SSM Cardinal Glennon Children's Medical Center


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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

  • HepB: 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

  • HepB: 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: Pneumococcal conjugate vaccine
  • RV: Rotavirus vaccine

4 months

  • DTaP
  • Hib
  • IPV
  • PCV
  • RV

6 months

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

6 months and annually

  • Influenza (Flu): 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 (or who have only had one dose before July 2015) will get it in two separate doses at least a month apart.
    • Those younger than 9 who have had at least two doses of flu vaccine previously (in the same or different seasons) will only need one dose.
    • Kids older than 9 only need one dose.
  • The vaccine can be given by injection with a needle (the flu shot) or sprayed into the nostrils (nasal spray or nasal mist). Both types of vaccine are safe and effective, although kids with weakened immune systems or certain health conditions should not get the nasal mist vaccine.

6–18 months

  • HepB
  • IPV

12–15 months

12–23 months

  • HepA: 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.
  • Meningococcal conjugate vaccine (MCV4): And a booster dose is recommended at age 16.

16–18 years 

  • Meningococcal B vaccine (MenB): The MenB vaccine may be given to teens and young adults in two or three doses, depending on the brand. Unlike MCV4 which is recommended, the MenB vaccine is given at the discretion of the doctor.  

Special circumstances

  • HepA is also recommended for kids 2 years and older and adults who are at high risk for the disease. This includes people who live in, travel to, or adopt children from locations with high rates of HAV; people with clotting disorders; and people with chronic liver disease. The vaccine also can be given to anyone who desires immunity to the disease, and is useful for staff at childcare facilities or schools where they may be at risk of exposure.
  • Influenza vaccine is especially important for kids who are at risk for health problems from the flu. High-risk groups include, but aren't limited to, kids younger than 5 years old and those with chronic medical conditions, such as asthma, heart problems, sickle cell disease, diabetes, or human immunodeficiency virus (HIV). The nasal spray isn't recommended for kids with certain medical conditions or pregnant women.
  • The MCV4 meningococcal vaccine can be given to kids as young as 2 months old, and the MenB vaccine to kids 10 years and older, who are at risk of getting a meningococcal infection, such as meningitis. This includes children with certain immune disorders. Children who live in (or will be traveling to) countries where meningitis is common, or where there is an outbreak, should also receive the vaccine.
  • Pneumococcal vaccines also can be given to older kids (age 2 and up) who have conditions that affect their immune systems, such as asplenia or HIV infection, or other conditions, like a cochlear implant, chronic heart disease or chronic lung disease.
Date reviewed: February 2016

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Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.

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