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Immunization Schedules








Child and Adolescent Immunization Schedule by Medical IndicationRecommendations for Ages 18 Years or Younger, United States, 2023						Print
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¶ = Vaccination according to the routine schedule recommended
§ = Recommended for persons with an additional risk factor for which the vaccine would be indicated
» = Vaccination is recommended, and additional doses may be necessary based on medical condition or vaccine. See Notes.
| = Precaution—vaccine might be indicated if benefit of protection outweighs risk of adverse reaction
± = Contraindicated or not recommended—vaccine should not be administered. *Vaccinate after pregnancy
• = No recommendation/Not applicablechild indications vaccine schedule
Vaccine
IndicationPregnancy
Immunocompromised status (excluding HIV infection)
HIV infection CD4+ counta
Kidney failure, end-stage renal disease, or on hemodialysis
Heart disease or chronic lung disease
CSF leaks or cochlear implants
Asplenia or persistent complement component deficiencies
Chronic liver disease
Diabetes<15% or total CD4 cell count of <200/mm3
≥15% and total CD4 cell count of ≥200/mm3Hepatitis B
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¶Rotavirus
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¶SCIDb±Diphtheria, tetanus, and acellular pertussis more info icon. (DTaP)
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¶*Haemophilus influenzae* type b
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¶Pneumococcal conjugate
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»Inactivated poliovirus
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¶COVID-19
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(See notes)¶
(See notes)¶
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¶Influenza  (IIV4)
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¶more info icon.
Influenza  (LAIV4)
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|Asthma, wheezing: 2-4yrsc±Measles, mumps, rubella
* ±
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¶Varicella
* ±
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¶Hepatitis A
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¶Tetanus, diphtheria, and acellular pertussis  (Tdap)
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¶Human papillomavirus
* ±
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¶Meningococcal ACWY
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¶Meningococcal B
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§Pneumococcal polysaccharide
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»Dengue more info icon.
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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 monthsTop of Page
							
					
							Last Reviewed:  February 10, 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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