Recommended Vaccinations for Infants and Children

Birth through 6 Years, United States, 2022

COVID-19 Vaccination

Advisory Committee on Immunization Practices (ACIP) recommends use of COVID-19 vaccines for everyone ages 6 months and up. COVID-19 vaccine and other vaccines may be administered on the same day. See the COVID-19 Vaccine Product Information page for additional information.

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COVID-19 vaccination is recommended for ages 6 months and up.

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birth
Birth		 month 1
1
month		 month 2
2
months		 month 3
4
months		 month 6
6
months		 month 12
12
months		 month 15
15
months		 month 18
18
months		 month 19-23
19-23
months		 year 2-3
2-3
years		 year 4-6
4-6
years
HepB HepB HepB
RV RV RV
DTaP DTaP DTaP DTaP DTaP
Hib Hib Hib Hib
PCV13 PCV13 PCV13 PCV13
IPV IPV IPV IPV
Influenza (Yearly)*
MMR MMR
Varicella Varicella
HepA§

Note: If your child misses a shot, you don’t need to start over. Just go back to your child’s doctor for the next shot. Talk with your child’s doctor if you have questions about vaccines.

Footnotes

*Two doses given at least four weeks apart are recommended for children age 6 months through 8 years of age who are getting an influenza (flu) vaccine for the first time and for some other children in this age group.

§Two doses of HepA vaccine are needed for lasting protection. The first dose of HepA vaccine should be given between 12 months and 23 months of age. The second dose should be given 6 months after the first dose. All children and adolescents over 24 months of age who have not been vaccinated should also receive 2 doses of HepA vaccine.

If your child has any medical conditions that put him or her at risk for infection or is traveling outside the United States, talk to your child’s doctor about additional vaccines that he or she may need.

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Vaccine-Preventable Diseases and the Vaccines that Prevent Them

child vaccine preventable disease easy read
Disease Vaccine Disease spread by Disease symptoms Disease complications
Chickenpox Varicella vaccine protects against chickenpox. Air, direct contact Rash, tiredness, headache, fever Infected blisters, bleeding disorders, encephalitis (brain swelling), pneumonia (infection in the lungs), death
Diphtheria DTaP* vaccine protects against diphtheria. Air, direct contact Sore throat, mild fever, weakness, swollen glands in neck Swelling of the heart muscle, heart failure, coma, paralysis, death
Hib Hib vaccine protects against Haemophilus influenzae type b. Air, direct contact May be no symptoms unless bacteria enter the blood Meningitis (infection of the covering around the brain and spinal cord), intellectual disability, epiglottitis (life-threatening infection that can block the windpipe and lead to serious breathing problems), pneumonia (infection in the lungs), death
Hepatitis A HepA vaccine protects against hepatitis A. Direct contact, contaminated food or water May be no symptoms, fever, stomach pain, loss of appetite, fatigue, vomiting, jaundice (yellowing of skin and eyes), dark urine Liver failure, arthralgia (joint pain), kidney, pancreatic, and blood disorders, death
Hepatitis B HepB vaccine protects against hepatitis B. Contact with blood or body fluids May be no symptoms, fever, headache, weakness, vomiting, jaundice (yellowing of skin and eyes), joint pain Chronic liver infection, liver failure, liver cancer, death
Influenza (Flu) Flu vaccine protects against influenza. Air, direct contact Fever, muscle pain, sore throat, cough, extreme fatigue Pneumonia (infection in the lungs), bronchitis, sinus infections, ear infections, death
Measles MMR** vaccine protects against measles. Air, direct contact Rash, fever, cough, runny nose, pink eye Encephalitis (brain swelling), pneumonia (infection in the lungs), death
Mumps MMR**vaccine protects against mumps. Air, direct contact Swollen salivary glands (under the jaw), fever, headache, tiredness, muscle pain Meningitis (infection of the covering around the brain and spinal cord), encephalitis (brain swelling), inflammation of testicles or ovaries, deafness, death
Pertussis DTaP* vaccine protects against pertussis (whooping cough). Air, direct contact Severe cough, runny nose, apnea (a pause in breathing in infants) Pneumonia (infection in the lungs), death
Polio IPV vaccine protects against polio. Air, direct contact, through the mouth May be no symptoms, sore throat, fever, nausea, headache Paralysis, death
Pneumococcal PCV13 vaccine protects against pneumococcus. Air, direct contact May be no symptoms, pneumonia (infection in the lungs) Bacteremia (blood infection), meningitis (infection of the covering around the brain and spinal cord), death
Rotavirus RV vaccine protects against rotavirus. Through the mouth Diarrhea, fever, vomiting Severe diarrhea, dehydration, death
Rubella MMR** vaccine protects against rubella. Air, direct contact Sometimes rash, fever, swollen lymph nodes Very serious in pregnant women—can lead to miscarriage, stillbirth, premature delivery, birth defects
Tetanus DTaP* vaccine protects against tetanus. Exposure through cuts in skin Stiffness in neck and abdominal muscles, difficulty swallowing, muscle spasms, fever Broken bones, breathing difficulty, death

* DTaP combines protection against diphtheria, tetanus, and pertussis.
** MMR combines protection against measles, mumps, and rubella.

This schedule is recommended by the Advisory Committee on Immunization Practices (ACIP) and approved by the Centers for Disease Control and Prevention (CDC), American Academy of Pediatrics (AAPexternal icon), and American Academy of Family Physicians (AAFPexternal icon).

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Page last reviewed: February 17, 2022
Content source: National Center for Immunization and Respiratory Diseases