Immunization schedule for children ages 0-6 years

Age Birth 6 weeks 10 weeks 14 weeks 18 weeks 6 months 9 months 12 months 15 months 18 months 2-3 years 4-6 years
Vaccine
BCG BCG
Hep B Hep B1 Hep B2 Hep B3
Polio* OPV0 OPV1 OPV2 OPV3 OPV1 OPV2 IPV B1 OPV3
DTP DTP1 DTP2 DTP3 DTP B1 DTP B2
Hib Hib1 Hib2 Hib3 Hib-booster
Pneumococcal PCV1 PCV2 PCV3 PCV-Booster PPSV
Rotavirus** RV1 RV2 RV*3
Measles Measles
MMR MMR1 MMR2
Varicella Varicella1 Varicella2
Hep A Hep A1 Hep A2
Typhoid Typhoid
Influenza Influenza (yearly)
Meningococcal Meningococcal
Cholera Cholera 1 & 2
JE JE
1. BCG Vaccine
  • Should be given at birth or at first contact
  • Catch up may be given up to 5 years
2. Hepatitis B (Hep B) Vaccine
  • Minimum age: birth
  • Administer monovalent Hep3 vaccine should be used for doses administered before age 6 weeks.
  • Administration of a total of 4 doses of HepB vaccine is permissible when a combination vaccine containing Hep B is administered after the birth close.
  • Infants who did not receive a birth dose should receive 3 doses of a Hep B containing vaccine starting as soon as feasible.
  • The ideal minimum interval between dose 1 and dose 2 is 4 weeks and between dose 2 and 3 is 8 weeks.
  • Ideally, the final (Third or fourth) dose in the Hep B vaccine series should be administered no earlier than age 24 weeks and at least 16 weeks after the first dose.
  • Hep B vaccine may also be given in any of the following schedules: Birth 1 & 6 mo, Birth, 6 and 14 weeks; 6,10 and 14 weeks; Birth, 6 weeks, 10 weeks, 14 weeks. Etc.
3. Poliovirus vaccines*
  • OPV in place of IPV if IPV is unaffordable/ unavailable, minimum 3 doses
  • Additional doses of OPV on all SIAs.
  • IPV: Minimum age: 6 weeks
  • IPV: 2 instead of 3 doses can be also used if primary series started at 8 weeks and the interval between the closes is kept 8 weeks.
  • IPV catch-up schedule: 2 doses at 2 months apart followed by a booster after 6 months.
4. Diphtheria and tetanus toxoids and pertussis (DTP) vaccine.
  • Minimum age: 6 weeks
  • The first booster (4th dose) may be administered as early as are 12 months, provided at least 6 months have elapsed since the third dose.
  • DTwP/ DTaP/ Tdap/Td: Catch up below 7 years: DTwP/ DTap at 0.1 and 6 months.
  • Catch up above 7 years: Tdap, Td, Td at 0.1 and 6 months.
5. Haemophilus influenzae type b (Hib) conjugate vaccine
  • Minimum age: 6 Weeks.
  • Catch up in 6-12 months: 2 doses 1 month apart and 1 booster; 12-15 months: 1 primary and 1 booster; above 15 months single dose.
6. Pneumococcal vaccines
  • Minimum age: 6 weeks for pneumococcal conjugate vaccine [PCV]: 2 years for pneumococcal polysaccharide vaccine [PPSV]: 2 years for pneumococcal polysaccharide vaccine [PPSV]
  • Administer 1 dose of PCV to all healthy children aged 24 through 59 months who are not completely vaccinated for their age.
  • For Children who have received an age-appropriate series of 7- valent PCV (PCV7), a single supplemental dose of 13-valent PCV (PCV13) is recommended for:
  • All children aged 14 through 59 months.
  • Children aged 60 through 17 months with underlying medical conditions.
  • Administer PPSV at least 8 weeks after last dose of PCV to children aged 2 years or older with certain underlying medical conditions (certain high-risk groups)
  • PCV Catch up in 6-12 month apart and 1 booster; 12-23 months; 2 doses 2 months apart: 24 mo & above: single dose.
  • PPSV: Revaccination only once after 3-5 years only in certain high risk patients.
7. Rotavirus (RV) vaccines**
  • Minimum age: 6 weeks for both RV-1 [Rotarix] and RV-5 9 [Rota Teq])
  • Only two doses of RV-1 are recommended at present.
  • The maximum age for the first dose in the series is 14 weeks, 6 days; and 8 months, 0 days for the final dose in the series.
  • Vaccination should not be initiated for infants aged 15 weeks, 0 days or older.
8. Measles
  • Minimum age: At completed month/270 completed days:
  • Catch up vaccination beyond 12 months should be MMR.
  • Measles vaccine can be administered to infants aged 6 through 11 months during outbreaks. These children should be revaccinated with 2 doses of measles containing vaccines, the first at ages 12 through 15 months and at least 4 weeks after the previous dose, and the second at ages 4 through 6 years.
9. Measles, mumps, and rubella [MMR] vaccine.
  • Minimum age: 12 months
  • The second dose may be administered before age 4 years, provided at least 4 weeks have elapsed since the first dose.
10. Varicella Vaccine
  • Minimum age: 12 months
  • The risk of breakthrough varicella is lower if given 15 months onward.
  • The second dose may be administered before age 4 years, provided at least 3 months have elapsed since the first dose.
  • For Children aged 12 months through 12 years, the recommended minimum interval between doses is 3 months. However, if the second dose was administered at least 4 weeks after the first dose, it can be accepted as valid.
11. Hepatitis
  • (Hep A) vaccine a. Minimum age: 12 months
  • Two doses of both killed and live Hep A vaccines.
  • Administer the second (Final) dose 6 to 18 months after the first.
12. Typhoid vaccine
  • Only Vi-PS (Polysaccharide) vaccine is recommended
  • Minimum age: 2 years: Revaccination every 3 years.
  • Vi-PS conjugate vaccine: data not sufficient to recommend for routine use of currently available vaccine.
13. Influenza vaccine
  • Minimum age: 6 months for trivalent inactivated influenza vaccine.
  • First time vaccination: 6 months to below 9 years: two doses 1 month apart; 9 years and above single dose; Annual revaccination with single dose.
  • For children aged 6 months to below 9 years: For the 2012 season, administer 2 doses (Separated by at least 4 weeks) to those who did not receive at least 1 dose of the 2010 11 vaccine require 1 dose for the 2011 12 season d. Best time to vaccinate: as soon as the new vaccine is released and available in the market & just before the onset of rainy season;
14. Meningococcal vaccine
  • Only meningococcal polysaccharide vaccine (MPSV) is available
  •  Minimum age: 2 years c. Revaccination only once after 3 years in those at continued high risk
 15. Cholera Vaccine
  • Minimum age: One year (Killed whole cell vibrio cholera (Shanchol)
  • Two doses 2 weeks apart for >1 year old.
16. JAPANESE ENCEPHALITIS [JE] vaccine
  • Recommended in endemic areas only
  • Live attenuated, cell culture derived SA-14-14-2 vaccine is referred.
  • Minimum age: 8 months; can be co-administered with measles vaccine at 9 months; single dose.
  • Catch up vaccination: all susceptible children up to 15 yrs should be administered during disease outbreak/ ahead of anticipated outbreak in campaigns.

 

SOURCE: INDIAN ACADEMY OF PEDIATRICS

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