VACCINATION

[a] Hepatitis B vaccine: This vaccine is given to most newborns before they are discharged from the hospital. The first dose is typically given at birth, the second dose at age 1 to 2 months, and the third dose at age 6 to 18 months. Infants who did not receive a dose at birth should begin the series as soon as possible.
[b] Rotavirus vaccine: Depending on the vaccine used, two or three doses of the vaccine are required. With one vaccine, the first dose is given at age 2 months and the second dose at age 4 months. With the other vaccine, the first dose is given at age 2 months, the second dose at age 4 months, and the third dose at age 6 months.
[c] Haemophilusinfluenzae type b (Hib) vaccine: Depending on the vaccine used, three or four doses of the Hib vaccine are required. With one vaccine, the first dose is given at age 2 months, the second dose at age 4 months, and the third dose at age 12 to 15 months. With the other vaccine, the first dose is given at age 2 months, the second dose at age 4 months, the third dose at age 6 months, and the fourth dose at age 12 to 15 months.

[d]TaP is followed by one lifetime dose of a tetanus, diphtheria, and pertussis (Tdap) booster given at age 11 to 12 years (shown as the number 6 on the above schedule). This dose is followed by a tetanus-diphtheria booster every 10 years.


[f] Pneumococcal vaccine: Four doses of the vaccine are given. The first dose is given at age 2 months, the second dose at age 4 months, the third dose at age 6 months, and the fourth dose at age 12 to 15 months.
[g] Meningococcal vaccine: Two doses of the vaccine are given. The first dose is given at age 11 to 12 years and the second dose at age 16 years (not shown on the above schedule).
[h] Influenza (flu) vaccine: The influenza vaccine should be given yearly to all children, beginning at age 6 months. There are two types of vaccine available. One or two doses are needed, depending on age and other factors. Most children need only one dose. Children who are 6 months to 8 years old who have received fewer than two doses or whose influenza vaccination history is unknown should receive two doses at least 4 weeks apart .
[i] Measles-mumps-rubella (MMR) vaccine: Two doses of the vaccine are given. The first dose is given at age 12 to 15 months and the second dose at age 4 to 6 years.
[j] Varicella (chickenpox) vaccine: Two doses of the vaccine are given. The first dose is given at age 12 to 15 months and the second dose at age 4 to 6 years.
[k] Hepatitis A vaccine: Two doses of the vaccine are needed for lasting protection. The first dose is given between ages 12 to 23 months, and the second dose 6 to 18 months later. If children over age 24 months have not been vaccinated, they can still be given the hepatitis A vaccine if desired.
[l] Human papillomavirus (HPV) vaccine: Routine vaccination is recommended at age 11 to 12 years (can start at age 9 years) and for previously unvaccinated or not adequately vaccinated people up through age 26 years (not shown on the above schedule). The human papillomavirus vaccine is given to girls and boys in 2 or 3 doses. The number of doses depends on how old the child is when the first dose is given. Those given the first dose at age 9 to 14 years are given 2 doses, separated by at least 5 months. Those given the first dose at age 15 years or older are given 3 doses. The second dose is given at least 1 month after the first, and the third dose is given at least 5 months after the first dose.

Vaccine-Preventable Diseases and the Vaccines that Prevent Them

CHILD VACCINE PREVENTABLE DISEASE EASY READ

Disease

Vaccine

Disease spread by

Disease symptoms

Disease complications

Chickenpox

Varicella vaccine protects
against chickenpox.

Air, direct contact

Rash, tiredness, headache, fever

Infected blisters, bleeding disorders, encephalitis (brain swelling),
pneumonia (infection in the lungs)

Diphtheria

DTaP*
vaccine protects against diphtheria.

Air, direct contact

Sore throat, mild fever, weakness, swollen glands in neck

Swelling of the heart muscle, heart failure, coma, paralysis, death

Hib

Hib vaccine
protects against Haemophilusinfluenzae type b.

Air, direct contact

May be no symptoms unless bacteria enter the blood

Meningitis (infection of the covering around the brain and spinal cord),
intellectual disability, epiglottitis (life-threatening infection that can
block the windpipe and lead to serious breathing problems), pneumonia
(infection in the lungs), death


Hepatitis A

HepA vaccine
protects against hepatitis A.

Direct contact, contaminated food or water

May be no symptoms, fever, stomach pain, loss of appetite, fatigue,
vomiting, jaundice (yellowing of skin and eyes), dark urine

Liver failure, arthralgia (joint pain), kidney, pancreatic, and blood
disorders

Hepatitis B

HepB vaccine
protects against hepatitis B.

Contact with blood or body fluids

May be no symptoms, fever, headache, weakness, vomiting, jaundice (yellowing
of skin and eyes), joint pain

Chronic liver infection, liver failure, liver cancer

Influenza (Flu)

Flu vaccine protects
against influenza.

Air, direct contact

Fever, muscle pain, sore throat, cough, extreme fatigue

Pneumonia (infection in the lungs)

Measles

MMR**
vaccine protects against measles.

Air, direct contact

Rash, fever, cough, runny nose, pink eye

Encephalitis (brain swelling), pneumonia (infection in the lungs), death

Mumps

MMR**vaccine
protects against mumps.

Air, direct contact

Swollen salivary glands (under the jaw), fever, headache, tiredness, muscle
pain

Meningitis (infection of the covering around the brain and spinal cord),
encephalitis (brain swelling), inflammation of testicles or ovaries,
deafness

Pertussis

DTaP*
vaccine protects against pertussis (whooping cough).

Air, direct contact

Severe cough, runny nose, apnea (a pause in breathing in infants)

Pneumonia (infection in the lungs), death

Polio

IPV vaccine
protects against polio.

Air, direct contact, through the mouth

May be no symptoms, sore throat, fever, nausea, headache

Paralysis, death



Pneumococcal

PCV13 vaccine
protects against pneumococcus.

Air, direct contact

May be no symptoms, pneumonia (infection in the lungs)

Bacteraemia (blood infection), meningitis (infection of the covering around
the brain and spinal cord), death

Rotavirus

RV vaccine
protects against rotavirus.

Through the mouth

Diarrhea, fever, vomiting

Severe diarrhea, dehydration

Rubella

MMR**
vaccine protects against rubella.

Air, direct contact

Sometimes rash, fever, swollen lymph nodes

Very serious in pregnant women—can lead to miscarriage, stillbirth,
premature delivery, birth defects

Tetanus

DTaP*
vaccine protects against tetanus.

Exposure through cuts in skin

Stiffness in neck and abdominal muscles, difficulty swallowing, muscle
spasms, fever

Broken bones, breathing difficulty, death

* DTaP combines protection against diphtheria, tetanus, and pertussis.
* MMR combines protection against measles, mumps, and rubella.