Pediatric Vaccine Schedule
| Vaccine | Birth | 2 mo | 4 mo | 6 mo | 1–1.5 yr (12–18 mo) |
4–6 yr | 11–12 yr | 16–18 yr |
|---|---|---|---|---|---|---|---|---|
| Hepatitis B (HepB) | ✔ | ✔ | ✔ | |||||
| Rotavirus (RV) | ✔ | ✔ | ✔ | |||||
| Diphtheria, Tetanus, Pertussis (DTaP) | ✔ | ✔ | ✔ | ✔ | ✔ | |||
| Haemophilus influenzae type b (Hib) | ✔ | ✔ | ✔ | ✔ | ||||
| Pneumococcal conjugate (PCV13) | ✔ | ✔ | ✔ | ✔ | ||||
| Inactivated Poliovirus (IPV) | ✔ | ✔ | ✔ | ✔ | ||||
| Influenza (IIV) | ✔ | ✔ (annual) | ✔ (annual) | ✔ (annual) | ✔ (annual) | |||
| Measles, Mumps, Rubella (MMR) | ✔ | ✔ | ||||||
| Varicella (VAR) | ✔ | ✔ | ||||||
| Hepatitis A (HepA) | ✔ (2-dose series) | |||||||
| HPV (Human Papillomavirus) | ✔ (2–3 dose series) | |||||||
| Tdap (booster) | ✔ | |||||||
| Meningococcal (MenACWY) | ✔ | ✔ (booster) |
- Live vaccines: MMR, Varicella, Rotavirus — avoid in immunocompromised patients.
- Tdap booster: At age 11–12 years.
- DTaP - Used for infants and young children.
- Tdap - Used as a booster for older children
The uppercase letter refers to a standard dose of antigen. Lowercase letters are used to indicate a reduced dose of the antigen. In the DTaP vaccine, there is a standard dose of Diphtheria, Tetanus, and Pertussis antigens. In the Tdap, there is a standard dose of Diphtheria but a reduced dose of Tetanus and Pertussis antigens. The "a" stands for acellular indicating that it contains parts of the pertussis bacteria.
- HPV vaccine: Recommended at 11–12 years, can be started as early as 9.
At birth:
- Hepatitis B (Hep B)
At 2, 4, 6 months (3 doses total):
- Hep B
- Rotavirus (oral; live-attenuated)
- DTaP (Diphtheria, Tetanus, Pertussis)
- Haemophilus influenzae type B (Hib)
- Pneumococcal conjugate (PCV13)
- Polio (IPV) (Salk; IM killed)
6 Months and Annually
- Influenza (IIV – inactivated; start at 6 months)
- 2 doses 1 month apart the first time it's given (if <9 yrs old and naive)
- Then yearly
12–15 Months
- Hib (final dose)
- PCV13 (final dose)
- MMR (Measles, Mumps, Rubella – live)
- Varicella (live) (1st dose)
- Hepatitis A (2-dose series, 6 months apart)
- TDaP (4th dose)
At 4-6 years:
- DTaP(5th dose)
- Polio (4th dose)
- MMRV (2nd dose)
- Varicella (2nd dose)
At 11-12 years:
- Tdap (booster)
- HPV (1st dose)
- Meningococcal (MenACWY) (1st dose)
At 16-18:
- Meningococcal (MenACWY) (booster)
Age 9-45:
- HPV (2 doses if first given age 9-14; 3 doses if first given age 15+)
Age 50+:
- Herpes zoster (VZV) - Shingles vaccine
Birth
- Hep B
2 Be DR. HIP
- 2 years
- Hep B
- DTaP
- Rotavirus
- Hib
- IPV (Polio)
- PCV
4 DR. HIP
- 4 years
- DTaP
- Rotavirus
- Hib
- IPV (Polio)
- PCV
Be DR. HIP in 6mo
- Hep B
- DTaP
- Rotavirus
- Hib
- IPV (Polio)
- PCV
- 6mo
Influenza start at 6 months then yearly
1 MAD HPV
- 1-1.5yr
- MMR
- Hep A
- DTaP
- Hib
- Varicella
its Very DIM between 4-6pm
- Varicella
- DTaP
- IPV (Polio)
- MMR
at 11-12yr Tada Humans boys start becoming Men
- 11-12
- Tdap
- HPV
- Meningococcal (MenACWY)
at 16-18 Men get boosted
- Meningococcal (MenACWY)