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Recommended Vaccination Schedule 2024, as per current Universal Immunization Program (UIP) by Govt. OF India and Indian Academy of Paediatrics revised schedule (IAP), on the guidelines of WHO.
*Mandatory vaccines: Vaccines to be administered compulsorily to each child in the country.
Recommended Vaccines: Available Vaccines, recommended by IAP for preventing various diseases, administered on the basis of individual’s demographics, environmental conditions and medical history.
W - Weeks, M - Months, Y - Years
Footnotes For Vaccination Schedule 2021
Footnotes For Vaccination Schedule 2021
NOTE: Immune response is best achieved if Vaccination is carried out as per vaccination schedule without any lapses.
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)
OPV*
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
Hib*
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
MMR*
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
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