Skip Navigation LinksSkip Navigation Links
Centers for Disease Control and Prevention
Safer Healthier People
Blue White
Blue White
bottom curve
CDC Home Search Health Topics A-Z spacer spacer
spacer
Blue curve MMWR spacer
spacer
spacer


Recommended Childhood and Adolescent Immunization Schedule --- United States, July--December 2004

CDC’s Advisory Committee on Immunization Practices (ACIP) periodically reviews the recommended childhood and adolescent immunization schedule to ensure that the schedule is current with changes in manufacturers’ vaccine formulations and reflects revised recommendations for the use of licensed vaccines, including those newly licensed. Recommendations and format of the childhood and adolescent immunization schedule for January–June 2004 were approved by ACIP, the American Academy of Family Physicians (AAFP), and the American Academy of Pediatrics (AAP) and published in January 2004 (1). This report updates that schedule with the recommendation that, beginning in fall 2004, children aged 6–23 months, as well as household and out-of-home caregivers for such children, receive annual influenza vaccine (2). This change is reflected in the revised childhood and adolescent immunization schedule for July–December 2004 (Figure). A catch-up immunization schedule for children and adolescents who start late or who are >1 month behind remains unchanged from that published in January 2004 (Table).

Changes in the Schedule for July– December 2004

The childhood and adolescent immunization schedule for July–December 2004 differs from the previous schedule in the following ways:

  • The range of recommendations bar for influenza vaccine for children aged 6--23 months has been moved above the dotted red line, indicating that these children should be vaccinated annually.
  • The influenza vaccine footnote has been updated to highlight the recommendation that healthy children aged 6--23 months and close contacts of healthy children aged 0--23 months receive influenza vaccine because children in this age group are at substantially increased risk for influenza related hospitalizations.
  • The influenza vaccine footnote has been updated to highlight the recommendation that health-care workers and other persons (including household members) in close contact with persons in groups at high risk be vaccinated annually.

Vaccine Information Statements

The National Childhood Vaccine Injury Act requires that all health-care providers provide parents or patients with copies of Vaccine Information Statements before administering each dose of the vaccines listed in the schedule. Additional information is available from state health departments and at http://www.cdc.gov/nip/publications/vis.

Detailed recommendations for using vaccines are available from the manufacturers’ package inserts, ACIP statements on specific vaccines, and the 2003 Red Book (3). ACIP statements for each recommended childhood vaccine can be viewed, downloaded, and printed from CDC’s National Immunization Program website at http://www.cdc.gov/nip/publications/acip-list.htm. Instructions on the use of Vaccine Information Statements are available at http://www.cdc.gov/nip/publications/ vis/vis-instructions.pdf. In addition, guidance on how to obtain and complete a Vaccine Adverse Event Reporting System (VAERS) form is available at http://www.vaers.org or by telephone, 800-822-7967.

References

  1. CDC. Recommended Childhood and Adolescent Immunization Schedule —United States, January–June 2004. MMWR 2004;52:Q1--4.
  2. CDC. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 2004;53(RR):(in press).
  3. American Academy of Pediatrics. Active and passive immunization. In: Pickering LK, ed. 2003 Red Book: Report of the Committee on Infectious Diseases, 26th ed. Elk Grove Village, Illinois: American Academy of Pediatrics, 2003.
Figure

Figure
Return to top.
Table

Table
Return to top.

Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of Health and Human Services.


References to non-CDC sites on the Internet are provided as a service to MMWR readers and do not constitute or imply endorsement of these organizations or their programs by CDC or the U.S. Department of Health and Human Services. CDC is not responsible for the content of pages found at these sites. URL addresses listed in MMWR were current as of the date of publication.

Disclaimer   All MMWR HTML versions of articles are electronic conversions from ASCII text into HTML. This conversion may have resulted in character translation or format errors in the HTML version. Users should not rely on this HTML document, but are referred to the electronic PDF version and/or the original MMWR paper copy for the official text, figures, and tables. An original paper copy of this issue can be obtained from the Superintendent of Documents, U.S. Government Printing Office (GPO), Washington, DC 20402-9371; telephone: (202) 512-1800. Contact GPO for current prices.

**Questions or messages regarding errors in formatting should be addressed to mmwrq@cdc.gov.

Page converted: 4/29/2004

HOME  |  ABOUT MMWR  |  MMWR SEARCH  |  DOWNLOADS  |  RSSCONTACT
POLICY  |  DISCLAIMER  |  ACCESSIBILITY

Safer, Healthier People

Morbidity and Mortality Weekly Report
Centers for Disease Control and Prevention
1600 Clifton Rd, MailStop E-90, Atlanta, GA 30333, U.S.A

USA.GovDHHS

Department of Health
and Human Services

This page last reviewed 4/29/2004