11 fév 2021 · Vaccines in the Child and Adolescent Immunization Schedule* Diseases: www cdc gov/vaccines/pubs/surv-manual No further doses needed for healthy children if previous dose was administered at age 24 months or
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[PDF] 2021 Recommended Child and Adolescent Immunization - CDC
11 fév 2021 · Vaccines in the Child and Adolescent Immunization Schedule* Diseases: www cdc gov/vaccines/pubs/surv-manual No further doses needed for healthy children if previous dose was administered at age 24 months or
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Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger
How to use the child and adolescent immunization
schedule Recommended by the Advisory Committee on Immunization Practices (www.cdc.gov/vaccines/acip) and approved by the Centers for Disease Control and Prevention (www.cdc.gov), American Academy of Pediatrics (www.aap.org), American Academy of Family Physicians (www.aafp.org), American College of Obstetricians and Gynecologists (www.acog.org), American College of Nurse-Midwives (www.midwife.org), American Academy of Physician Associates (www.aapa.org), and National Association of Pediatric Nurse Practitioners (www.napnap.org).UNITED STATES
2023Vaccines in the Child and Adolescent Immunization Schedule*
VaccineAbbreviation(s)Trade name(s)
COVID-191vCOV-mRNAComirnaty®/Pflzer-
BioNTech COVID-19
Vaccine
SPIKEVAX®/Moderna
COVID-19 Vaccine
2vCOV-mRNAPflzer-BioNTech
COVID-19 Vaccine,
Bivalent
Moderna COVID-19
Vaccine, Bivalent
1vCOV-aPSNovavax COVID-19
Vaccine
Dengue vaccineDEN4CYDDengvaxia®
Diphtheria, tetanus, and acellular pertussis vaccineDTaPDaptacel®Infanrix®
Diphtheria, tetanus vaccineDTNo trade name
Haemophilus influenzae type b vaccineHib (PRP-T)
Hib (PRP-OMP)
ActHIB®
Hiberix®
PedvaxHIB®
Hepatitis A vaccineHepAHavrix®
Vaqta®
Hepatitis B vaccineHepBEngerix-B®
Recombivax HB®
Human papillomavirus vaccineHPVGardasil 9®
Inuenza vaccine (inactivated)IIV4Multiple
Inuenza vaccine (live, attenuated)LAIV4FluMist® Quadrivalent Measles, mumps, and rubella vaccineMMRM-M-R II®Priorix®
Meningococcal serogroups A, C, W, Y vaccineMenACWY-DMenactra®MenACWY-CRMMenveo®
MenACWY-TTMenQuadfl®
Meningococcal serogroup B vaccineMenB-4CBexsero®MenB-FHbpTrumenba®
Pneumococcal conjugate vaccinePCV13
PCV15Prevnar 13®
Vaxneuvance
Pneumococcal polysaccharide vaccinePPSV23Pneumovax 23®Poliovirus vaccine (inactivated)IPVIPOL®
Rotavirus vaccineRV1
RV5Rotarix®
RotaTeq®
Tetanus, diphtheria, and acellular pertussis vaccineTdapAdacel®Boostrix®
Tetanus and diphtheria vaccineTdTenivac®
Tdvax
Varicella vaccineVARVarivax®
Combination vaccines (use combination vaccines instead of separate injections when appropriate) DTaP, hepatitis B, and inactivated poliovirus vaccineDTaP-HepB-IPVPediarix® DTaP, inactivated poliovirus, and Haemophilus influenzae type b vaccineDTaP-IPV/HibPentacel® DTaP and inactivated poliovirus vaccineDTaP-IPVKinrix®Quadracel®
DTaP, inactivated poliovirus, Haemophilus influenzae type b, and hepatitis B vaccineDTaP-IPV-Hib-
HepBVaxelis®
Measles, mumps, rubella, and varicella vaccineMMRVProQuad®Administer recommended vaccines if immunization history is incomplete or unknown. Do not restart or add doses to vaccine series for
extended intervals between doses. When a vaccine is not administered at the recommended age, administer at a subsequent visit.
The use of trade names is for identication purposes only and does not imply endorsement by the ACIP or CDC.
