Childhood Immunisations

When	Diseases Protected	Vaccine given and name		Usual Site(1)
2 months	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)	Men B	Bexsero	Left Thigh
	Rotavirus	Rotavirus	Rotarix	By mouth
	Pneumococcal	PCV	Prevenar 13	Thigh
3 months	Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	DTaP/IPV/Hib/HepB	infanrix hexa	Thigh
3 months	Rotavirus	Rotavirus	Rotarix	By mouth
4 months	Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	DTaP/IPV/Hib/HepB	Infanrix hexa	Thigh
	Pneumococcal	PCV	Prevenar 13	Thigh
	MenB	MenB	Bexsero	Left thigh
12 - 13 months	Hib/Meningococcal group C (Men C)	Hib/Men C	Menitorix	Upper arm/thigh
	Pneumococcal	PCV Booster	Prevenar 13	Upper arm/thigh
	Measles, mumps and rubella (German measles)	MMR	MMRVaxPRO(2) or Priorix	Upper arm/thigh
	MenB	MenB	Bexsero	Left thigh
2(5) and 3 year olds and all children in primary school(6)	Influenza (each year from October)	Live attenuated influenza vaccine	Fluenz Tetra(2,3)	Both nostrils
3 years 4 months	Diphtheria, tetanus, pertussis and polio	DTaP/IPV	Infanrix IPV or Repevax	Upper arm
3 years 4 months	Measles, mumps and rubella	MMR	MMRVaxPRO(2) or Priorix	Upper arm
12 to 13 years (school year 8)	Cervical cancer (girls only), some head and neck and ano-genital cancers, and genital warts caused by human papillomavirus (HPV)	HPV(4) (two doses 6 - 24 months apart)	Gardasil	Upper arm
14 to 15 years (school year 9)	Tetanus, diphtheria and polio	Td/IPV (check MMR status)	Revaxis	Upper arm
	Meningococcal groups A, C, W and Y disease	MenACWY	Nimenrix or Menveo	Upper arm
	Human papillomavirus (HPV)	HPV 2nd dose(7)	Gardasil	Upper arm

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. For more details see chapters 4 and 11 in the Green Book. All injected vaccines are given intramuscularly unless otherwise stated
Contains porcine gelatine.
In Fluenz Tetra is contraindicated use a suitable inactivated quadrivalent flu vaccine.
If first dose of HPV is given after 15th birthday, three doses are required at 0, 1 and 4-6 months apart.
Children aged 2 years by 31st August prior to autumn/winter
From reception class to school year 6.
2nd dose maybe due.

Selective childhood immunisations programmes(1)
Target Group	Age and schedule	Disease	Vaccines required
Babies born to hepatitis B infected mothers	At birth and 1 month old. Boost at 12 - 13 months old (2, 4)	Hepatitis B	Hepatitis B vaccines (Engerix B / HBVaxPRO)
Infants in areas of the country with TB incidence >= 40/100,000	At birth	Tuberculosis	BCG
Children with a parent of grandparent born in a high incidence country (3)	At birth	Tuberculosis	BCG
Children in a risk group for influenza	6 months to 17 years	Influenza	LAIV for ages 2 - 17 years. Inactivated flu vaccine for other ages or if LAIV contraindicated.

Other vaccines may be recommended for individuals with certain underlying medical conditions.
Take blood for HBsAg to exclude infection.
Where the annual incidence of TB is >= 40/100,00 see www.gov.uk/government/publications/tuberculosis-tb-by-country-rates-per-100000-people
In addition Infanrix Hexa (DTaP/IPV/HepB) given at 8, 12 and 16 weeks.

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Childhood Immunisations

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