minimum intervals between doses for children who have delayed immunizations.
There is no need to restart a vaccine series regardless of the time that has elapsed between doses. Use the chart appropriate for the child’s age.
.
This dose only necessary for
children aged 12 months-5 years
who received 3 doses before age
Pneumococcai7
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Children
and
olescents
1. DTaP. The fifth dose is not necessaryif the fourth dosewas administeredafter
the fourth birthday.
2. IF?!. For childrenwho receivedan all-iPVor ali-oralpoliovirus(OPV)series,a
fourthdose is not necessaryif third dosewas administeredat age r4 years. If
both UPUand IPV were administeredas part of a series,a ‘total of 4 dosesshould
be given,regardlessof the child’s currentage.
3. He@. All childrenandadolescentswho havenot beenimmunizedagainsthepatitis
B shouldbeginthe HepBimmunizationseriesduringany visit. Providersshouldmake
specialeffortsto immunizechildrenwho were bornin, or whose parentswere bornin,
areasof the world wherehepatitis8 virus infectionis moderatelyor highlyendemic.
4. MMR. The seconddoseof MMR is recommendedroutinelyat age 4-6 years but
may be administeredearlierif desired.
Catch=up Schedules
WHITED STATES * 2005
5. Hib. Vaccineis not generallyrecommendedfor childrenaged r6 yeais.
6. Hib. If currentage c 12 months and the first 2 doseswere PIP-O~P
(Pedvax&B@
or ComVax@
[Merck]), the third (andfinal) dose shoutdbe
administeredat age ‘12-I 5 months and at least 8 weeks after the seconddose.
7: PCW. Vaccineis nut genera& recommendedfor childrenaged ~5 years.
8. Tci. Farchildrenaged7-10years,the intervalbetweenthe third and boosterdoseis
determinedby the agewhen the first dosewas administered.For adolescentsaged
II-18 years,the intervalis determinedby the age when the third dosewas given.
9. IPV. Vaccineis not generallyrecommendedfor personsaged 2 18 years.
IO. Varicella. Administerthe 2-doseseriesto all susceptibleadolescentsaged
2 13 years.
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