IAP Immunisation Time TableRecommendations of the IAP Committee on Immunisation

Age

Vaccines

Note

Birth

BCG

OPV zero

Hepatitis B -1

6 weeks

OPV-1 + IPV-1 / OPV -1

  OPV alone if IPV cannot be given

DTPw-1 / DTPa -1

Hepatitis B -2

Hib -1

10 weeks

OPV-2 + IPV-2 / OPV-2

  OPV alone if IPV cannot be given

DTPw-2 / DTPa -2

Hib -2

14 weeks

OPV-3 + IPV-3 / OPV -3

  OPV alone if IPV cannot be given

DTPw-3 / DTPa -3

Hepatitis B -3

  Third dose of Hepatitis B can be given at 6 months of age

Hib -3

9 months

Measles

15-18 months

OPV-4 + IPV-B1 / OPV -4

  OPV alone if IPV cannot be given

DTPw booster -1 or DTPa booster -1

Hib booster

MMR -1

2 years

Typhoid

  Revaccination every 3-4 years

5 years

OPV -5

DTPw booster -2 or DTPa booster -2

MMR -2

  The second dose of MMR vaccine can be given at any   time 8 weeks after the first dose

10 years

Tdap

It is Adolescent and Adult Formulation.

HPV

  Only girls, three doses at 0, 1-2 and 6 months

Vaccines that can be given after discussion with parents

More than 6 weeks

Pneumococcal conjugate

  3 primary doses at 6, 10, and 14 weeks, followed by a booster at 15-18 months

More than 6 weeks

Rota viral vaccines

  (2/3 doses (depending on brand) at 4-8 weeks interval

After 15 months

Varicella

Age less than 13 years: one dose
Age more than 13 years: 2 doses at 4-8 weeks interval

After 18 months

Hepatitis A

2 doses at 6-12 months interval

BCG Vaccine:

  • Should be given at birth or at first contact
  • Catch up may be given up to 5 years

Hepatitis B (HepB) vaccine

  • Minimum age: birth
  • Administer monovalent HepB vaccine to all newborns before hospital discharge.
  • Monovalent HepB vaccine should be used for doses administered before age 6 weeks.
  • Administration of a total of 4 doses of HepB vaccine is permissible when a combination vaccine containing HepB is administered after the birth dose.
  • Infants who did not receive a birth dose should receive 3 doses of a HepB containing vaccine starting as soon as feasible.
  • The ideal minimum interval between dose 1 and dose 2 is 4 weeks, and between dose 2 and 3 is 8 weeks.
  • Ideally, the final (third or fourth) dose in the HepB vaccine series should be administered no earlier than age 24 weeks and at least 16 weeks after the first dose.
  • Hep B vaccine may also be given in any of the following schedules: Birth, 1, & 6 montth, Birth, 6 and 14 weeks; 6, 10 and 14 weeks; Birth, 6 weeks,10 weeks, 14 weeks, etc.

Poliovirus vaccines

  • OPV in place of IPV If IPV is unaffordable/unavailable, minimum 3 doses
  • Additional doses of OPV on all SIAs
  • IPV: Minimum age: 6 weeks
  • IPV: 2 instead of 3 doses can be also used if primary series started at 8 weeks and the interval between the doses is kept 8 weeks
  • IPV catch-up schedule: 2 doses at 2 months apart followed by a booster after 6 months

Diphtheria and tetanus toxoids and pertussis (DTP) vaccine.

  • Minimum age: 6 weeks
  • The first booster (4th dose) may be administered as early as age 12months, provided at least 6 months have elapsed since the third dose.
  • DTwP/DTaP/Tdap/Td: Catch up below 7 years: DTwP/DTaP at 0, 1 and 6 months;
  • Catch up above 7 years: Tdap, Td, Td at 0, 1 and 6 months.

Haemophilus influenzae type b (Hib) conjugate vaccine

  • Minimum age: 6 weeks
  • Catch up in 6-12 months; 2 doses 1 month apart and 1 booster; 12-15 months: 1 primary and 1 booster; above 15 months single dose.

