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Routine immunisation schedule

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Routine immunisation schedule

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Immunisation information for health care professionals.

2 months ( 8 weeks )– Diphtheria, tetanus, pertussis
(whooping cough), polio,
Haemophilus influenzae type b (Hib)
and hepatitis B
DTaP/IPV/Hib/HepB Infanrix hexa Thigh
Pneumococcal (13 serotypes) Pneumococcal
conjugate vaccine (PCV) Prevenar 13 Thigh
Meningococcal group B (MenB) MenB Bexsero Left thigh
Rotavirus gastroenteritis Rotavirus Rotarix By mouth

3 months ( 12 weeks ) – Diphtheria, tetanus, pertussis, polio,
Hib and hepatitis B DTaP/IPV/Hib/HepB Infanrix hexa Thigh
Rotavirus Rotavirus Rotarix By mouth

4 months ( 16 weeks ) Diphtheria, tetanus, pertussis, polio,
Hib and hepatitis B DTaP/IPV/Hib/HepB Infanrix hexa Thigh
Pneumococcal (13 serotypes) PCV Prevenar 13 Thigh
MenB MenB Bexsero Left thigh

One year old ( on or after the child’s first birthday )-Hib and MenC Hib/MenC Menitorix Upper arm/thigh Pneumococcal PCV Prevenar 13 Upper arm/thigh Measles, mumps and rubella
(German measles) MMR MMR VaxPRO2 or Priorix Upper arm/thigh MenB MenB booster Bexsero Left thigh

Eligible paediatric age groups-Eligible paediatric age
groups1
Influenza (each year from
September)
Live attenuated
influenza vaccine LAIV2, 3 Fluenz Tetra2, 3 Both nostrils

Three years four
months old or soon
after
Diphtheria, tetanus, pertussis and
polio DTaP/IPV Infanrix IPV or
Repevax Upper arm
Measles, mumps and rubella MMR (check first
dose given)
MMR VaxPRO2
or
Priorix Upper arm

Girls aged 12 to13 years Cervical cancer caused by human papillomavirus (HPV) types 16 and 18 (and genital warts caused by types 6 and 11) HPV (two doses 6-24 months apart) ardasil upper arm

Fourteen years old (school year 9) Tetanus, diphtheria and polio Td/IPV (check MMR
status) Revaxis Upper arm Meningococcal groups A, C, W and Y disease MenACWY Nimenrix or Menveo Upper arm

65 years old Pneumococcal (23 serotypes) Pneumococcal
Polysaccharide Vaccine (PPV) Pneumococcal Polysaccharide Vaccine
Upper arm

65 years of age and older Influenza (each year from September) Inactivated influenza
vaccine Multiple Upper arm
70 years old Shingles Shingles Zostavax2 Upper arm

Babies born to hepatitis B infected
mothers At birth, four weeks and 12 months old1,2 Hepatitis B Hepatitis B
(Engerix B/HBvaxPRO)
Infants in areas of the country with
TB incidence >= 40/100,000 At birth Tuberculosis BCG
Infants with a parent or grandparent
born in a high incidence country3 At birth Tuberculosis BCG
At risk children From 6 months to 17 years of age Influenza
LAIV or inactivated
flu vaccine if
contraindicated to LAIV
or under 2 years of age
Pregnant women During flu season
At any stage of pregnancy Influenza Inactivated flu vaccine
Pregnant women From 16 weeks gestation Pertussis dTaP/IPV
(Boostrix-IPV or Repevax)
Medical condition Diseases protected against Vaccines required1
Asplenia or splenic dysfunction (including
due to sickle cell and coeliac disease)
Meningococcal groups A, B, C, W and Y
Pneumococcal
Haemophilus influenzae type b (Hib)
Influenza
Hib/MenC
MenACWY
MenB
PCV13 (up to two years of age)
PPV (from two years of age)
Annual flu vaccine
Cochlear implants Pneumococcal PCV13 (up to two years of age)
PPV (from two years of age)
Chronic respiratory and heart conditions
(such as severe asthma, chronic pulmonary
disease, and heart failure)
Pneumococcal
Influenza
PCV13 (up to two years of age)
PPV (from two years of age)
Annual flu vaccine
Chronic neurological conditions
(such as Parkinson’s or motor neurone
disease, or learning disability)
Pneumococcal
Influenza
PCV13 (up to two years of age)
PPV (from two years of age)
Annual flu vaccine
Diabetes Pneumococcal
Influenza
PCV13 (up to two years of age)
PPV (from two years of age)
Annual flu vaccine
Chronic kidney disease (CKD)
(including haemodialysis)
Pneumococcal (stage 4 and 5 CKD)
Influenza (stage 3, 4 and 5 CKD)
Hepatitis B (stage 4 and 5 CKD)
PCV13 (up to two years of age)
PPV (from two years of age)
Annual flu vaccine
Hepatitis B
Chronic liver conditions
Pneumococcal
Influenza
Hepatitis A
Hepatitis B
PCV13 (up to two years of age)
PPV (from two years of age)
Annual flu vaccine
Hepatitis A
Hepatitis B
Haemophilia Hepatitis A
Hepatitis B
Hepatitis A
Hepatitis B
Immunosuppression due to disease or
treatment3
Pneumococcal
Influenza
PCV13 (up to two years of age)2
PPV (from two years of age)
Annual flu vaccine
Complement disorders
(including those receiving complement
inhibitor therapy)
Meningococcal groups A, B, C, W and Y
Pneumococcal
Haemophilus influenzae type b (Hib)
Influenza
Hib/MenC
MenACWY
MenB
PCV13 (to any age)
PPV (from two years of age)
Annual flu vaccine
1. Take blood for HBsAg at 12 months to exclude infection.
2. In addition hexavalent vaccine (Infanrix hexa) is given at 8, 12 and 16 weeks.
3. Where the annual incidence of TB is >= 40/100,000 – see www.gov.uk/government/publications/tuberculosis-tb-by-country-rates-per-100000-people
1. Check relevant chapter of green book for specific schedule.
2. To any age in severe immunosuppression.
3. Consider annual influenza vaccination for household members and those who care for people with these conditions.

 

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