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Recommended Vaccinations for Infants and Children, Parent-Friendly VersionBirth through 6 Years, United States, 2023						Español (Spanish)							Print
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										Vaccine recommendations have been updated. The content on this page is **not** current and will be updated to align with the new recommendations published in the 2024 Immunization Schedules:Child and Adolescent Recommended Immunization Schedule, 2024
Adult Recommended Immunization Schedule, 2024Download the SchedulePrintable schedule, colorMore Schedule ResourcesLearn about vaccine-preventable diseases
Syndicate the schedules on your websiteFor Other GroupsAges 7 to 18 years
Ages 19 Years or Older
Pregnant Womenreceive email updates when changes are made to this page
Get Email Updates**Additional Information**
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.
If your child has any medical conditions that put them at risk for infection (e.g., sickle cell, HIV infection, cochlear implants) 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.**
2023 Recommended Immunizations for Children from Birth Through 6 Years Old
Vaccine
Birth
Birth
1
Month
2
Months
4
Months
6
Months
12
Months
15
Months
18
Months
19-23
Months
2-3
Years
4-6
YearsHepB
Hepatitis B
HepB
HepB

HepBRV*Rotavirus


RV
RV
RV*DTaP
Diphtheria, Pertussis, & Tetanus


DTaP
DTaP
DTaP

DTaP


DTaPHib**Haemophilus influenzae* type b


Hib
Hib
Hib*
HibPCV13, PCV15
Pneumococcal disease


PCV
PCV
PCV
PCVIPV
Polio


IPV
IPV
IPV


IPVCOVID-19**Coronavirus disease 2019




COVID-19**Flu†Influenza




Flu (One or Two Doses Yearly)†MMR
Measles, Mumps, & Rubella





MMR



MMRVaricella
Chickenpox





Varicella



VaricellaHepA‡Hepatitis A





HepA‡

HepA‡
Footnotes
Key and Footnotes – This table is for layout.
RV*
Hib*

Administering a third dose at age 6 months depends on the brand of Hib or rotavirus vaccine used for previous dose
COVID-19**

Number of doses recommended depends on your child’s age and type of COVID-19 vaccine used.
Flu†

Two doses given at least 4 weeks apart are recommended for children age 6 months through 8 years of age who are getting an influenza (flu) vaccine for the first time and for some other children in this age group.
HepA‡

Two doses of Hep A vaccine are needed for lasting protection. The 2 doses should be given between age 12 and 23 months. Both doses should be separated by at least 6 months. Children 2 years and older who have not received 2 doses of Hep A should complete the series.

Vaccine-Preventable Diseases and the Vaccines that Prevent Them
child vaccine preventable disease easy read
Disease
Vaccine
Disease spread by
Disease symptoms
Disease complicationsHepatitis B
HepB
vaccine protects against hepatitis B.
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, deathRotavirus
RV
vaccine protects against rotavirus.
Through the mouth
Diarrhea, fever, vomiting
Severe diarrhea, dehydration, deathDiphtheria
DTaP*
vaccine protects against diphtheria.
Air, direct contact
Sore throat, mild fever, weakness, swollen glands in neck
Swelling of the heart muscle, heart failure, coma, paralysis, deathPertussis
(whooping cough)
DTaP*
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), deathTetanus
DTaP*
vaccine protects against tetanus.
Exposure through cuts in skin
Stiffness in neck and abdominal muscles, difficulty swallowing, muscle spasms, fever
Broken bones, breathing difficulty, death*Haemophilus influenzae* type b
(Hib)
Hib
vaccine protects against*Haemophilus influenzae* type b.
Air, direct contact
May be no symptoms unless bacteria enter the blood
Meningitis (infection of the covering around the brain and spinal cord), intellectual disability, epiglottitis (life-threatening infection that can block the windpipe and lead to serious breathing problems), pneumonia (infection in the lungs), deathPneumococcal
disease
(PCV13, PCV15)
PCV
vaccine protects against pneumococcal disease.
Air, direct contact
May be no symptoms, pneumonia (infection in the lungs)
Bacteremia (blood infection), meningitis (infection of the covering around the brain and spinal cord), deathPolio
IPV
vaccine protects against polio.
Air, direct contact, through the mouth
May be no symptoms, sore throat, fever, nausea, headache
Paralysis, deathCoronavirus disease 2019
(COVID-19)
COVID-19
vaccine protects against severe complications from coronavirus disease 2019.
Air, direct contact
May be no symptoms, fever, muscle aches, sore throat, cough, runny nose, diarrhea, vomiting, new loss of taste or smell
Pneumonia (infection in the lungs), respiratory failure, blood clots, bleeding disorder, injury to liver, heart or kidney, multi-system inflammatory syndrome, post-COVID syndrome, deathInfluenza
(Flu)
Flu
vaccine protects against influenza.
Air, direct contact
Fever, muscle pain, sore throat, cough, extreme fatigue
Pneumonia (infection in the lungs), bronchitis, sinus infections, ear infections, deathMeasles
MMR**
vaccine protects against measles.
Air, direct contact
Rash, fever, cough, runny nose, pink eye
Encephalitis (brain swelling), pneumonia (infection in the lungs), deathMumps
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, deathRubella
MMR**
vaccine protects against rubella.
Air, direct contact, through the mouth
Sometimes rash, fever, swollen lymph nodes
Very serious in pregnant women—can lead to miscarriage, stillbirth, premature delivery, birth defectsChickenpox
Varicella
vaccine protects against chickenpox.
Air, direct contact
Rash, tiredness, headache, fever
Infected blisters, bleeding disorders, encephalitis (brain swelling), pneumonia (infection in the lungs), deathHepatitis A
HepA
vaccine protects against hepatitis A.
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
Footnotes – This table is for layout.
DTaP*
DTaP combines protection against diphtheria, tetanus, and pertussis.
MMR**
MMR combines protection against measles, mumps, and rubella.
This schedule is 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), and American Academy of Family Physicians (AAFP).
							
					
							Last Reviewed:  February 10, 2023						Source: 	National Center for Immunization and Respiratory Diseases
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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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