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Recommended
Immunization Schedule for Persons Aged 7-18 Years
UNITED STATES 2007
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This schedule indicates the recommended ages
for routine administration of currently licensed childhood
vaccines, as of December 1, 2006, for children through age 6
years. For additional information see
www.cdc.gov/nip/recs/child-schedule.htm. Any dose not
administered at the recommended age should be administered
at any subsequent visit when indicated and feasible.
Additional vaccines may be licensed and recommended during
the year. Licensed combination vaccines may be used whenever
any components of the combination are indicated and other
components of the vaccine are not contraindicated and if
approved by the Food and Drug Administration for that dose
of the series. Providers should consult the respective ACIP
statement for detailed recommendations. Clinically
significant adverse events that follow immunization should
be reported to the Vaccine Adverse Event Reporting System (VAERS).
Guidance about how to obtain and complete a VAERS form is
available at
www.vaers.hhs.gov or by telephone, 800-822-7967.
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2007 Schedule
for ages 0-6 year
● 2007
Catch-up Schedule pdf
●
2007 Schedules PDF (adobe acrobat) |
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Changes from 2006 schedule |
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1. Tetanus and diphtheria toxoids and acellular pertussis
vaccine (Tdap). (Minimum age: 10 years for
BOOSTRIX® and 11 years for ADACEL)
- Administer at age 1112 years for
those who have completed the recommended childhood DTP/DTaP
vaccination series and have not received a tetanus and
diphtheria toxoids vaccine (Td) booster dose.
- Adolescents aged 1318 years who
missed the 1112 year Td/Tdap booster dose should also
receive a single dose of Tdap if they have completed the
recommended childhood DTP/DTaP vaccination series.
2. Human
papillomavirus vaccine (HPV). (Minimum age: 9
years)
- Administer the first dose of the HPV
vaccine series to females at age 1112 years.
- Administer the second dose 2 months
after the first dose and the third dose 6 months after
the first dose.
- Administer the HPV vaccine series to
females at age 1318 years if not previously vaccinated.
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3. Meningococcal
vaccine. (Minimum age: 11 years for
meningococcal conjugate vaccine [MCV4]; 2 years for
meningococcal polysaccharide vaccine [MPSV4])
- Administer MCV4 at age 1112 years
and to previously unvaccinated adolescents at high
school entry (at approximately age 15 years).
- Administer MCV4 to previously
unvaccinated college freshmen living in dormitories;
MPSV4 is an acceptable alternative.
- Vaccination against invasive
meningococcal disease is recommended for children and
adolescents aged >2 years with terminal complement
deficiencies or anatomic or functional asplenia and
certain other high-risk groups. See
MMWR 2005;54(No. RR-7):121. Use MPSV4 for children
aged 210 years and MCV4 or MPSV4 for older children.
4.
Pneumococcal polysaccharide vaccine (PPV).
(Minimum age: 2 years)
5. Influenza vaccine.
(Minimum age: 6 months for trivalent inactivated
influenza vaccine [TIV]; 5 years for live, attenuated
influenza vaccine [LAIV])
- Influenza vaccine is recommended
annually for persons with certain risk factors,
health-care workers, and other persons (including
household members) in close contact with persons in
groups at high risk. See
MMWR 2006;55 (No. RR-10):141.
- For healthy persons aged 549 years,
LAIV may be used as an alternative to TIV.
- Children aged <9 years who are
receiving influenza vaccine for the first time should
receive 2 doses (separated by >4 weeks for TIV and >6
weeks for LAIV).
6. Hepatitis A
vaccine (HepA). (Minimum age: 12 months)
- The 2 doses in the series should be
administered at least 6 months apart.
- HepA is recommended for certain other
groups of children, including in areas where vaccination
programs target older children. See
MMWR 2006;55 (No. RR-7):123.
7. Hepatitis B
vaccine (HepB). (Minimum age: birth)
- Administer the 3-dose series to those
who were not previously vaccinated.
- A 2-dose series of Recombivax HB® is
licensed for children aged 1115 years.
8.
Inactivated poliovirus vaccine (IPV).
(Minimum age: 6 weeks)
- For children who received an all-IPV
or all-oral poliovirus (OPV) series, a fourth dose is
not necessary if the third dose was administered at age
>4 years.
- If both OPV and IPV were administered
as part of a series, a total of 4 doses should be
administered, regardless of the childs current age.
9.
Measles, mumps, and rubella vaccine (MMR).
(Minimum age: 12 months)
- If not previously vaccinated,
administer 2 doses of MMR during any visit, with >4
weeks between the doses.
10. Varicella vaccine.
(Minimum age: 12 months)
- Administer 2 doses of varicella
vaccine to persons without evidence of immunity.
- Administer 2 doses of varicella
vaccine to persons aged <13 years at least 3 months
apart. Do not repeat the second dose, if administered
>28 days after the first dose.
- Administer 2 doses of varicella
vaccine to persons aged >13 years at least 4 weeks
apart.
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Changes from 2006 Schedule
- According to the updated
recommendations for varicella
vaccine, the first dose should be given at age 12
to 15 months, and a newly recommended second dose should
be given at age 4 to 6 years.
- The new human
papillomavirus (HPV) vaccine should be given in a
3-dose schedule, with the second and third doses given 2
and 6 months after the first dose. Girls aged 11 to 12
years should be routinely vaccinated with HPV vaccine,
but this vaccination series can be started in girls as
young as age 9 years. A catch-up vaccination is
recommended for females aged 13 to 26 years who have not
been vaccinated previously or who have not completed the
full vaccine series.
- The new guidelines divide the
recommendations into 2 schedules: 1 for children aged 0
to 6 years, and another for persons aged 7 to 18 years.
Purple bars indicate special populations, and bold,
capitalized fonts in the title highlight the 11- to
12-year evaluation. The catch-up immunization schedule
incorporates the rotavirus, HPV, and varicella vaccines.
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This page
was last updated on
January 23, 2008 |
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