Report
Suspected cases of reportable vaccine-preventable diseases or outbreaks to your state or local health
department Clinically signiflcant adverse events to the Vaccine Adverse Event Reporting System (VAERS) at www.vaers.hhs.gov or 800-822-7967Questions or comments
Contact www.cdc.gov/cdc-info or 800-CDC-INFO (800-232-4636), in English or Spanish, 8 a.m.-8 p.m. ET,
Monday through Friday, excluding holidays
Helpful information
Complete Advisory Committee on Immunization Practices (ACIP) recommendations: General Best Practice Guidelines for Immunization (including contraindications and precautions):Vaccine information statements:
www.cdc.gov/vaccines/hcp/vis/index.html Manual for the Surveillance of Vaccine-Preventable Diseases (including case identication and outbreak response): www.cdc.gov/vaccines/pubs/surv-manual ACIP Shared Clinical Decision-Making RecommendationsDetermine
recommended vaccine by age (Table 1) 2Determine
recommended interval for catch- up vaccination (Table 2) 3Assess need
for additional recommended vaccines by medical condition or other indication (Table 3) 4Review vaccine
types, frequencies, intervals, and considerations for special situations (Notes) 5Review
contraindications and precautions for vaccine types (Appendix) Download the CDC Vaccine Schedules app for providers atCS310020-C
Scan QR code
for access to online scheduleCOVID-19 vaccination recommendations have changed. Find the latest recommendations at www.cdc.gov/covidschedule
These recommendations must be read with the notes that follow. For those who fall behind or start late, provide catch-up vaccination at the earliest opportunity as indicated by the green bars.
To determine minimum intervals between doses, see the catch-up schedule (Table 2).VaccineBirth1 mo2 mos4 mos6 mos9 mos12 mos15 mos18 mos19-23 mos2-3 yrs4-6 yrs7-10 yrs11-12 yrs13-15 yrs16 yrs17-18 yrs
Hepatitis B (HepB)1
st dose----- 2 nd dose -----W---------------------------- 3 rd dose ----------------------------Rotavirus (RV): RV1 (2-dose series),
RV5 (3-dose series)
1 st dose2 nd doseSee NotesDiphtheria, tetanus, acellular pertussis
(DTaP <7 yrs) 1 st dose2 nd dose3 rd dose----- 4 th dose ------5 th doseHaemophilus infiuenzae type b (Hib)1
st dose2 nd doseSee Notes 3 rd or 4 th dose,See Notes
Pneumococcal conjugate
(PCV13, PCV15) 1 st dose2 nd dose3 rd dose----- 4 th dose -----Inactivated poliovirus
(IPV <18 yrs) 1 st dose2 nd dose---------------------------- 3 rd dose ----------------------------4 th dose See NotesCOVID-19 (1vCOV-mRNA,
2vCOV-mRNA, 1vCOV-aPS)
2- or 3- dose primary series and booster (See Notes)
Inuenza (IIV4)Annual vaccination 1 or 2 dosesAnnual vaccination 1 dose onlyInuenza (LAIV4)
Annual vaccination
1 or 2 doses
Annual vaccination 1 dose only
Measles, mumps, rubella (MMR)See Notes----- 1
st dose -----2 nd doseVaricella (VAR)----- 1
st dose -----2 nd dose Hepatitis A (HepA)See Notes2-dose series, See NotesTetanus, diphtheria, acellular pertussis
(Tdap 7 yrs)1 dose
Human papillomavirus (HPV)
See NotesMeningococcal (MenACWY-D 9
mos,MenACWY-CRM 2 mos, MenACWY-TT
2years)
See Notes1
st dose2 nd doseMeningococcal B
(MenB-4C, MenB-FHbp)See Notes
Pneumococcal polysaccharide
(PPSV23)See Notes
Dengue (DEN4CYD; 9-16 yrs)
Seropositive in endemic
dengue areas (See Notes) ororRange of recommended
ages for all childrenRange of recommended ages
for catch-up vaccinationRange of recommended ages
for certain high-risk groupsRecommended vaccination
can begin in this age groupRecommended vaccination based
on shared clinical decision-makingNo recommendation/
not applicableCOVID-19 vaccination recommendations have changed. Find the latest recommendations at www.cdc.gov/covidschedule
Table 1
Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger, United States, 2023
The table below provides catch-up schedules and minimum intervals between doses for children whose vaccinations have been delayed. A vaccine series does not need to be restarted, regardless of the time that has
elapsed between doses. Use the section appropriate for the child"s age. Always use this table in conjunction with Table 1 and the Notes that follow.
Children age 4 months through 6 years
VaccineMinimum Age for
Dose 1
Minimum Interval Between Doses
Dose 1 to Dose 2Dose 2 to Dose 3Dose 3 to Dose 4Dose 4 to Dose 5 Hepatitis BBirth4 weeks8 weeks and at least 16 weeks after first dose minimum age for the nal dose is 24 weeksRotavirus6 weeks
Maximum age for rst
dose is 14 weeks, 6 days.4 weeks4 weeks
maximum age for nal dose is 8 months, 0 daysDiphtheria, tetanus, and
acellular pertussis6 weeks4 weeks4 weeks6 months6 months
Haemophilus influenzae
type b6 weeksNo further doses needed
if rst dose was administered at age 15 months or older.4 weeks
if rst dose was administered before the 1 st birthday.8 weeks (as final dose)
if rst dose was administered at age 12 through 14 months.No further doses needed
if previous dose was administered at age 15 months or older4 weeks
if current age is younger than 12 months and rst dose was administered at younger than age 7 months and at least