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Child and Adolescent Immunization Schedule by AgeRecommendations 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
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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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