New immunization schedule 2019
The Centers for Disease Control and Prevention (CDC) releases updated immunization schedules annually. Here is the recommended immunization schedule for children and adolescents in the United States for 2019:
Recommended Immunization Schedule for Children and Adolescents Aged 0-18 Years
Birth to 6 years
- Hepatitis B (HepB): 3 doses, with the first dose given at birth, and the second and third doses given at 1-2 months and 6-18 months, respectively.
- Rotavirus (RV): 2-3 doses, with the first dose given at 2 months, and the second and third doses given at 4 months and 6 months, respectively.
- Diphtheria, Tetanus, and Pertussis (DTaP): 5 doses, with the first dose given at 2 months, and the fourth and fifth doses given at 15-18 months and 4-6 years, respectively.
- Haemophilus influenzae type b (Hib): 3-4 doses, with the first dose given at 2 months, and the second and third doses given at 4 months and 6-18 months, respectively.
- Pneumococcal conjugate (PCV): 4 doses, with the first dose given at 2 months, and the second, third, and fourth doses given at 4 months, 6 months, and 12-15 months, respectively.
- Influenza (flu): 1 dose annually, starting at 6 months.
- Measles, Mumps, and Rubella (MMR): 2 doses, with the first dose given at 12-15 months, and the second dose given at 4-6 years.
- Varicella (chickenpox): 2 doses, with the first dose given at 12-15 months, and the second dose given at 4-6 years.
- Human papillomavirus (HPV): 2-3 doses, with the first dose given at 11-12 years, and the second and third doses given at 2 months and 6 months after the first dose, respectively.
- Meningococcal conjugate (MenACWY): 1-2 doses, with the first dose given at 11-12 years, and the second dose given at 16 years.
Adolescents Aged 11-18 Years
- Tdap (tetanus, diphtheria, and pertussis): 1 dose, with the first dose given at 11-12 years.
- Meningococcal conjugate (MenACWY): 1-2 doses, with the first dose given at 11-12 years, and the second dose given at 16 years.
- HPV: 2-3 doses, with the first dose given at 11-12 years, and the second and third doses given at 2 months and 6 months after the first dose, respectively.
- Influenza (flu): 1 dose annually, starting at 6 months.
- MMR: 2 doses, with the first dose given at 12-15 months, and the second dose given at 4-6 years.
Catch-up Immunization Schedule
For children who start their vaccination series late or miss doses, the CDC recommends the following catch-up schedule:
- HepB: 3 doses, with the first dose given at birth, and the second and third doses given at 1-2 months and 6-18 months, respectively.
- DTaP: 5 doses, with the first dose given at 2 months, and the fourth and fifth doses given at 15-18 months and 4-6 years, respectively.
- Hib: 3-4 doses, with the first dose given at 2 months, and the second and third doses given at 4 months and 6-18 months, respectively.
- PCV: 4 doses, with the first dose given at 2 months, and the second, third, and fourth doses given at 4 months, 6 months, and 12-15 months, respectively.
- MMR: 2 doses, with the first dose given at 12-15 months, and the second dose given at 4-6 years.
- Varicella: 2 doses, with the first dose given at 12-15 months, and the second dose given at 4-6 years.
It's essential to consult with your child's healthcare provider to determine the best immunization schedule for your child, as they may have specific recommendations based on your child's medical history and other factors.