Organized by Vaccine
| Vaccine | Specifics |
| Hepatitis B (Updated 2017) | Infant hepatitis B vaccine recommendations changed in 2017 [Pediatrics (2017). 140(3)]: A series of three doses (from 0-6 months of age), first dose given within 12 hours of birth (infant >2,000gms), 1 month of age and 6 months (not sooner than 24 weeks) of age. Infants <2,000gms born to HBsAg-negative mothers should receive the first dose of vaccine 1 month after birth or at hospital discharge.
If infant is born to a hepatitis B positive (HBsAg) mother give HBIG and hepatitis B vaccine within 12 hours of life. Do not count the birth dose as part of the vaccine series. Test for HBsAg & antibody to HBsAg 1-2 months after comletion of >3 doses of hepatitis B vaccine (usually at 9-18 months). If mother’s hepatitis B status is unknown, give hepatitis B vaccine within 12 hours of birth. Determine mom’s hepatitis B status as soon as possible. Do not count the birth dose as part of the vaccine series. and if mom is positive give HBIG (should be given less than one week of age). Infants born to positive Hepatitis B mothers should be tested for the disease (HBsAg) and antibody to HBsAg 1 to 2 months after the 3rd dose of vaccine (usually at the next well child visit at 9 months of age). When using combination vaccines it is permissible to give 4 doses of vaccine. Adults ages 18-59 with diabetes should be vaccinated. Contraindication: allergy to Baker’s yeast. Route: intramuscular injection |
| DTap (<7 years) | 5-dose series at ages 2, 4, 6, 15 through 18 months, and 4 through 6 years of life.
The fourth dose can be given as early as 12 months of age, provided the third dose was given at least six month earlier. The fifth dose of DTaP vaccine is not necessary if the fourth dose was administered at age 4 years or older. Contraindication: previous encephalopathy within 7 days of administered dose. Route: intramuscular injection |
| Tdap | Adults who have not received Tdap or for whom pertussis vaccination status is unknown should receive 1 dose of Tdap followed by a Td booster every 10 years. Tdap should be administered regardless of when a tetanus or diphtheria toxoid-containing vaccine was last received. Children coming of age should get their one Tdap between ages 11-12 years old. Pregnant mothers should be given Tdap during each pregnancy, preferably during the early part of the gestation (27-36 week), regardless of prior history of receiving Tdap.
Route: intramuscular injection |
| Haemophilus influenzae type b (Hib) | 3-dose series (ActHIB, Hiberix, or Pentacel) administered at 2, 4, 12-15 months or 4-dose series (PedvaxHIB) administered at 2, 4, 6, 12-15 months. Minimum age for vaccine is 6 weeks. If unvaccinated at 15-59 months give one dose.
Route: Intramuscular injection |
| Inactivated poliovirus (IPV) | 4-dose series at 2, 4, 6 through 18 months of age, and again between 4 and 6 years of age. Minimum age is 6 weeks.
An interval of at least 6 months between the next to the last dose and the last dose provides the best immunologic effect. The final dose should be given on or after the 4th birthday and at least 6 months after the previous dose. I want to tell you a little bit about IPV, and the current thinking from the CDC. There are several factors that affect the immunogenicity when giving IPV to an intent one is the age of the child and the second is the dose interval. Third is mom’s antibody levels the lower the mom’s antibody levels the higher the seroconversion rates are. In terms of the interval between dosing the assured that D the interval between the third and the fourth dose at the IPV is at least six months apart that is important and that the last dose should not be given before the age of four. Route: May administered by intramuscular or subcutaneous injection |
| Rotavirus (RV) (RV1, RV5) | Minimum age: 6 weeks. RV1 (Rotarix) is 2-dose series at 2 and 4 months of age. RV5 (Rotateq)is a 3-dose series at 2, 4, and 6 months. If any dose was RotaTeq or unknown then give a total of 3 doses of RV vaccine. The maximum age for the first dose in the series is 14 weeks, 6 days; vaccination should not be initiated for infants aged 15 weeks, 0 days, or older. The maximum age for the final dose in the series is 8 months, 0 days.
