2019 Vaccine Guide & Insert - VG9

Catch-up immunization schedule for persons aged 4 months-18 years who start late or who are more than
1 month behind, United States, 2019

12 months
12 months
12 months
2 months MenACWYCRM
9 months MenACWY-D

Not Applicable (N/A)
7 years

9 years
N/A
N/A
N/A

N/A
N/A

Measles, mumps, rubella
Varicella
Hepatitis A
Meningococcal

Meningococcal
Tetanus, diphtheria;
tetanus, diphtheria, and
acellular pertussis

Human papillomavirus
Hepatitis A
Hepatitis B
Inactivated poliovirus

Measles, mumps, rubella
Varicella

Children and adolescents age 7 through 18 years

4 weeks
3 months if younger than age 13 years.
4 weeks if age 13 years or older.

A fourth dose of IPV is indicated
if all previous doses were
administered at <4 years or if the
third dose was administered <6
months after the second dose.

6 months if first dose of DTaP/
DT was administered before the
1st birthday.

See Notes

6 months (minimum age 4 years
for final dose).

8 weeks (as final dose)
This dose only necessary
for children age 12 through
59 months who received
3 doses before age 12 months
or for children at high risk who
received 3 doses at any age.

8 weeks (as final dose)
This dose only necessary
for children age 12 through
59 months who received 3 doses
before the 1st birthday.

6 months

Dose 3 to Dose 4

6 months

Dose 4 to Dose 5

To Fax: 1.800.329.9109 24 Hrs

Centers for Disease Control and Prevention | Recommended Child and Adolescent Immunization Schedule, United States, 2019 | Page 3

4 weeks
if first dose of DTaP/DT was administered before the 1st birthday.
6 months (as final dose)
if first dose of DTaP/DT or Tdap/Td was administered at or after the 1st birthday.
Routine dosing intervals are recommended.
6 months
4 weeks
8 weeks and at least 16 weeks after first dose.
4 weeks
6 months
A fourth dose is not necessary if the third dose was administered at age 4 years or older and at least
6 months after the previous dose.

8 weeks
4 weeks

No further doses needed if previous dose was administered at age 15 months or older.
4 weeks
if current age is younger than 12 months and first dose was administered at younger than age 7 months,
and at least 1 previous dose was PRP-T (ActHib, Pentacel, Hiberix) or unknown.
8 weeks and age 12 through 59 months (as final dose)
if current age is younger than 12 months and first dose was administered at age 7 through 11 months;
OR
if current age is 12 through 59 months and first dose was administered before the 1st birthday, and second
dose administered at younger than 15 months;
OR
if both doses were PRP-OMP (PedvaxHIB; Comvax) and were administered before the 1st birthday.
No further doses needed for healthy children if previous dose administered at age 24 months or older.
No further doses needed for healthy
children if first dose was administered at 4 weeks
age 24 months or older.
if current age is younger than 12 months and previous dose given at <7 months old.
4 weeks
8 weeks (as final dose for healthy children)
if first dose administered before the
if previous dose given between 7-11 months (wait until at least 12 months old);
1st birthday.
OR
8 weeks (as final dose for healthy
if current age is 12 months or older and at least 1 dose was given before age 12 months.
children)
if first dose was administered at the
1st birthday or after.
4 weeks
4 weeks if current age is < 4 years.
6 months (as final dose) if current age is 4 years or older.
4 weeks
3 months
6 months
8 weeks
See Notes

No further doses needed if first dose
was administered at age 15 months or
older.
4 weeks
if first dose was administered before the
1st birthday.
8 weeks (as final dose)
if first dose was administered at age
12 through 14 months.

4 weeks

Minimum Interval Between Doses
Dose 2 to Dose 3
8 weeks and at least 16 weeks after first dose.
Minimum age for the final dose is 24 weeks.
4 weeks
Maximum age for final dose is 8 months, 0 days.

To Order: 1.800.P.SCHEIN (1.800.772.4346) 8am-8:30pm, et

6 weeks

Inactivated poliovirus

02/22/19

6 weeks

Pneumococcal conjugate

6 weeks

6 weeks
4 weeks
Maximum age for first
dose is 14 weeks, 6 days
6 weeks
4 weeks

Rotavirus

Diphtheria, tetanus, and
acellular pertussis
Haemophilus influenzae
type b

Birth

Hepatitis B

Dose 1 to Dose 2
4 weeks

Minimum Age for
Dose 1

Vaccine

The figure below provides catch-up schedules and minimum intervals between doses for children whose vaccinations have been delayed. A vaccine series does not need to be restarted, regardless of the
time that has elapsed between doses. Use the section appropriate for the child's age. Always use this table in conjunction with Table 1 and the notes that follow.
Children age 4 months through 6 years

Table 2

2019 Vaccine Guide & Insert

Table of Contents for the Digital Edition of 2019 Vaccine Guide & Insert