— 

2023 Recommended Immunizations for Children 7–18 Years Old 

7 8 9 10 11 12 13 14 15 16 17 18 

YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS 

RECOMMENDED VACCINES 

COVID-19* 

Coronavirus disease 2019 

Flu** 

Influenza 

Tdap Tetanus, 

Diphtheria, & Pertussis 

HPV† 

Human papillomavirus 

MenACWY 

Meningococcal disease 

MenB 

Meningococcal disease 

(One Flu Dos

or Two 

es Yearly)** 

Td

HP

Men

COVI

ap 

V† 

ACWY 

D-19* 

Flu (One Dose Yearly) 

MenACWY 

MenB 

CATCHING UP ON MISSED CHILDHOOD VACCINATION‡ 

MMR Measles, 

Mumps, & Rubella 

Varicella 

Chickenpox 

HepA 

Hepatitis A 

HepB

Hepatitis B 

IPV 

Polio 

M

Vari

He

He

IPV 

MR 

cella 

pA 

pB 

ONLY IN PLACES WHERE DENGUE IS COMMON — MUST have a laboratory test confirming past dengue infection 

Dengue Dengue 

KEY 

Indicates when the vaccine is 

recommended for all children 

unless your doctor tells you that 

your child cannot safely receive 

the vaccine. 

Indicates the vaccine series can 

begin at this age. 

Indicates the vaccine should be 

given if a child is catching up on 

missed vaccines. A vaccine series 

does not need to be restarted, 

regardless of the time that has 

elapsed between doses. 

Indicates children not at increased 

risk may get the vaccine if they 

wish after speaking to a provider. 

ADDITIONAL INFORMATION 

1. If your child misses a shot 

recommended for their age, talk 

to your child’s doctor as soon as 

possible to see when the missed 

shot can be given. 

2. If your child has any medical 

conditions that put them at risk 

for infection or is traveling outside 

the United States, talk to your 

child’s doctor about additional 

vaccines that they may need. 

Talk with your child’s doctor if 

you have questions about any shot 

recommended for your child. 

FOOTNOTES 

Number 

of doses 

Two doses given at least 4 weeks 

apart are recommended for children 

Ages 11 through 12 years old should get a 

2-shot series separated by 6 to 12 months. 

recommended depends on age 6 months through 8 years of age who are The series can begin at 9 years old. A 3-shot series is 

your child’s age and type getting an influenza (flu) vaccine for the first time recommended for those with weakened immune systems 

of COVID-19 vaccine used. and for some other children in this age group. and those who start the series after their 15th birthday. 

COVID-19* Flu** HPV† ‡Originally recommended age ranges for missed childhood vaccinations: 2-dose 

series of MMR at 12–15 months and 4–6 years; 2-dose series of Varicella at 12–15 

months and 4–6 years; 2-dose series of HepA (minimum interval: 6 months) at 

age 12–23 months; 3-dose series of HepB at birth, 1–2 months, and 6–18 months; 

and 4-dose series of Polio at 2 months, 4 months, 6–18 months, and 4–6 years. 

FOR MORE INFORMATION 

Call toll-free: 1-800-CDC-INFO (1-800-232-4636) 

Or visit: cdc.gov/vaccines/parents 
Diseases and the Vaccines that Prevent Them 

DISEASE VACCINE DISEASE SPREAD BY DISEASE SYMPTOMS DISEASE COMPLICATIONS 

7–18 YEARS OLD

Air, direct contact 

Pneumonia (infection in the lungs), respiratory failure, blood 

clots, bleeding disorder, injury to liver, heart or kidney, multisystem inflammatory syndrome, post-COVID syndrome, death 

Air, direct contact Pneumonia (infection in the lungs), bronchitis, sinus 

infections, ear infections, death 

COVID-19 

vaccine protects against severe 

complications from coronavirus 

disease 2019. 

Influenza (Flu) Flu vaccine protects against influenza. 

