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Well-child immunization schedule

The following chart provides a recommended schedule of vaccines for U.S. children. These recommendations are constantly being reviewed and updated by medical organizations. Check with your doctor or other health care professional regarding the timing of immunizations for your child.

Age

Vaccine

2 months

PCV, HBV-Hib, DTaP, IPV

4 months

PCV, HBV-Hib, DTaP, IPV

6 months

PCV, DTaP

6 months to 2 years*

Flu

9 months

HBV, IPV

12 months

MMR, Varivax

15 months

PCV, DTaP-Hib

3 to 6 years

MMR

5 years

DTaP, IPV

11 years

Td (and HBV, MMR and Varivax if not previously given)

17 years

Meningococcal vaccine

*Children between the ages of 6 months and 2 years are among those most likely to be hospitalized for influenza. For this reason, otherwise healthy children in this age range should receive the influenza vaccine in November for the upcoming winter. For children with asthma or other cardiopulmonary or immunologic disorders, an annual flu shot is recommended even beyond age 2. The first year your child gets a flu shot, two doses are required — separated by 1 month. In subsequent years only one dose is needed.

In December 2002, the Food and Drug Administration approved a new combination vaccine called Pediarix. The vaccine reduces the number of injections given during the first 2 years of life by combining several required vaccines — DTaP, hepatitis B and polio — into one combination vaccine. The new vaccine may not be available in all areas.


Vaccine abbreviations

DTaP. Diphtheria, tetanus and acellular pertussis

MMR. Measles-mumps-rubella

DTaP-Hib. Diphtheria, tetanus and acellular pertussis-Haemophilus influenzae type b

PCV. Pneumococcal conjugate vaccine

HBV. Hepatitis B

Td. Tetanus-diphtheria toxoid, adult type (booster)

HBV-Hib. Hepatitis B-Haemophilus influenzae type b

Varivax. Chickenpox (varicella) virus vaccine live

IPV. Poliovirus vaccine inactivated (also called Salk)

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