Immunization Schedule

This schedule may vary depending upon where you live, your child's health, the type of vaccine, and the vaccines available. Some of the vaccines may be given as part of a combination vaccine so that your child gets fewer shots. Ask your doctor which vaccines your child should receive.

Birth

  • Hep B: Hepatitis B vaccine (HBV); recommended to give the first dose at birth, but may be given at any age for those not previously immunized.

1–2 months

  • Hep B: Second dose should be administered 1 to 2 months after the first dose.

2 months

  • DTaP: Diphtheria, tetanus, and acellular pertussis vaccine
  • Hib: Haemophilus influenzae type b vaccine
  • IPV: Inactivated poliovirus vaccine
  • PCV: Pneumococcal conjugate vaccine
  • Rota: Rotavirus vaccine

4 months

  • DTaP
  • Hib
  • IPV
  • PCV
  • Rota

6 months

  • DTaP
  • Hib
  • PCV
  • Rota

6 months and annually

  • Seasonal influenza. The vaccine is recommended every year for children older than 6 months. Kids under 9 who get a flu vaccine for the first time will receive it in two separate doses a month apart.

    Although children 6 months to 5 years old are still considered the group of kids who need the flu vaccine the most, updated guidelines from the Centers for Disease Control and Prevention (CDC) now recommend that all older kids and teens get it, too.

    It's especially important for high-risk kids to be vaccinated. High-risk groups include, but aren't limited to, kids with asthma, heart problems, sickle cell anemia, diabetes, or human immunodeficiency virus (HIV).

    It can take up to 2 weeks after the shot is given for the body to build up immunity against the flu.

6–18 months

  • Hep B
  • IPV

12–15 months

  • Hib
  • MMR: Measles, mumps, and rubella (German measles) vaccine
  • PCV
  • Varicella (chickenpox) vaccine

12–23 months

  • Hep A: Hepatitis A vaccine; given as two shots at least 6 months apart

15–18 months

  • DTaP

4–6 years

  • DTaP
  • MMR
  • IPV
  • Varicella

11–12 years

  • HPV: Human papillomavirus (HPV) vaccine, given as 3 shots over 6 months. It's recommended for both girls and boys to prevent genital warts and cervical cancers.
  • Tdap: Tetanus, diphtheria, and pertussis booster
  • MCV: Meningitis vaccine; with a booster dose at age 16

College entrants

  • MCV: Meningitis vaccine; recommended for previously unvaccinated college entrants who will live in dormitories. One dose will suffice for healthy college students whose only risk factor is dormitory living.

Special circumstances

  • Meningitis vaccine also should be given to 13- to 18-year-olds who have not yet been vaccinated. Kids who were given their first dose between 13 and 15 years of age should receive a booster dose at 16 to 18 years of age. Children between the ages of 2 and 10 who have certain chronic illnesses will also need this vaccine, with a booster shot a few years later, depending on the age at which the first dose was given.
  • Pneumococcal vaccines may be administered to children with immunocompromising conditions, such as asplenia or HIV infection, or other medical conditions, such as cochlear implant.

Reviewed by: Elana Pearl Ben-Joseph, MD
Date reviewed: October 2011

Kids Health

Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.

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