Pneumococcal conjugate vaccine and new combination vaccines have been tested and may be licensed sometime in the year 2000. Parents should be reassured that their children who received rotavirus vaccine before July are not at increased risk for intussusception now. It indicates the recommended ages for routine administration of currently licensed childhood vaccines as of November 1, 1999. Licensed combination vaccines may be used whenever any components of the combination are indicated and its other components are not contraindicated. Providers should consult the manufacturers' package inserts for detailed recommendations.
Clear bars indicate range of recommended ages for immunization.
Shaded ovals indicate vaccines to be given if previously recommended doses were missed or given earlier than the recommended minimum age. The second dose should be given at least one month after the first dose. The third dose should be administered at least four months after the first dose and at least two months after the second dose, but not before six months of age for infants. The second dose is recommended at one to two months of age and the third dose at six months of age. Infants born to mothers whose HBsAg status is unknown should receive hepatitis B vaccine within 12 hours of birth.