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Additional Footnotes for Recommended Immunization Schedule for Persons Age 0 Through 18 Years and Catch-up Immunization Schedule

Immunization Schedule for Persons Age 0 Through 18 Years

This schedule includes recommendations in effect as of January 1, 2016. Any dose not administered at the recommended age should be administered at a subsequent visit, when indicated and feasible. The use of a combination vaccine generally is preferred over separate injections of its equivalent component vaccines. Vaccination providers should consult the relevant Advisory Committee on Immunization Practices (ACIP) statement for detailed recommendations. Clinically significant adverse events that follow vaccination should be reported to Vaccine Adverse Event Reporting System (VAERS) online or by telephone (800-822-7967). Suspected cases of vaccine-preventable diseases should be reported to the state or local health department. Additional information, including precautions and contraindications for vaccination, is available from CDC's Vaccines and Immunization online site or by telephone (800-CDC-INFO [800-232-4636]).

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

Immunization Schedule for Persons Age 0 Through 18 Years and Catch-up Immunization Schedule

Additional Vaccine information

  • For contraindications and precautions to use of a vaccine and for additional information regarding that vaccine, vaccination providers should consult the relevant ACIP statement.
  • For the purposes of calculating intervals between doses, 4 weeks = 28 days. Intervals of 4 months or greater are determined by calendar months.
  • Vaccine doses administered 4 days or less before the minimum interval are considered valid. Doses of any vaccine administered ≥5 days earlier than the minimum interval or minimum age should not be counted as valid doses and should be repeated as age-appropriate. The repeat dose should be spaced after the invalid dose by the recommended minimum interval. For further details, see MMWR, General Recommendations on Immunization and Reports [64 pages] / Vol. 60 / No. 2; Table 1. Recommended and minimum ages and intervals between vaccine doses.
  • For information on travel vaccine requirements and recommendations consult CDC's travelers' health site.
  • For vaccination of persons with primary and secondary immunodeficiencies, see Table 13, “Vaccination of Persons with Primary and Secondary Immunodeficiencies [64 pages],” in the General Recommendations on Immunization (ACIP); and American Academy of Pediatrics. "Immunization in Special Clinical Circumstances," in Kimberlin DW, Brady MT, Jackson MA, Long SS eds. Red Book: 2015 report of the Committee on Infectious Diseases. 30th ed. Elk Grove Village, IL: American Academy of Pediatrics.

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