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Catch-up
Immunization Schedule
Ages 7 - 18 Years
UNITED STATES • 2008
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Min Age
for Dose 1 |
Minimum Interval Between Doses
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Doses 1 and 2 |
Doses 2 and 3 |
Doses 3 and 4 |
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7 yrs1 |
4 wks |
4 wks
if age at dose 1 <
12 mos6 mos
if age at dose 1
≥ 12
mos |
6 mos
if age at dose 1
< 12 mos |
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9 yrs |
4 wks |
12 wks |
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12 mos |
6 mos |
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Birth |
4 wks |
8 wks |
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6 wks |
4 wks |
4 wks |
4 wksnote |
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12 mos |
4 wks |
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12 mos |
4 wks
if age at dose 1 ≥
13 yrs3 mos
if age at dose 1 < 13 yrs |
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1.
Tetanus
and diphtheria toxoids vaccine (Td) and tetanus and diphtheria toxoids and acellular pertussis
vaccine (Tdap).
- Tdap should be substituted for a single
dose of Td in the primary catch-up series or as a booster
if age appropriate; use Td for other doses.
- A 5-year interval from the last Td dose
is encouraged when Tdap is used as a booster dose. A booster
(fourth) dose is needed if any of the previous doses were
administered at younger than 12 months of age. Refer to ACIP
recommendations for further information. See
MMWR 2006;55(No.
RR-3).
2.
Human
papillomavirus vaccine (HPV).
- Administer the HPV vaccine series to
females at age 13–18 years if not previously vaccinated.
3.
Hepatitis A
vaccine (HepA).
- HepA is recommended for certain groups of children, including in areas where vaccination
programs target older children. See
MMWR 2006;55(No.
RR-7):1-23.
4.
Hepatitis B
vaccine (HepB).
- Administer the 3-dose series to those
who were not previously vaccinated.
- A 2-dose series of Recombivax HB® is
licensed for children aged 11–15 years.
5.
Inactivated poliovirus vaccine (IPV).
- 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 child’s current age.
- IPV is not routinely recommended for
persons ≥ 18 years.
6.
Measles, mumps, and rubella vaccine (MMR).
- The second dose of MMR is recommended
routinely at age 4-6 years but may be administered earlier
if desired.
- If not previously vaccinated,
administer 2 doses of MMR during any visit, with
≥ 4
weeks between the doses.
7.
Varicella vaccine.
- The second dose of varicella
vaccine is recommended routinely at age 4-6 years but
may be administered earlier if desired.
- Do not repeat the second dose in persons aged >13 years
if administered 28 or more days after the first dose.
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This page
was last updated on
January 30, 2008 |
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