Recommended Immunization Schedules for Persons Aged 0--18 Years --- United States, 2007
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The Advisory Committee on Immunization Practices (ACIP) periodically reviews the recommended immunization schedule for persons aged 0--18 years to ensure that the schedule is current with changes in vaccine formulations and reflects revised recommendations for the use of licensed vaccines, including those newly licensed.
The changes to the previous childhood and adolescent immunization schedule, published January 2006 (1), are as follows:
- The new rotavirus vaccine (Rota) is recommended in a 3-dose schedule at ages 2, 4, and 6 months. The first dose should be administered at ages 6 weeks through 12 weeks with subsequent doses administered at 4--10 week intervals. Rotavirus vaccination should not be initiated for infants aged >12 weeks and should not be administered after age 32 weeks (2).
- The influenza vaccine is now recommended for all children aged 6--59 months (3).
- Varicella vaccine recommendations are updated. The first dose should be administered at age 12--15 months, and a newly recommended second dose should be administered at age 4--6 years (4).
- The new human papillomavirus vaccine (HPV) is recommended in a 3-dose schedule with the second and third doses administered 2 and 6 months after the first dose. Routine vaccination with HPV is recommended for females aged 11--12 years; the vaccination series can be started in females as young as age 9 years; and a catch-up vaccination is recommended for females aged 13--26 years who have not been vaccinated previously or who have not completed the full vaccine series (5).
- The main change to the format of the schedule is the division of the recommendation into two schedules: one schedule for persons aged 0--6 years (Figure 1) and another for persons aged 7--18 years (Figure 2). Special populations are represented with purple bars; the 11--12 years assessment is emphasized with the bold, capitalized fonts in the title of that column. Rota, HPV, and varicella vaccines are incorporated in the catch-up immunization schedule (Table).
Vaccine Information Statements
The National Childhood Vaccine Injury Act requires that 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 from CDC at http://www.cdc.gov/nip/publications/vis.
Detailed recommendations for using vaccines are available from package inserts, ACIP statements on specific vaccines, and the 2003 Red Book (6). ACIP statements for each recommended childhood vaccine are available from CDC at http://www.cdc.gov/nip/publications/acip-list.htm. In addition, guidance for obtaining and completing a Vaccine Adverse Event Reporting System form is available at http://www.vaers.hhs.gov or by telephone, 800-822-7967.
- CDC. Recommended childhood and adolescent immunization schedule---United States. MMWR 2006;54(52):Q1--Q4.
- CDC. Prevention of rotavirus gastroenteritis among infants and children. Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 2006;55(No. RR-12):1--13.
- CDC. Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 2006;55(No. RR-10):1--42.
- CDC. ACIP provisional recommendations for the prevention of varicella. Available at http://www.cdc.gov/nip/vaccine/varicella/varicella_acip_recs_prov_june_2006.pdf.
- CDC. ACIP provisional recommendations for the use of quadrivalent HPV vaccine. Available at http://www.cdc.gov/nip/recs/provisional_recs/hpv.pdf.
- 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, IL: American Academy of Pediatrics; 2003.
The recommended immunization schedules for persons aged 0--18 years and the catch-up immunization schedule for 2007 have been approved by the Advisory Committee on Immunization Practices, the American Academy of Pediatrics, and the American Academy of Family Physicians. The standard MMWR footnote format has been modified for publication of this schedule.
Suggested citation: Centers for Disease Control and Prevention. Recommended immunization schedules for persons aged 0--18 years---United States, 2007. MMWR 2006;55(51&52):Q1--Q4.Figure 1
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