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Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger, United States, 2018

In October 2017, the Advisory Committee on Immunization Practices (ACIP) approved the 2018 immunization schedule for children and adolescents birth through 18 years, effective February 2018.

The schedule has been approved by the Centers for Disease Control and Prevention (CDC), the American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP), and the American College of Obstetricians and Gynecologists (ACOG).

The comprehensive summary of the ACIP recommended changes to the schedule can be found in the February 6, 2018 MMWR.

Changes to this Year’s Schedule

General schedule

  • A table has been added outlining vaccine type, abbreviation, and brand names for vaccines discussed in the child/adolescent immunization schedule.
  • The schedule footnotes are presented in a new simplified format. The goal was to remove unnecessary text while preserving all pertinent information and maintaining clarity. This was accomplished by a transition from complete sentences to bullets, removal of unnecessary or redundant language, and formatting changes.
  • Manufacturing of MenHibrix  (Hib-MenCy) vaccine has been discontinued in the United States and all available doses have expired. Therefore, mention of the vaccine has been removed from the schedule.

Medical conditions

The medical indications figure (figure 3) changes include:

  • The HIV column provides a reference providing additional information regarding HIV laboratory parameters and use of live vaccines.
  • Within the pneumococcal row, stippling was added to heart disease/chronic lung disease, chronic liver disease, and diabetes columns to clarify that in some situations children with these conditions may be recommended to receive an additional dose of vaccine.

Hepatitis B (HepB) vaccine

  • The Hepatitis B vaccine (HepB) footnote was revised to include information regarding vaccination of <2,000 gram infants born to HBsAg-negative mothers.

Influenza vaccine

  • The influenza vaccine footnote has been updated to indicate that LAIV should not be used during the 2017–2018 influenza season. A reference link to the 2017-2018 season influenza recommendations has been added.

Measles, mumps, and rubella (MMR) vaccine

  • The measles, mumps, and rubella (MMR) footnote was updated to include guidance regarding the use of a 3rd dose of mumps-containing vaccine during a mumps outbreak.

Meningococcal vaccine

  • The meningococcal vaccine footnote has been edited to create separate footnotes for MenACWY and MenB vaccines.

Polio vaccine

  • The inactivated poliovirus rows of the catch-up schedule have been edited to clarify the catch-up recommendations for children 4 years of age and older.
  • The poliovirus vaccine footnote was revised to include updated guidance for persons who received oral polio vaccine as part of their vaccination series.

Rotavirus vaccine

  • The maximum ages for the first and last doses of the rotavirus series have been added to the rotavirus vaccine row of the catch-up schedule.

2018 Immunization Schedule

View or Print Schedules

Combined Schedule Format

Child and Adolescent Schedule, Comprehensive Version
(introduction, age, medical indications, catch-up schedules, and footnotes)

 

 

Vaccine Catch-Up Guidance

CDC has developed catch-up guidance job aids to assist health care professionals in interpreting figure 2 in the childhood/adolescent immunization schedule.

 

Portable Format

Pocket-Size Schedule

The comprehensive childhood/adolescent immunization schedule is available in a smaller, laminated, portable format.

 

Display Immunization Schedules on Your Website

This method ensures schedules on your site will always be current; whenever CDC updates a schedule, your page will automatically display the same update. Visitors can print the schedule from your web page.  For steps to easily place the 2018 recommended immunization schedules and footnotes on your website, see display immunization schedules on your website.

See examples of how the schedules will appear on your website.

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Binational Immunization Resource Tool (United States/Mexico)

The 2018 binational immunization resource for children from birth through 18 years [2 pages] is a side-by-side presentation of recommended vaccines in Mexico and the United States to help health care professionals identify vaccines needed by children who previously received vaccines in Mexico and now reside in the U.S.

 

CDC Vaccine Schedules App

 Interactive Tools

Get the CDC Vaccine Schedules app for health care professionals for immediate access to the most up-to-date immunization schedules. View the comprehensive childhood/adolescent and adult schedules, including medical conditions and catch-up immunization schedules and footnotes, on your smartphone and tablet devices. Free downloads are available from the iTunes App Store and Google Play.

Note: If you previously downloaded the tool, check that you have version 5.0.2 with 2018 schedules and footnotes.

 

Resources for Patients: Easy-to-Read Schedules, Personalized Vaccination Creators, and Quiz

Easy-to-Read Immunization Schedules

Infants and Children Immunization Schedule

  • Recommended immunizations for children (birth through 6 years)
    English | Spanish

Preteens and Teens Immunization Schedule

  • Recommended immunizations for preteens and teens (7-18 years)
    English | Spanish

 

Schedule Tools

Schedule Creator

Birth through 6 Years

Create a customized schedule of vaccines needed (birth to 6 years)
Use this tool to create a personalized schedule you can give to and discuss with parents. Parents also can use this print-out to record their child’s vaccinations. Enter the patient’s date of birth, click “get schedule,” and then click “printable schedule.”

 

Catch-Up or Accelerated Schedule Creator

Birth through 18 Years

Use this tool to generate a catch-up or accelerated schedule (birth through 18 years). This catch-up scheduler will identify doses and timing of vaccines needed (useful when a child needs to travel or must catch up on missed doses or during a disease outbreak).

 

Child and Adolescent Vaccine Quiz

Birth through 18 Years

Take this Childhood Vaccine Quiz to create a personalized list of recommended vaccines for a child (birth through 18 years) based on his or her health history. Once printed, discuss with parents.

Español: Cuestionario sobre las vacunas infantiles

 

 

Note: To order the child and adolescent immunization schedule, go to CDC-INFO on Demand – Publications and pull down the menu for “Programs.” Select “Immunization and Vaccines (Schedules and Booklets)” and click “Search.”

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