Pneumococcal vaccines

  • Minimum age: 6 weeks for pneumococcal conjugate vaccine [PCV]; 2 years for pneumococcal polysaccharide vaccine [PPSV]
  • Administer 1 dose of PCV to all healthy children aged 24 through 59 months who are not completely vaccinated for their age.
  • For children who have received an age-appropriate series of 7-valent PCV (PCV7), a single supplemental dose of 13-valent PCV (PCV13) is recommended for:

All children aged 14 through 59 months
Children aged 60 through 71 months with underlying medical conditions.

  • Administer PPSV at least 8 weeks after last dose of PCV to children aged 2 years or older with certain underlying medical conditions (certain high-risk groups)
  • PCV: Catch up in 6-12 months: 2 doses 1 month apart and 1 booster; 12-23 months: 2 doses 2 months apart; 24 mo & above: single dose
  • PPSV: Revaccination only once after 3-5 years only in certain high risk patients.

Rotavirus (RV) vaccines

  • Minimum age: 6 weeks for both RV-1 [Rotarix] and RV-5 [Rota Teq])
  • Only two doses of RV-1 are recommended at present
  • The maximum age for the first dose in the series is 14 weeks, 6 days; and 8 months, 0 days for the final dose in the series.
  • Vaccination should not be initiated for infants aged 15 weeks, 0 days or

Measles.

  • Minimum age: At completed months/270 completed days;
  • Catch up vaccination beyond 12 months should be MMR
  • Measles vaccine can be administered to infants aged 6 through 11 months during outbreaks. These children should be revaccinated with 2 doses of measles containing vaccines, the first at ages 12 through 15 months and atleast 4 weeks after the previous dose, and the second at ages 4 through 6 years

Measles, mumps, and rubella (MMR) vaccine.

  • Minimum age: 12 months
  • The second dose may be administered before age 4 years, provided at least 4 weeks have elapsed since the first dose.

10. Varicella vaccine.

  • Minimum age: 12 months
  • The risk of breakthrough varicella is lower if given 15 months onwards.
  • The second dose may be administered before age 4 years, provided at least 3 months have elapsed since the first dose.
  • For children aged 12 months through 12 years, the recommended minimum interval between doses is 3 months. However, if the second dose was administered at least 4 weeks after the first dose, it can be accepted as valid.

Hepatitis A (HepA) vaccine.

  • Minimum age: 12 months
  • Two doses of both killed and live HepA vaccines.
  • Administer the second (final) dose 6 to18 months after the first.

Typhoid vaccine.

  • Only Vi-PS (polysaccharide) vaccine is recommended
  • Minimum age: 2 years; Revaccination every 3 years
  • Vi-PS conjugate vaccine: data not sufficient to recommend for routine use of currently available vaccine

Influenza vaccine.

  • Minimum age: 6 months for trivalent inactivated influenza vaccine
  • First time vaccination: 6 months to below 9 years: two doses 1 month apart; 9 years and above single dose; Annual revaccination with single dose.
  • For children aged 6 months to below 9 years: For the 2012 season, administer 2 doses (separated by at least 4 weeks) to those who did not receive at least 1 dose of the 2010–11 vaccine. Those who received at least 1 dose of the 2010–11 vaccine require 1 dose for the 2011–12 season
  • Best time to vaccinate: as soon as the new vaccine is released and available in the market & just before the onset of rainy season;

Meningococcal vaccine.

  • Only meningococcal polysaccharide vaccine (MPSV) is available
  • Minimum age: 2 years
  • Revaccination only once after 3 years in those at continued high risk

Cholera Vaccine.

  • Minimum age: one year (killed whole cell vibrio cholera (Shanchol)
  • Two doses 2 weeks apart for >1 year old

Japanese encephalitis (JE) vaccine.

  • Recommended in endemic areas only
  • Live attenuated, cell culture derived SA-14-14-2 vaccine is preferred
  • Minimum age: 8 months; can be co-administered with measles vaccine at 9 months; single dose
  • Catch up vaccination: all susceptible children up to 15 yrs should be administered during disease outbreak/ahead of anticipated outbreak in

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