Skip directly to site content Skip directly to search


Español  Other Languages


An official website of the United States government Here's how you know
 Official icon**Official websites use .gov**
				A .gov website belongs to an official government organization in the United States. Lock icon**Secure .gov websites use HTTPS**
				A lock (  ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.


Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People
	CDC LogoCDC Logo
 Search

		×
			Vaccines site
			Vaccines site

				All CDC
				Submit


Immunization Schedules





Child and Adolescent Immunization Schedule by Age (Addendum updated June 27, 2024)Recommendations 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**
Range of recommended ages for all children


Range of recommended ages
for catch-up vaccination


Range of recommended ages for certain high-risk groups


Recommended vaccination can begin in this age group


Recommended vaccination based on shared clinical decision-making


No recommendation/
not applicableBirth to 15 Months
**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).
child vaccine schedule Birth to 15 Months
Vaccine and other immunizing agents
Birth
1 mo
2 mos
4 mos
6 mos
9 mos
12 mos
15 mosRespiratory syncytial virus 
(RSV-mAb [Nirsevimab])
1 dose depending on maternal RSV vaccination status, See notes



1 dose (8 through 19 months), See notesHepatitis B 
(HepB)
1st dose
←2nd dose→

←3rd dose→Rotavirus (RV) 
RV1 (2-dose series); RV5 (3-dose series)

1st dose
2nd dose
See notesDiphtheria, tetanus, & acellular pertussis 
(DTaP: <7 yrs)

1st dose
2nd dose
3rd dose

←4th dose→*Haemophilus influenzae*type b 
(Hib)

1st dose
2nd dose
See notes

←3rd or 4th dose,
See notes→Pneumococcal conjugate 
(PCV15, PCV20)

1st dose
2nd dose
3rd dose

←4th dose→Inactivated poliovirus 
(IPV: <18 yrs)

1st dose
2nd dose
←3rd dose→COVID-19
(1vCOV-mRNA, 1vCOV-aPS)

1 or more doses of updated (2023–2024 Formula) vaccine
(See notes)Influenza (IIV4)

Annual vaccination 1 or 2 dosesmore info icon.Influenza (LAIV4)Measles, mumps, rubella 
(MMR)

See notes
←1st dose→Varicella 
(VAR)

←1st dose→Hepatitis A 
(HepA)

(See notes)
←2-dose series, See notes→Tetanus, diphtheria, & acellular pertussis 
(Tdap: ≥7 yrs)Human papillomavirus 
(HPV)Meningococcal 
(MenACWY-CRM ≥2 mos, MenACWY-TT ≥2years)

See notesMeningococcal B
(MenB-4C, MenB-FHbp)Respiratory syncytial virus vaccine 
(RSV [Abrysvo])Dengue 
(DEN4CYD: 9-16 yrs)Mpox
18 Months to 18 Years
child vaccine schedule 18 Months to 18 Years
Vaccine and other immunizing agents
18
mos
19-23
mos
2-3
yrs
4-6
yrs
7-10
yrs
11-12
yrs
13-15
yrs
16
yrs
17-18
yrsRespiratory syncytial virus 
(RSV-mAb [Nirsevimab])
1 dose (8 through 19 months), See notesHepatitis B 
(HepB)
←3rd dose→Rotavirus 
(RV) RV1 (2-dose series); RV5 (3-dose series)Diphtheria, tetanus, & acellular pertussis 
(DTaP: <7 yrs)
←4th dose→

5th dose*Haemophilus influenzae*type b 
(Hib)Pneumococcal conjugate 
(PCV15, PCV20)Inactivated poliovirus 
(IPV: <18 yrs)
←3rd dose→

4th dose



SeenotesCOVID-19
(1vCOV-mRNA, 1vCOV-aPS)
1 or more doses of updated (2023–2024 Formula) vaccine
(See notes)Influenza (IIV4)
Annual vaccination 1 or 2 doses




Annual vaccination 1 dose onlymore info icon.Influenza (LAIV4)

Annual vaccination 1 or 2 doses


Annual vaccination 1 dose onlyMeasles, mumps, rubella 
(MMR)

2nd doseVaricella 
(VAR)

2nd doseHepatitis A 
(HepA)
← 2-dose series, See notes→Tetanus, diphtheria, & acellular pertussis 
(Tdap: ≥7 yrs)


1 doseHuman papillomavirus 
(HPV)


See notesMeningococcal 
(MenACWY-CRM ≥2 mos, MenACWY-TT ≥2years)
See notes
1st dose

2nd doseMeningococcal B 
(MenB-4C, MenB-FHbp)






See notesRespiratory syncytial virus vaccine 
(RSV [Abrysvo])

Seasonal administration
during pregnancy, See notesDengue 
(DEN4CYD: 9-16 yrs)




Seropositive in endemic dengue areas
(See notes)Mpox
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**)
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
					Facebook
        Twitter
        LinkedIn
        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)


About CDC
					Contact Us
					800-232-4636
 Facebook Twitter Instagram LinkedIn Youtube Pinterest Snapchat
 CONTACT CDC
				Contact Us
							Call 800-232-4636
							Email Us
			ABOUT CDC
				About CDC
							Jobs
							Funding
			POLICIES
				Accessibility
							External Links
							Privacy
							Policies
							No Fear Act
							FOIA
							OIG
							Nondiscrimination
							Vulnerability Disclosure Policy
			CONNECT WITH US
				Facebook
								Twitter
								Instagram
								LinkedIn
							Youtube
								Pinterest
								Snapchat
								Email
			LANGUAGES
				Español
							繁體中文
							Tiếng Việt
							한국어
							Tagalog
							Русский
							العربية
							Kreyòl Ayisyen
							Français
							Polski
							Português
							Italiano
							Deutsch
							日本語
							فارسی
							English


U.S. Department of Health & Human Services
			Accessibility
			External Links
			Privacy
			Policies
			No Fear Act
			FOIA
			Nondiscrimination
			OIG
			Vulnerability Disclosure Policy
			USA.gov


Exit Notification / Disclaimer Policy Close
 Links with this icon  indicate that you are leaving the CDC website. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website.
				Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
				You will be subject to the destination website's privacy policy when you follow the link.
				CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Website Disclaimers
 Cancel Continue