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Child and Adolescent Immunization Schedule by Medical IndicationRecommendations for Ages 18 Years or Younger, United States, 2024						Print
																Related Pages
										Back to Child and Adolescent Immunization Schedule home pageVaccines and Other Immunizing Agents in the Child Immunization Schedule
**How to use the schedule**
To make vaccination recommendations, healthcare providers should:
Determine recommended vaccine by age (**Table 1 – By Age**)
Determine recommended interval for catch-up vaccination (**Table 2 – Catch-up**)
Assess need for additional recommended vaccines by medical condition or other indication (**Table 3 – By Medical Indication**)
Review vaccine types, frequencies, intervals, and considerations for special situations (**Notes**)
Review contraindications and precautions for vaccine types (**Appendix**)
Review new or updated ACIP guidance (**Addendum**)Get email updatesDownload the SchedulePrint the schedule, color
Print the schedule, black & white
Download the mobile appCompliant version of the schedule**Legend**
Recommended for all age-eligible children who lack documentation of a complete vaccination series


Not recommended for all children, but is recommended for some children based on increased risk for or severe outcomes from disease


Recommended for all age-eligible children, and additional doses may be necessary based on medical condition or other indications. See Notes.


Precaution: Might be indicated if benefit of protection outweighs risk of adverse reaction


Contraindicated or not recommended *Vaccinate after pregnancy, if indicated


No Guidance/Not Applicable**Always use this table in conjunction with Table 1 and the Notes that follow.** Medical conditions are often not mutually exclusive. If multiple conditions are present, refer to guidance in all relevant columns. See Notes for medical conditions not listed.
child indications vaccine schedule
Vaccine and other immunizing agentsPregnancy
Immunocompromised status (excluding HIV infection)
HIV infection CD4 percentage and counta
CSF leak or cochlear implant
Asplenia or persistent complement component deficiencies
Heart disease or chronic lung disease
Kidney failure,
End-stage
renal disease
or on Dialysis
Chronic liver disease
Diabetes<15% or <200mm
≥15% and ≥200/mm3RSV-mAb  (nirsevimab)

2nd RSV season
1 dose depending on maternal
RSV vaccination status, See notes
2nd RSV season for
chronic lung disease (See notes)
1 dose depending on maternal RSV vaccination status, See notesHepatitis BRotavirusSCIDbDTaP/Tdap
DTaPTdap: 1 dose each pregnancyHib **


See notes

See notesHSCT: 3 dosesPneumococcalIPVCOVID-19

See notesIIV4LAIV4Asthma, wheezing: 2–4 yearscMeasles, mumps, rubella
*VAR
*Hepatitis AHuman papillomavirus
*
3 dose series. See notesMeningococcal ACWYMeningococcal BRSV  (Abrysvo)
Seasonal administration, See notesDengueMpox
See notes
For additional information regarding HIV laboratory parameters and use of live vaccines, see the General Best Practice Guidelines for Immunization, “Altered Immunocompetence,” and Table 4-1 (footnote J).
Severe Combined Immunodeficiency
LAIV4 contraindicated for children 2–4 years of age with asthma or wheezing during the preceding 12 monthsTo make vaccination recommendations, healthcare providers should:
Determine recommended vaccine by age (**Table 1 – By Age**)
Determine recommended interval for catch-up vaccination (**Table 2 – Catch-up**)
Assess need for additional recommended vaccines by medical condition or other indication (**Table 3 – By Medical Indication**)
Review vaccine types, frequencies, intervals, and considerations for special situations (**Notes**)
Review contraindications and precautions for vaccine types (**Appendix**)
Review new or updated ACIP guidance (**Addendum**)
Recommended by the Advisory Committee on Immunization Practices (ACIP) and approved by the Centers for Disease Control and Prevention (CDC), American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College of Obstetricians and Gynecologists (ACOG), American College of Nurse-Midwives (ACNM), American Academy of Physician Associates (AAPA), and National Association of Pediatric Nurse Practitioners (NAPNAP).
The comprehensive summary of the ACIP recommended changes made to the child and adolescent immunization schedule can be found in the January 11, 2024 *MMWR*.
**Report**
Suspected cases of reportable vaccine-preventable diseases or outbreaks to your state or local health department
Clinically significant adverse events to the Vaccine Adverse Event Reporting System (VAERS) at www.vaers.hhs.gov or (800-822-7967)**Questions 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
ACIP Shared Clinical Decision-Making Recommendations
General Best Practice Guidelines for Immunization (including contraindications and precautions)
Vaccine information statements
Manual for the Surveillance of Vaccine-Preventable Diseases (including case identification and outbreak response)Top of Page
							
					
							Last Reviewed:  November 16, 2023						Source: 	National Center for Immunization and Respiratory Diseases
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        Syndicate homeSchedules Home
For Healthcare Providersplus icon
Child & Adolescent Immunization Scheduleplus icon
Vaccines in the Schedule
Table 1 – By Age
Table 2 – Catch-up
Table 3 – By Medical Indication
Notes
Appendix
Addendum
Adult Immunization Scheduleplus icon
Vaccines in the Schedule
Table 1 – By Age
Table 2 – By Medical Indication
Notes
Appendix
Addendum
Schedule Changes & Guidance
Resourcesplus icon
Schedule-Related Resources
For You and Your Familyplus icon
Schedule for Infants and Children (Birth – 6 Years)
Schedule for Preteens and Teens (7 Years – 18 Years)


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