Latest and revised Vaccination Schedule 2020

Vaccine

Routine Dose

(Should be given as per schedule)

Catch-up Dose

(Can be given if the doses as per schedule are missed)

• At birth or at 6 weeks of age

• Up to  5 years

• • 1st dose of monovalent Hep B at Birth, followed by 2nd dose at 6 weeks and 3rd dose at 6 months of age (2nd and 3rd dose can be monovalent/pentavalent)
  • According to latest  IAP update, it is mandatory to give Hep B dose within 24 hrs of age of the baby

• Alternatively, 3 primary doses of pentavalent vaccine, including Hep B at 6, 10 and 14 weeks after birth dose

• • If a birth dose is missed, monovalent Hep B before 4 weeks of age

• Next dose after 1 month, followed by a third dose after 6 months of first dose (0, 1, 6 month schedule)

• Birth dose of OPV is a must
• Complete replacement of OPV by IPV can be done for primary schedule
•  bOPV can be given for all the primary doses at 6, 10 and 14 weeks of age only if IPV is not available or feasible
•  No child should leave the health facility without polio  immunization (IPV or OPV), if indicated by the schedule

• Additional doses of OPV on all pulse polio days for children till 5 years of age

• Complete replacement of OPV by IPV can be done
• 3 Primary doses at 6, 10 and 14 weeks of age is recommended
• If IPV is not possible for all the primary doses. Then two doses of intramuscular IPV instead of three, should be given starting at 8 weeks, with an interval of 8 weeks between the 2 doses at a goverment facility
• If IPV is not available or feasible, the child should be given two fractional doses of IPV via intradermal route at 6 and 14 weeks or at least one full dose of  IPV via intramuscular route, either standalone or as a combination vaccine at 14 weeks of age.
• Booster dose of IPV at 12-18 months of age if primary doses of IPV are given

• 2 doses at 2 months gap followed by a booster dose at 6 month gap after the previous dose

• 3 primary doses (DTwP/DTaP) at 6 weeks, 10 weeks and 14 weeks of age
• First booster at 16-24 months of age, followed by a second booster at  4-6 yrs of age

• Missed primary doses can be completed till 1 year of age
• The 1st Booster dose can be given up to 4 years
• 2nd Booster dose can be given before 7 years of age

• 3 doses of Hib or Hib conjugate vaccine at  6 weeks, 10 weeks and 14 weeks of age
• Booster dose at age 12 -18 months

• For age < 12 months; 2 doses at 4 weeks interval, with a booster at age 12-18 months
• For child 12-15 months; 1 dose only followed by a booster dose after at least 4 weeks
• Above 15 months; single dose
• No catch up above 5 years of age

• 3 primary doses at 6 weeks,10 weeks and 14 weeks of age
• Booster dose at 15 months of age

• For infants of age 6-12 months, 2 doses can be given at 4 week gap followed by 1 booster dose.
• For children of age 12-23 months, 2 doses can be given at 8 week gap.
• For children of age 2 – 5 years, single dose can be given

• 3 primary doses at 6 weeks, 10 weeks and 14 weeks of age
•  The first dose of monovalent Rotavirus vaccine (RV1) can be given at 6 weeks and the second at 10 weeks of age in a two-dose schedule. Any of the available Rotavirus vaccine may be administered. (reference)

• Missed doses can be given before 8 months of age at a minimum gap of 4 weeks
• No catch-up after 8 months

• 2 doses starting at 6 months of age at 4 week gap for the first time vaccination
• Single dose every year for age group 1-9 years
• Influenza vaccine should be given annually on the routine basis to the high-risk group of children below age of 5 years

• 2 doses can be given at 4 week gap at any time for children less than 1 year

• 1 dose of MMR vaccine  at a minimum age of 9 months (270 completed days) through 12 months of age
• The 2nd dose at 15 months through 18 months of age  or at anytime 4-8 weeks after the 1st dose
• 3rd dose should be given at 4-6 years of age
  (According to IAP revised Schedule 2016-17)
• Additional dose of MR vaccine should be given during MR campaign for healthy children of age 9 months to 15 years. This should be irrespective of previous vaccination status to support national programs (reference)

•  All school children and adolescents who did not have natural infection or received the vaccine earlier should be immunized with 2 doses of MMR at minimum 4 weeks interval
• Monovalent measles/measles containing vaccine can be administered to infants aged 6 through 8 months during measles outbreaks. However, this dose should not be counted.

• Primary dose at 9-12 months (an interval of minimum 4 weeks should be maintained with the MMR1 dose while following the schedule).
• Booster dose at 2 years of age with either Typhoid conjugate (Typbar-TCV®) or Typhoid polysaccharide
• Booster doses every 3 years if Typhoid polysaccharide vaccine is used
• No further boosters are required if Typhoid Vi PS Conjugate is used

• Doses can be given till 18 years of age

•  Only one dose of Hep A live attenuated vaccine staring at 12 months through 23 months of age
• First dose of Hep A killed vaccine starting at 12 months through 23 months of age
• 2nd dose of Hep A killed vaccines at 18 months of age or at minimum interval of 6 months from 1st dose. Gap is flexible anytime between 6-18 months

• 2 doses for killed vaccine can be administered at minimum 6 months gap to unvaccinated persons
• Only single dose of live attenuated H2-strain need to be given to unvaccinated persons
• Hepatitis A vaccine can be given till 18 years of age

• First dose at 12 – 15 months
• Second dose at 4 – 6 years

• For children aged 7-12 years, 2 doses can be given at a minimum gap of 3 months
• For persons aged 13 years and older, 2 doses can be given at a minimum gap of 4 weeks

• 1 single dose at age of 11 years-12 years

• Can be given up to 18 years
• Tdap can be given to 7-10 year old kids who are not fully immunized against pertussis

•  Only 2 doses of either of the two HPV vaccines (HPV2/HPV4) for girls aged 9-14 years. The minimum interval between the two doses should be atleast 6 months
• 3 doses are recommended for girls aged 15 years and older. 2nd dose is given 1 to 2 months after the 1stdose and the 3rd dose 6 months after the 1stdose (at least 24 weeks after the first dose). Either HPV4 (0, 2, 6 months) or HPV2 (0, 1, 6 months) is recommended in 3-dose schedule

• Vaccination can be done till 26 years of age, maintaining the minimum intervals between the doses