Route: Oral |
| MMR | Measles, mumps and rubella vaccine is given in two doses. The first vaccine is given on or after the first birthday (12-15 months) and again between 4-6 years of age (of not on schedule the second dose should be given before the 12th birthday). The second dose can be given before the 4th birthday provided there is 4 weeks between the first and second dose.
Two doses result in 99% immunity. If traveling internationally, give 2 doses to children 12 months and older before departure. The second dose should be given at least 4 weeks after the first dose. Rouse: subcutaneous injection |
| Varicella (VAR) | Vaccine is administered in two doses, the first between 12-15 months of age and the second dose between 4-6 years of age.
If given off schedule it is recommended to have at least three monoths between the first and second dose but if the second dose was administered at least 4 weeks after the first dose it can be accepted as valid. Adults without evidence of immunity should receive two doses. Pregnant women who do not have immunity should be vaccinated after the delivery or termination of the pregnancy. Route: subcutaneous injection |
| Pneumococcal (PCV13) | Administer a 4-dose series of PCV13 at ages 2, 4, 6 months and 12 through 15 months. See CDC recommendations for high-risk conditions. Minimum age 6 weeks.
Route: Intramuscular injection |
| Pneumococcal (PPSV23) | Minimum age 2 years. Special populations should receive PPSV23, follow the current CDC guidelines.
Route: may administered by intramuscular or subcutaneous injection |
| Hepatitis A | Vaccine should be given at 12 through 23 months. Separate the doses by 6 to 18 months. Children/adults (2 years and older) desiring the vaccine should also be vaccinated.
Route: Intramuscular injection |
| Influenza | Flu vaccine should be given to all persons 6 months of age and older. 2 doses are required for children 6 months to 8 years if they did not receive 2 doses of influenza vaccine before July 1, 2018.
Everyone 6 months and older who do not have any contraindications should receive an annual influenza vaccination with an age-appropriate formulation. Egg allergy is NOT a contraindication for flu vaccine. Those with an egg allergy should receive the inactivated influenza vaccine or recombinant influenza vaccine. Children with a history of severe allergic reaction to any component of the vaccine (excluding egg) or a previous influenza vaccine should NOT receive LAIV! Different types of influenza vaccines are available for various populations. |
| Human papilloma virus (HPV) | 2-dose series of HPV vaccine should be administered between ages 11-12 years and repeated after 6-12 months. Both Gardasil and Gardasil 9 can start at 9 years of age.
If the series is started after 15 years of age, the schedule is three doses, the second dose given 1 to 2 months after the first dose, and the third dose given 6 months after the first dose. Adult females through 26 years and adult males through 21 years who have not received any HPV vaccine should receive a 3-dose series of HPV vaccine at 0, 1-2, and 6 months. Route: Intramuscular injection |
| Meningococcal serogroup A, C, W, Y (MenACWY-CRM, Menveo, MenACWY-D, Menactrral) | Vaccine is given in two doses at age 11-12 years with a booster at age 16 years.
Check the CDC website for CURRENT Meningococcal vaccine recommendations. |
Organized by Age
| Birth | Hepatitis B vaccine recommendations for infant changed in 2017 A series of three doses (from 0-6 months of age), first dose given within 12 hours of birth (infant >2,000gms), 1 months of age and 6 months (not sooner than 24 weeks) of age. Infants <2,000gms born to HBsAg-negative mothers should receive the first dose of vaccine 1 month after birth or at hospital discharge. |
| 1-2 Months | Hepatitis B Second dose should be administered 1 to 2 months after the first dose. |
| 2 months |
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| 4 months |
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| 6 months |
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| 6-15 months |
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| 6 months and annually |
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| 12-15 months |
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| 12-23 months |
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| 15-18 months |
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| 4-6 years | |
| 11-12 months |
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