Coronavirus 

disease 2019 

(COVID 19) 

– 

May be no symptoms, fever, muscle aches, 

sore throat, cough, runny nose, diarrhea, 

vomiting, new loss of taste or smell 

Fever, muscle pain, sore throat, cough, 

extreme fatigue 

Tetanus Tdap* and Td** vaccines protect against 

tetanus. 

Exposure through 

cuts in skin 

Stiffness in neck and abdominal muscles, 

difficulty swallowing, muscle spasms, fever Broken bones, breathing difficulty, death 

Diphtheria Tdap* 

and Td** vaccines protects against 

diphtheria. Air, direct contact Sore throat, mild fever, weakness, swollen glands in neck Swelling of the heart muscle, heart failure, coma, paralysis, death 

Pertussis 

(whooping cough) Tdap* vaccine protects against pertussis 

(whooping cough). Air, direct contact Severe cough, runny nose, apnea (a pause in breathing in infants) Pneumonia (infection in the lungs), death 

Human 

papillomavirus HPV vaccine protects against human 

papillomavirus. 

Meningococcal 

disease MenACWY MenB vaccines protect against 

meningococcal disease. 

Direct skin contact May be no symptoms, genital warts Cervical, vaginal, vulvar, penile, anal, oropharyngeal cancers 

Sudden onset of fever, headache, and stiff Loss of limb, deafness, nervous system disorders, Air, direct contact neck, dark purple rash developmental disabilities, seizure disorder, stroke, death 

Measles MMR† vaccine protects against measles. Air, direct contact Rash, fever, cough, runny nose, pink eye Encephalitis (brain swelling), pneumonia (infection in the lungs), 

death 

Mumps MMR† vaccine protects against mumps. Air, direct contact Swollen salivary glands (under the jaw), 

fever, headache, tiredness, muscle pain 

Meningitis (infection of the covering around the brain and spinal 

cord), encephalitis (brain swelling), inflammation of testicles or 

ovaries, deafness, death 

Rubella MMR† vaccine protects against rubella. Air, direct contact Sometimes rash, fever, swollen lymph nodes Very serious in pregnant women—can lead to miscarriage, 

stillbirth, premature delivery, birth defects 

Chickenpox Varicella vaccine protects against chickenpox. 

Hepatitis A HepA vaccine protects against hepatitis A. 

Hepatitis B HepB vaccine protects against hepatitis B. 

Polio IPV vaccine protects against polio. 

Dengue Dengue‡ vaccine protects against dengue. 

Air, direct contact Rash, tiredness, headache, fever Infected blisters, bleeding disorders, encephalitis (brain 

swelling), pneumonia (infection in the lungs), death 

Direct contact, 

contaminated food 

or water 

May be no symptoms, fever, stomach pain, 

loss of appetite, fatigue, vomiting, jaundice 

(yellowing of skin and eyes), dark urine 

Liver failure, arthralgia (joint pain), kidney, pancreatic and blood 

disorders, death 

Contact with blood 

or body fluids 

May be no symptoms, fever, headache, 

weakness, vomiting, jaundice (yellowing 

of skin and eyes), joint pain 

Chronic liver infection, liver failure, liver cancer, death 

Air, direct contact, 

through the mouth 

May be no symptoms, sore throat, fever, 

nausea, headache Paralysis, death 

Bite from infected 

mosquito 

May be no symptoms, fever, headache, 

pain behind the eyes, rash, joint pain, 

body ache, nausea, loss of appetite, feeling 

tired, abdominal pain 

Severe bleeding, seizures, shock, damage to the liver, heart, and 

lungs, death 

Tdap* Tdap combines protection against Td** Td combines protection against MMR† MMR combines protection against Dengue‡ Recommended where Last updated December 2022 

diphtheria, tetanus, and pertussis. diphtheria and tetanus. measles, mumps, and rubella. dengue is common. CS322257-B