Catch Up Vaccination
Catch Up Vaccination
Haemophilus 6 wks 4 weeks if first dose administered before the 4 weeks if current age is younger than 8 weeks (as final dose)
Influenzae type b3 1st birthday 12 months and first dose was This dose only
administered at younger than age 7 necessary for children
8 weeks (as final dose) if first dose months, and at least 1 previous dose aged 12 months through
administered at age 12 through 14 months was PRP-T (ActHiB, Pentacel, Hiberix) 59 months who received
or unknown. 3 doses before the 1st
No further doses needed if first dose birthday
administered at age 15 months or older 8 weeks and age 12 through 59
months (as final dose)
• if current age is younger than 12
months and first dose was
administered at age 7 through 11
months;
OR
• If current age is 12 through 59
months and first dose was
administered before the 1st
birthday and second dose
administered at younger than 15
months;
OR
• If both doses were PRP-OMP
(PedvaxHIB; Comvax) and were
administered before the 1st
birthday
1
Hepatitis (Hep B) vaccine
• Unvaccinated persons should complete a 3-dose series at 0, 1-2, and 6 months.
2
Diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccine
• The 5th dose of DTaP vaccine is not necessary if the 4th dose was administered at 4 years or older.
2018-2019 School Year
3
Haemophilus influenzae type b conjugate (Hib) vaccine
• 1st dose at 7-11 months: Give 2nd dose at least 4 weeks later and 3rd (final) dose at 12-15 months or 8 weeks after 2nd dose (whichever is later).
• 1st dose at 12-14 months: Give 2nd (final) dose at least 8 weeks after 1st dose.
• 1st dose before 12 months and 2nd dose before 15 months: Give 3rd (final) dose 8 weeks after 2nd dose.
• 2 doses of PedvaxHib before 12 months: Give 3rd (final) dose at 12-59 months and at least 8 weeks after 2nd dose.
• Unvaccinated at 15-59 months: 1 dose.
4
Pneumococcal vaccines [Minimum age: 6 weeks for pneumococcal conjugate vaccine (PCV).
• 1 dose for healthy children aged 24-59 months with any incomplete PCV13 schedule.
5
Inactivated poliovirus (IPV) vaccine
• In the first 6 months of life, use minimum ages and intervals only for travel to a polio-endemic region or during an outbreak.
• If 4 or more doses were given before the 4th birthday, give 1 more dose at 4-6 years and at least 6 months after the previous dose.
• A 4th dose is not necessary if the 3rd dose was given on or after the 4th birthday and at least 6 months after the previous dose.
• If both OPV and IPV were administered as part of a series, a total of 4 doses should be administered, regardless of the child’s current age. If only OPV
was administered, and all doses were administered prior to 4 years of age, 1 dose of IPV should be administered at 4 years or older, at least 4 weeks
after the last OPV dose.
• Series Containing Oral Polio Vaccine (OPV), either mixed OPV-IPV or OPV only series:
• Total number of doses needed to complete the series is the same as that recommended for the U.S. IPV schedule.
• Only trivalent OPV (tOPV) counts toward the U.S. vaccination requirements.
6
Measles, mumps, and rubella (MMR) vaccine
• Unvaccinated children and adolescents: 2 doses at least 4 weeks apart.
7
Varicella Vaccine
• Ensure persons 7-18 years without evidence of immunity (see MMWR 2007; 56 [No. RR-4]; atwww.cdc.gov/mmwr/pdf/rr/rr5604.pdf) have 2 doses of
varicella vaccine.
• Ages 7-12: routine interval 3 months (minimum interval: 4 weeks).
• Ages 13 and older: minimum interval 4 weeks.
Table 2. Catch-up Schedule for Children and Adolescents Age 7 Through 18 Years
Vaccine Minimum Age Dose 1 to Dose 2 Dose 2 to Dose 3 Dose 3 to
for Dose1 Dose 4
Meningococcal1 6 weeks 8 weeks
1
Meningococcal vaccines
• Age 13-15 years: 1 dose now and booster at age 16-18 years. Minimum interval 8 weeks.
• Age 16-18 years: 1 dose.
2
Tetanus and diphtheria toxoids vaccine (Td) and tetanus and diphtheria toxoids and acellular pertussis (Tdap) vaccine
• Adolescents 13–18 who have not received Tdap: 1 dose, followed by a Td booster every 10 years.
• Persons aged 7–18 years not fully immunized with DTaP: 1 dose of Tdap as part of the catch-up series (preferably the first dose). If additional doses
are needed, use Td.
2018-2019 School Year
• Children 7–10 years who receive Tdap inadvertently or as part of the catch-up series may receive the routine Tdap dose at 11–12 years.
• DTaP inadvertently given after the 7th birthday: Child 7–10: DTaP may count as part of catch-up series. Routine Tdap dose at 11-12 may be given.
• Adolescent 11–18: Count dose of DTaP as the adolescent Tdap booster.
3
Hepatitis B (HepB) vaccine
• Unvaccinated persons should complete a 3-dose series at 0, 1-2, and 6 months.
• Adolescents 11–15 years of age may use an alternative 2-dose schedule, with at least 4 months between doses (adult formulation Recombivax HB
only).
4
Inactivated poliovirus (IPV) vaccine
• If 4 or more doses were given before the 4th birthday, give 1 more dose at age 4–6 years and at least 6 months after the previous dose.
• A 4th dose is not necessary if the 3rd dose was given on or after the 4th birthday and at least 6 months after the previous dose.
• IPV is not routinely recommended for U.S. residents 18 years or older.
• If both OPV and IPV were administered as part of a series, a total of 4 doses should be administered, regardless of the child’s current age. If only OPV
was administered, and all doses were administered prior to 4 years of age, 1 dose of IPV should be administered at 4 years or older, at least 4 weeks
after the last OPV dose.
• Series Containing Oral Polio Vaccine (OPV), either mixed OPV-IPV or OPV only series:
• Total number of doses needed to complete the series is the same as that recommended for the U.S. IPV schedule.
• Only trivalent OPV (tOPV) counts toward the U.S. vaccination requirements.
5
Measles, mumps, and rubella (MMR) vaccine
• Unvaccinated children and adolescents: 2 doses at least 4 weeks apart.
6
Varicella (VAR) vaccine
• varicella vaccine.
• Ages 7-12: routine interval 3 months (minimum interval: 4 weeks).
• Ages 13 and older: minimum interval 4 weeks.