Immunization Schedule
Chapter 2. Medical Exams & Tests

Immunizations


Age
è

Vaccine
ê


Birth

1 month

2 months

4 months

6 months

12 months

15 months 18 months 4-6 years 11-16 years 14-16 years

Hepatitis B2,3

Hep
B-1





Hep
B-2
Hep
B-3
Hep
B-33

Diphtheria
Tetanus
Pertussis
4

 

DTaP

DTaP

DTaP


DTaP DTaP Td4

H. Influenzae
type b
5

 

Hib

Hib

Hib

Hib

Polio6

   

IPV

IPV

Polio

Polio

Measles
Mumps
Rubella
7

     

MMR

MMR7 MMR7

Varicella8

       

Var

Var8
Rotavirus9 RV RV RV

Approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP), for January - December 1998.

1. This shows what vaccines your child should get and when.  Some vaccines may be given with others.
2, 3. The type, timing, and dose of Hepatitis B vaccine that an infant gets is based on the mother's Hepatitis B status. Hepatitis B should also be given to children and teenagers who have not had 3 doses of the vaccine. A 3-dose series should be started or finished at 11-12 years of age. Teens who have not yet had 3 doses of the vaccine by age 12 should still get them.
4. The 4th dose can be given as early as 12 months, if the 3rd dose was given 6 months sooner. Td (tetanus and diphtheria)should be given at 11 to 12 years of age, if at least 5 years have gone by since the last dose of DTP, DTaP, or DT. After that, Td boosters should be given every 10 years.
5. There are 3 brands of Hib vaccines. With one brand, the 6 month dose in not given.
6. Two forms of poliovirus vaccines are used: inactivated poliovirus vaccine (IPV) and oral poliovirus vaccine (OPV). The first 2 doses should be IPV followed by 2 doses of OPV or 2 doses of IPV.
7. The 2nd dose of MMR is recommended at 4 to 6 years of age, but may be given during any visit if at least 1 month has gone by since the 1st dose. Those who have not already had the 2nd dose should get it no later than 11 to 12 years of age.
8. Children who have not had chickenpox should get the VAR vaccine at 11 to 12 years of age. Children 13 years of age or older should get 2 doses, at least 1 month apart.
9. Rotavirus is a common virus in children under age 5 that causes diarrhea and vomiting.  The 1st dose of the vaccine should not be given before 6 weeks of age.  The 3-dose series should not be started at 7 months of age or older. All 3 doses should be given by the first birthday.

Adult Immunizations

Td4 Tuberculin
Tests
Influenza
Vaccine
(A&B)
Pneumococcal
Vaccine 7
Every 10 years
after 11-16 years
of age
Upon
exposure
Annually
after 65 and older
Once at 65 years

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 04/20/99