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Paediatric immunisation schedule

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

The vaccines that children and adults should receive are included in the tables below:

The complete schedule as of September 2023 is:

Routine childhood immunisations

When	Diseases protected against	Vaccine given	Trade name	Usual site[footnote 1]
8 weeks old	Diphtheria, tetanus, pertussis (whooping cough), polio, Haemophilus influenzae type b (Hib) and hepatitis B	DTaP/IPV/Hib/HepB	Infanrix hexa or Vaxelis	Thigh
	Meningococcal group B (MenB)	MenB	Bexsero	Left thigh
	Rotavirus gastroenteritis	Rotavirus	Rotarix [footnote 2]	By mouth
12 weeks old	Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	DTaP/IPV/Hib/HepB	Infanrix hexa or Vaxelis	Thigh
	Pneumococcal (13 serotypes)	PCV	Prevenar 13	Thigh
	Rotavirus	Rotavirus	Rotarix [footnote 2]	By mouth
16 weeks old	Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	DTaP/IPV/Hib/HepB	Infanrix hexa or Vaxelis	Thigh
	MenB	MenB	Bexsero	Left thigh
One years old (on or after the child’s first birthday)	Hib and Meningococcal group C (MenC)	Hib/MenC	Menitorix	Upper arm or thigh
	Pneumococcal	PCV booster	Prevenar 13	Upper arm or thigh
	Measles, mumps and rubella (German measles)	MMR	MMRvaxPro [footnote 3] or Priorix	Upper arm or thigh
	MenB	MenB booster	Bexsero	Left thigh
Eligible paediatric age group[footnote 4]	Influenza (each year from September)	Live attenuated influenza vaccine LAIV	Fluenz Tetra [footnote 3], [footnote 5]	Both nostrils
3 years 4 months old or soon after	Diphtheria, tetanus, pertussis and polio	dTaP/IPV	Boostrix-IPV	Upper arm
	Measles, mumps and rubella	MMR (check first dose given)	MMRvaxPro [footnote 3] or Priorix	Upper arm
Boys and girls aged 12 to 13 years	Cancers and genital warts caused by specific human papillomavirus (HPV) types	HPV[footnote 6]	Gardasil 9	Upper arm
14 years old (school Year 9)	Tetanus, diphtheria and polio	Td/IPV (check MMR status)	Revaxis	Upper arm
	Meningococcal groups A, C, W and Y	MenACWY	Nimenrix	Upper arm

Selective childhood immunisation programmes

Target group	Age and schedule	Disease	Vaccines required
Babies born to hepatitis B infected mothers	At birth, 4 weeks and 12 months old [footnote 7], [footnote 8]	Hepatitis B	Hepatitis B (Engerix B/HBvaxPRO)
Infants in areas of the country with tuberculosis (TB) incidence >= 40/100,000	Around 28 days old [footnote 9]	Tuberculosis	BCG
Infants with a parent or grandparent born in a high incidence country [footnote 10]	Around 28 days old [footnote 9]	Tuberculosis	BCG
Children in a clinical risk group	From 6 months to 17 years of age	Influenza	LAIV or inactivated flu vaccine if contraindicated to LAIV or under 2 years of age
Pregnant women	At any stage of pregnancy during flu season	Influenza	Inactivated flu vaccine
	From 16 weeks gestation	Pertussis	dTaP/IPV (Boostrix-IPV)

Intramuscular injection into deltoid muscle in upper arm or anterolateral aspect of the thigh.

Rotavirus vaccine should only be given after checking for a severe combined immunodeficiency (SCID) screening result. 2

Contains porcine gelatine. 2 3

See annual flu letter

If LAIV (live attenuated influenza vaccine) is contraindicated or otherwise unsuitable use inactivated flu vaccine (check Green Book chapter 19 for details).

See Green Book chapter 18a for immunising immunocompromised young people who will need 3 doses.

Take blood for HBsAg at 12 months to exclude infection.

In addition hexavalent vaccine (Infanrix hexa or Vaxelis) is given at 8, 12 and 16 weeks.

Check SCID screening outcome before giving BCG. 2

Where the annual incidence of TB is >= 40/100,000 - see tuberculosis by country: rates per 100,000 people

For further information about the immunisation schedule then accesshttp://www.immunisation.nhs.uk/

Note that hepatitis B vaccine should be given soon after birth, at 4 weeks, 8 weeks and 12 months if the mother is known to hepatitis surface antigen positive.

Note also that adults should receive:

if previously unimmunised: polio, tetanus and diphtheria
sero-negative women: rubella
high risk groups: hepatitis A and B, influenza and pneumococcal vaccines

Reference:

Public Health England (September 2023). Routine childhood immunisations Schedule.

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Paediatric immunisation schedule

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