Immunization schedule

This schedule of recommended immunizations may vary depending upon where you live, your child's health, the type of vaccine, and the vaccines available.Some of the vaccines may be given as part of a combination vaccine so that a child gets fewer shots. Talk with your doctor about which vaccines your kids should receive.

Birth

• HBV: Hepatitis B vaccine; ideally, the first dose is given at birth, but kids not previously immunized can get it at any age.

1-2 months

• HBV: Second dose should be administered 1 to 2 months after the first dose.

2 months

• DTaP: Diphtheria, tetanus, and acellular pertussis vaccine
• Hib: Haemophilus influenzae type b vaccine
• IPV: Inactivated poliovirus vaccine
• PCV,PPSV: Pneumococcal conjugate vaccines
• Rota: Rotavirus vaccine

4 months

• DTaP
• Hib
• IPV
• PCV
• Rota

6 months

• DTaP
• Hib
• PCV
• Rota: This third dose may be needed, depending on the brand of vaccine used in previous rota immunizations.

6 months and annually

• Influenza: The flu vaccine is recommended every year for children 6 months and older. Kids younger than 9 who get the flu vaccine for the first time will receive it in two separate doses at least a month apart. Those younger than 9 who have been vaccinated in the past might still need two doses if they have not had at least two flu vaccinations since July 2010.
  
  The vaccine can be given by injection with a needle (the flu shot) or sprayed into the nostrils (nasal spray or nasal mist). The spray is preferred for healthy children 2 to 8 years old if it's available. If it's not available, kids should get the flu shot.

6-18 months

• HBV
• IPV

12-15 months

• Hib
• MMR: Measles, mumps, and rubella (German measles) vaccine
• PCV
• Chikenpox(varicella)

12-23 months

• HAV: Hepatitis A vaccine; given as two shots at least 6 months apart

15-18 months

• DTaP

4-6 years

• DTaP
• MMR
• IPV
• Varicella

11-12 years

• HPV: Human papillomavirus vaccine, given as three shots over 6 months. It's recommended for both girls and boys to prevent genital warts and certain types of cancer.
• Tdap: Tetanus, diphtheria, and pertussis booster. Also recommended during each pregnancy a woman has.
• Meningococal vaccine: And a booster dose is recommended at age 16.