This schedule of recommended vaccines may vary based on your place of residence, your child’s health, the type of vaccine and the vaccines available.
Some vaccines may be given as part of a combination vaccine so your child receives fewer injections. Talk with your child’s doctor about the vaccines your child needs.
Hep B: hepatitis B vaccine. Ideally, the first dose should be administered within 24 hours of birth; But children who have not been vaccinated can receive the vaccine at any age. Some babies who are underweight at birth will receive the vaccine by the end of a month or upon discharge from the hospital.
1 or 2 months:
Hep B: the second dose should be applied one to two months after the first dose.
- DTaP: vaccine against diphtheria, tetanus and acellular pertussis
- Hib: vaccine against the bacterium Haemophilus influenzae type b
- VPI: inactivated poliomyelitis vaccine
- VNC: pneumococcal conjugate vaccine
- RV: rotavirus vaccine
- Hib: the third dose of this vaccine may be necessary, depending on the brand of Hib vaccine used in previous vaccinations.
- RV: the third dose of this vaccine may be necessary, depending on the brand of RV vaccine used in previous vaccinations.
- Influenza vaccine (influenza): this vaccine is recommended every year for children six months and older.
- Children under the age of nine who receive the influenza vaccine for the first time (or who have only been given one dose before July 2018) should receive two separate doses for a minimum interval of one month.
- Children under the age of nine who have received at least two doses of the influenza vaccine previously (either in the same season or in different seasons) will only need one dose.
- Children older than nine need only one dose.
- The vaccine is given as an injection with a needle or a nasal spray. Influenza vaccine is given to children of all ages as it has been proven safe and effective. Although nasal spray has not been used in recent years, it is now recommended to use an improved version (for the flu season of 2018-2019) for children who would not otherwise be able to receive the vaccine.
The nasal spray is only given to healthy people between 2 and 49 years of age. People with weakened immune systems or certain medical conditions (such as asthma) or pregnant women should not receive the nasal spray vaccine.
6 to 18 months:
- Hep B
12 to 15 months:
- Triple viral: vaccine against measles, mumps, and rubella
- Varicella vaccine
12 to 13 months:
- Hep A: hepatitis A vaccine; it is administered in two injections separated by a minimum interval of six months.
15 to 18 months:
4 to 6 years:
- Viral triple
11 to 12 years:
- HPV: vaccine against the human papillomavirus; it is administered in two injections over a period of 6 to 12 months. It can be administered after nine years. For adolescents and young adults (males between 15 and 26 years old and women between 15 and 21 years old), it is administered in three injections over a period of six months. It is recommended for both girls and boys in order to avoid the appearance of genital warts and certain types of cancer.
- DTaP: booster dose against tetanus, diphtheria and acellular pertussis. It is also recommended during each pregnancy. Conjugated meningococcal vaccine: a booster dose is recommended at 16 years of age.
16 to 18 years:
A vaccine against meningococcus B (MenB): can be administered to children and adolescents in two or three doses, depending on the brand. Unlike the meningococcal conjugate vaccine, which is recommended in the general case, the MenB vaccine is administered at the sole discretion of the physician.
The hepatitis A vaccine is also recommended for children two years of age and older who are at risk of developing this disease. This includes people who live in countries with a high incidence of this disease, who travel to these countries or adopt children from this source; people with bleeding disorders and people with chronic liver diseases. This vaccine can also be administered to people who want to be immune to hepatitis A and it is useful for nursery staff, preschool centers and schools, more exposed to suffer it.
The triple virus can be administered to babies as young as six months old who are going to undertake international trips. Even so, these children should receive the recommended routine doses between 12 and 15 months, and 4 and 6 years of age, but they can receive the second dose from four weeks after receiving the first dose if they will travel and are at risk.
Influenza vaccine is especially important for children who are exposed to develop health problems as a result of the flu. High-risk groups include, but are not limited to, children under five years of age and those with chronic medical conditions, such as asthma, heart problems, sickle cell disease, diabetes, or HIV infection.
Meningococcal vaccines can be given to children as young as eight weeks of age (depending on the specific type of vaccine) who are at risk for meningococcal infection, such as meningitis. This includes children who have certain immune disorders. Children living in (or traveling to) countries where meningitis is common or where an outbreak of this disease has been declared should also receive this vaccine.
Pneumococcal vaccines can also be given to older children (two years of age and older) with problems that affect the immune system, such as carrying a cochlear implant, suffering from chronic heart disease, or chronic lung disease.
It is declared that there is an outbreak when the disease occurs in a larger number of people than expected in a specific place. If you have questions about your family’s vaccination during an outbreak, ask the health care professional for information or contact your local health department.