Immunization Schedule
Immunization Schedule
AT BIRTH
BGC Infant: 0.05 ml Infant: ID Infant: right deltoid • Meningitis
Preschool: 0.1 ml Preschool: IM Preschool: Left deltoid • Tuberculosis
AT BIRTH – 6TH – 14TH WEEK
Hepatitis B 0.5 ml IM Outer upper thigh • Acute & chronic hepatitis B 6 mos after last
• Hepatocellular carcinoma dose
6TH – 10TH – 14TH WEEK
Pentavalent 0.5 ml IM Outer upper thigh • Diptheria 4th dose:
(DPT, HiB, Hep B) • Pertussis not <12 mos
• Tetanus 5th dose:
4-6 yrs or before
school entry
Oral Polio Vaccine 2-3 drops Droplet Mouth • Bulbar Poliomyelitis Contraindications:
(OPV) • Aseptic meningitis • Anaphylactic reaction with
Inactivated Polio IM Outer upper thigh • Paralytic Poliomyelitis streptomycin, polymyxin B or
Vaccine (IPV) • Acute flaccid paralysis neomycin
• Pregnant women
Pneumococcal 0.5 ml IM Outer upper thigh Invasive: Bacteremia, meningitis At risk:
Noninvasive: Otits media, • Chronic heart/ lung/ liver/ renal
sinusitis, pneumonia • Cochlear Implants
• HIV
• Asplenia
• DM
• Steroids
6TH – 10TH WEEK
Rotavirus • Gastroenteritis
• Diarrhea
6 MONTHS – 2 WEEKS AFTER – YEARLY
Influenza 6-35 mos: 0.25 ml 6-35 mos: IM 6-35 mos: Outer upper arm Infection caused by influenza Priority:
3-8 yrs: 0.5 ml 3-8 yrs: IM 3-8 yrs: Outer upper arm • 6 months – 5 years
>9 yrs: 0.5 ml >9 yrs: IM >9 yrs: Outer upper arm • Chronic Pulmonary
• Immunocompromised persons
• Pregnant
• Household contracts
9 MONTHS / 6 MONTHS (OUTBREAK)
Measles O.5 ml SC Outer upper arm Measles
12 MONTHS
MMR 0.5 ml SC Outer upper arm Measles, Mumps, Rubella, Contraindications:
Varicella • Pregnant women
• Pregnancy should be aoided for 4
weeks after vaccination
• Immunocompromised
• Severe allergic reaction to egg
Precautions:
• receiving blood products or
Immunoglobulin should wait for 3-
11 months
Varicella 0.5 ml SC Outer upper arm Chickenpox Post - Exposure Prophylaxis:
• Persons exposed to varicella and
are not immune
• Effective in 70-100% if given within
72 hrs exposure
Hepatitis A 0.5 ml IM Outer upper arm • Symptomatic Hepatitis A
• Cholecystic Hepatitis A
• Fulminant Hepatits A
Japanese B SC 12-24 mos after
Encephalitis first dose
2 YEARS OLD
Meningococcal Meningococcal Target:
aged 9 months, travelers, outbreak,
persistent complement competent
deficiencies, anatomic / functional
asplenia, HIV/AIDS
Yellow Fever
Typhoid IM Typhoid fever and its Target:
complication Travelers, outbreak, exposure,
laboratory workers
9 YEARS OLD
HPV Bivalent:
Female: 9 yrs old onwards
Quadrivalent:
Female: 9-45 yrs old
Male: 9-26 yrs old