Vaccination Schedule

Routine childhood immunisations (from January 2020)

When to immunise Diseases protected against Vaccine given & trade name Site**
8 weeks old Diphtheria, tetanus, pertussis (whooping cough), polio, Haemophilus influenzae type b (Hib) and hepatitis B DTaP/IPV/Hib/HepB (Infanrix hexa) Thigh
Meningococcal group B (MenB) MenB Left thigh
Rotavirus gastroenteritis Rotavirus (Rotarix) By mouth
12 weeks old Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B DTaP/IPV/Hib/HepB (Infanrix hexa) Thigh
Pneumococcal (13 serotypes) PCV (Prevenar 13) Thigh
Rotavirus Rotavirus (Rotarix) By mouth
16 weeks old Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B DTaP/IPV/Hib/HepB (Infanrix hexa) Thigh
MenB MenB (Bexsero) Left thigh
1 year old (on or after the child’s 1st birthday) Hib and MenC Hib/MenC (Menitorix) Upper arm/thigh
Pneumococcal disease PCV (Prevenar 13) Upper arm/thigh
Measles, mumps and rubella (German measles) MMR (Priorix or MMR VaxPRO) Upper arm/thigh
MenB MenB booster (Bexsero) Left thigh
Eligible paediatric age groups1 Influenza (each year from September) Live attenuated influenza vaccine LAIV (Fluenz Tetra)2,3 Both nostrils
3 years 4 months old or soon after Diphtheria, tetanus, pertussis and polio dTaP/IPV (Repevax) or DTaP/IPV (Infanrix-IPV) Upper arm
Measles, mumps and rubella MMR (Priorix or MMR VaxPRO) (check first dose has been given) Upper arm
Boys & girls aged 12 to 13 years old Cervical cancer caused by human papillomavirus types 16 and 18 (and genital warts caused by types 6 and 11) HPV (Gardasil) (two doses 6-24 months apart) Upper arm
Around 14 years old   (school year 9) Tetanus, diphtheria and polio Td/IPV (Revaxis) (check MMR status) Upper arm
Meningococcal groups A, C, W and Y disease MenACWY (Nimenrix or Menveo) Upper arm
  1. See Green book chapter 19 or visit www.gov.uk/government/publications/influenza-the-green-book-chapter-19 or www.nhs.uk/conditions/vaccinations/child-flu-vaccine/
  2. Contains porcine gelatine.
  3. If LAIV (live attenuated influenza vaccine) is contraindicated and the child is in a clinical risk group, use inactivated flu vaccine.

**Where two or more injections are required at once, these should ideally be given in different limbs. Where this is not possible, injections in the same limb should be given 2.5cm apart.

 

Immunisations for at-risk children

 Target group When to immunise Diseases protected against Vaccine given Site
Babies born to hepatitis B infected mothers At birth, four weeks and 12 months old 1 Hepatitis B HepB (Engerix B/HBvaxPRO) Thigh
Infants in areas of the country with TB incidence >= 40/100,000 At birth Tuberculosis BCG Upper arm (intradermal)
Infants with a parent or grandparent born in a high incidence country2 At birth Tuberculosis BCG Upper arm (intradermal)
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 Both nostrils/upper arm 
  1. In addition hexavalent vaccine (Infanrix hexa) is given at 8, 12 and 16 weeks.
  2. Where the annual incidence of TB is >= 40/100,000 – see www.gov.uk/government/publications/tuberculosis-tb-by-country-rates-per-100000-people

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