Recommended Immunizations for Children from Birth through 6 years Old: By Age

United States, 2016

Compliant version of the schedule
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En español: 2016 Child Schedule

month 1
1 month
month 2
2 months
month 3
4 months
month 6
6 months
month 12
12 months
month 15
15 months
month 18
18 months
month 19-23
year 2-3
year 4-6
HepB HepB HepB
Hib Hib Hib Hib
Varicella Varicella


  Shaded boxes indicate the vaccine can be given during shown age range.


*Two doses given at least four weeks apart are recommended for children aged 6 months through 8 years of age who are getting an influenza (flu) vaccine for the first time and for some other children in this age group.

§Two doses of HepA vaccine are needed for lasting protection. The first dose of HepA vaccine should be given between 12 months and 23 months of age. The second dose should be given 6 to 18 months later. HepA vaccination may be given to any child 12 months and older to protect against HepA. Children and adolescents who did not receive the HepA vaccine and are at high-risk, should be vaccinated against HepA.

If your child has any medical condition that put him at risk for infection or is travelling outside the United States, talk to your child's doctor about additional vaccines that he may need.

Note: If your child misses a shot, you don't need to start over, just go back to your child's doctor for the next shot. Talk with your child's doctor if you have any questions about vaccines.

This schedule is approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP).

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Vaccine-Preventable Diseases and the Vaccines that Prevent Them

Disease Vaccine Disease spread by Disease symptoms Disease complications
Chickenpox Varicella vaccine protects against chickenpox. Air, direct contact Rash, tiredness, headache, fever Infected blisters, bleeding disorders, encephalitis (brain swelling), pneumonia (infection in the lungs)
Diphtheria DTaP* vaccine protects against diphtheria. Air, direct contact Sore throat, mild fever, weakness, swollen glands in neck Swelling of the heart muscle, heart failure, coma, paralysis, death
Hib Hib vaccine protects against Haemophilus influenzae type b. Air, direct contact May be no symptoms unless bacteria enter the blood Meningitis (infection of the covering around the brain and spinal cord), intellectual disability, epiglottitis (life-threatening infection that can block the windpipe and lead to serious breathing problems), pneumonia (infection in the lungs), death
Hepatitis A HepA vaccine protects against hepatitis A. Direct contact, contaminated food or water May be no symptoms, fever, stomach pain, loss of appetite, fatigue, vomiting, jaundice (yellowing of skin and eyes), dark urine Liver failure, arthralgia (joint pain), kidney, pancreatic, and blood disorders
Hepatitis B HepB vaccine protects against hepatitis B. Contact with blood or body fluids May be no symptoms, fever, headache, weakness, vomiting, jaundice (yellowing of skin and eyes), joint pain Chronic liver infection, liver failure, liver cancer
Influenza (Flu) Flu vaccine protects against influenza. Air, direct contact Fever, muscle pain, sore throat, cough, extreme fatigue Pneumonia (infection in the lungs)
Measles MMR** vaccine protects against measles. Air, direct contact Rash, fever, cough, runny nose, pinkeye Encephalitis (brain swelling), pneumonia (infection in the lungs), death
Mumps MMR**vaccine protects against mumps. Air, direct contact Swollen salivary glands (under the jaw), fever, headache, tiredness, muscle pain Meningitis (infection of the covering around the brain and spinal cord) , encephalitis (brain swelling), inflam­ mation of testicles or ovaries, deafness
Pertussis DTaP* vaccine protects against pertussis (whooping cough). Air, direct contact Severe cough, runny nose, apnea (a pause in breathing in infants) Pneumonia (infection in the lungs), death
Polio IPV vaccine protects against polio. Air, direct contact, through the mouth May be no symptoms, sore throat, fever, nausea, headache Paralysis, death
Pneumococcal PCV vaccine protects against pneumococcus. Air, direct contact May be no symptoms, pneumonia (infection in the lungs) Bacteremia (blood infection), meningitis (infection of the covering around the brain and spinal cord), death
Rotavirus RV vaccine protects against rotavirus. Through the mouth Diarrhea, fever, vomiting Severe diarrhea, dehydration
Rubella MMR** vaccine protects against rubella. Air, direct contact Children infected with rubella virus sometimes have a rash, fever, swollen lymph nodes Very serious in pregnant women—can lead to miscarriage, stillbirth, premature delivery, birth defects
Tetanus DTaP* vaccine protects against tetanus. Exposure through cuts in skin Stiffness in neck and abdominal muscles, difficulty swallowing, muscle spasms, fever Broken bones, breathing difficulty, death

* DTaP combines protection against diphtheria, tetanus, and pertussis.

** MMR combines protection against measles, mumps, and rubella.

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Page last reviewed: February 1, 2016
Page last updated: February 1, 2016
Content source: National Center for Immunization and Respiratory Diseases
Provided by: Centers for Disease Control and Prevention (CDC)