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Immunization Recommendations
Diphtheria/Tetanus/Pertussis
(DTaP)
-- Four-Dose Series
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2-4 months: The first two doses are given at 2 and 4 months old.
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4-6 months: The third dose is given at 6 months.
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12-18
months / 4-6 years: The fourth dose is usually given between 15 and 18 months. However, it can
be given as early as 12 months, as long as six months have passed since
the third dose. The fourth dose should be given, at the latest, between 4
to 6 years.
Tetanus, Diphtheria and
Pertussis (Tdap) -- One Dose
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11-12
years: One booster dose is recommended at age 11 or 12 if the child has completed
the DTaP series (see above) and has not yet received a tetanus and
diphtheria toxiods booster vaccine (Td) for any reason (such as a
traumatic injury).
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13-18
years: Teens who missed getting a tetanus and diphtheria toxiods booster vaccine
(Td) or Tdap booster at age 11-12 should also receive a single dose of
Tdap if they have completed the recommended childhood DTaP vaccination
series.
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Td boosters are recommended every 10 years throughout adulthood.
Hepatitis A (Hep A)
-- Two-Dose Series
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12-23
months: Two-dose series given at age 1 (between 12 and 23 months) -- given at
least 6 months apart.
Children who have not been vaccinated by age 2 can receive this
immunization at subsequent visits.
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2-18 years: Some states, counties, and communities recommend a single dose between 2
to 18 years if the child hasn't received the series as an infant. Check
with your doctor or health department for local recommendations.
Hepatitis B (Hep B)
-- Three-Dose Series
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Birth: The first dose is given soon after birth and before hospital discharge.
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1-2 months: The second dose is given at least one month later, between 1-2 months.
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4 months:
A dose at 4 months may be required if combination vaccines were used after
the birth dose.
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6-18
months: The final dose is given between 24 weeks (6 months) and 18 months.
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2-18 years: A three-dose series is given to all children under 18 who didn't get the
vaccine as infants.
H. influenzae type b (Hib)
-- Two-Dose Series
Measles/Mumps/Rubella (MMR)
-- Two-Dose Series
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12-15
months: The first dose can be given between 12 and 15 months.
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4 - 6
years: The second dose can be given one month after the first dose. However, the
second dose is typically given between 4 to 6 years.
Polio (IPV)
-- Four-Dose Series*
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2-4 months: The first two doses of injectable polio vaccine are given at 2 and 4
months old.
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6-18
months: The third dose is given between 6 and 18 months old.
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4-6 years: The fourth dose is given at 4-6 years old.
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*Note: Because of the risk of
vaccine-associated paralytic polio, oral polio vaccine should be used only
under special circumstances; check with your doctor.
Chickenpox (Varicella, Var)
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12-15
months: One dose is given after the first birthday, usually at 12 to 15 months.
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4-6 years: The second dose is given at 4-6 years.
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