Routine Childhood Immunisation Schedule

Summary of routine childhood vaccinations.

Routine Childhood Immunisation Schedule
AGEVACCINATION BRAND(S) DOSING AND ROUTEa
2 months DTaP/IPV/Hib Infanrix-IPV+Hib
Pediacel
One im inj
PCV Prevenar 13 One im inj
Rotavirus Rotarix One oral dose
MenB Bexsero One im inj
3 months DTaP/IPV/Hib Infanrix-IPV+Hib
Pediacel
One im inj
Rotavirus Rotarix One oral dose
4 months DTaP/IPV/Hib Infanrix-IPV+Hib
Pediacel
One im inj
PCV Prevenar 13 One im inj
MenB Bexsero One im inj
12 to 13 monthsb Hib/MenC Menitorix One im inj
PCV Prevenar 13 One im inj
MMR M-M-RvaxPro
Priorix
One im inj
MenB Bexsero One im inj
2 to 8 years (incl school years 1, 2 and 3) Influenza Fluenz Tetrac One nasal application yearlyd
3 years 4 months to 5 years dTaP/IPV Repevax One im inj
MMR M-M-RvaxPro
Priorix
One im inj
12 to 13 years (girls only) HPV Gardasil Two im inj (at 0 and 6 months)
Around 14 years (school year 9) MenACWY Menveo
Nimenrix
One im inj
Td/IPV Revaxis One im inj

aIndividuals with bleeding disorders should be given vaccines by deep sc inj to reduce the risk of bleeding.
bFor vaccination in toddlers where inj can only be given in two limbs, it is recommended that PCV be given in one limb and MMR and combined Hib/MenC in the other limb to reduce the risk of local reactions.
cIf Fluenz Tetra is unsuitable, give inactivated flu vaccine (by im or deep sc inj) if < 3 years and Fluarix Tetra if >3 years.
dFor previously unvaccinated children in clinical risk groups, give a second dose after ≥4 weeks.

KEY
DTaP/IPV/Hib = diphtheria, tetanus, acellular pertussis, inactivated poliovirus, Haemophilus influenzae type b
dTAP/IPV = diptheria (low dose), tetanus, accelular pertussis, inactivated poliovirus
Td/IPV = diphtheria (low dose), tetanus, inactivated poliovirus
Hib/MenC = Haemophilus influenzae type b, meningococcal serogroup C
PCV = pneumococcal
MenACWY = meningococcal serogroups A, C, W135 & Y
MenB = meningococcal serogroup B
MMR = measles, mumps, rubella
HPV = human papillomavirus

 

Notes

  • If ≥2 inj required, ideally give in different limbs. If this is not possible, leave 2.5cm between inj sites.
  • Postpone vaccination in the presence of acute febrile illness
  • All children should be immunised, even if older than the age range specified above.
  • Premature infants should be vaccinated at the appropriate chronological age according to the schedule.
  • If the schedule is interrupted, resume from the point of interruption and complete as soon as possible. It is never necessary to restart a course of vaccination.
  • If vaccination history is unknown or unreliable:
    • – For children born outside the UK, assume they are unimmunised and administer a full course of immunisations.
    • – For children born in the UK, make every attempt to ascertain what immunisations have been given. 
  • If the child was born outside the UK and vaccination history is complete:
    • – Check the vaccination schedule in the country of origin to ensure the child is protected against all diseases covered by the UK Schedule (see WHO website).
    • – If the fourth dose of DTaP was given at around 18 months, disregard and give routine pre-school and subsequent booster according to UK schedule.
  • For further information on vaccination in children with uncertain vaccination history, see www.gov.uk
  • For further information on individual vaccines (including reconstitution and administration), refer to the relevant Summaries of Product Characteristics.
  • Vaccines should be ordered through ImmForm.

 

References
Department of Health (2006, updated April 2014) Immunisation against infectious disease - ‘The Green Book’. Chapter 11 – The UK immunisation programme.
Public Health England. The complete routine immunisation schedule from summer 2016; accessed 7 September 2016.


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