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Child and Adolescent Immunization ScheduleRecommendations for Ages 18 Years or Younger, United States, 2023						Print
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¶ = Range of recommended ages for all children
†= Range of recommended ages for catch-up immunization
§ = 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
child vaccine schedule table 1
Vaccine
Birth
1 mo
2 mos
4 mos
6 mos
9 mos
12 mos
15 mosHepatitis B 
(HepB)
1st dose¶
←2nd dose→¶
†
←3rd dose→¶Rotavirus more info icon.
(RV) RV1 (2-dose series); RV5 (3-dose series)
•
•
1st dose¶
2nd dose¶
See notes¶
•
•
•Diphtheria, 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 
(PCV13, PCV15)
•
•
1st dose¶
2nd dose¶
3rd dose¶
†
←4th dose→¶Inactivated poliovirus 
(IPV: <18 yrs)
•
•
1st dose¶
2nd dose¶
←3rd dose→¶COVID-19 more info icon.
(1vCOV-mRNA, 2vCOV-mRNA, 1vCOV-aPS)
•
•
•
•
2- or 3-dose primary series and booster
(See notes)¶Influenza (IIV4)
•
•
•
•
Annual vaccination 1 or 2 doses¶more 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-D: ≥9 mos, MenACWY-CRM: ≥2 mos, MenACWY-TT: ≥2years)
•
•
See notes§Meningococcal B more info icon.
(MenB-4C, MenB-FHbp)
•
•
•
•
•
•
•
•Pneumococcal polysaccharide 
(PPSV23)
•
•
•
•
•
•
•
•Dengue 
(DEN4CYD: 9-16 yrs)
•
•
•
•
•
•
•
•
18 Months to 18 Years
child vaccine schedule table 2
Vaccines
18
mos
19-23
mos
2-3
yrs
4-6
yrs
7-10
yrs
11-12
yrs
13-15
yrs
16
yrs
17-18
yrsHepatitis 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 
(PCV13, PCV15)
†
†
§
§Inactivated poliovirus 
(IPV: <18 yrs)
←3rd dose→¶
†
4th dose¶
†
†
†
Seenotes•COVID-19 more info icon.
(1vCOV-mRNA, 2vCOV-mRNA, 1vCOV-aPS)
2- or 3- dose primary series and booster (See notes)¶Influenza (IIV4)
Annual vaccination 1 or 2 doses¶
¶
¶
¶
¶
Annual vaccination 1 dose only¶more info icon.
Influenza (LAIV4)
•
•
Annual vaccination 1 or 2 doses¶
OR ¶
¶
Annual vaccination 1 dose only¶Measles, mumps, rubella 
(MMR)
†
2nd dose¶
†Varicella 
(VAR)
†
2nd dose¶
†Hepatitis A 
(HepA)
← 2-dose series, See notes→¶
†Tetanus, diphtheria, & acellular pertussis 
(Tdap: ≥7 yrs)
•
•
•
•
†
1 dose¶
§†Human papillomavirus 
(HPV)
•
•
•
•
•
•
•
§
§
See notes¶
†•
•
•
#
#Meningococcal 
(MenACWY-D: ≥9 mos, MenACWY-CRM: ≥2 mos, MenACWY-TT: ≥2years)
See notes§
1st dose¶
†
2nd dose¶
†Meningococcal B 
(MenB-4C, MenB-FHbp)
•
•
•
•
•
•
•
•
§
See notes§•
•
•
±Pneumococcal polysaccharide 
(PPSV23)
•
•
See notes§Dengue 
(DEN4CYD: 9-16 yrs)
•
•
•
•
•
•
¶
Seropositive in endemic dengue areas
(See notes)¶
•Top 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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