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Suggested Citation: "Appendix G: Immunization Schedules." Institute of Medicine. 1993. The Children's Vaccine Initiative: Achieving the Vision. Washington, DC: The National Academies Press. doi: 10.17226/2224.

G
Immunization Schedules

Table G-1 provides the immunization schedule recommended by the Advisory Committee on Immunization Practices (ACIP). Table G-2 provides the immunization recommendations of the American Academy of Pediatrics (AAP). Also provided in this Appendix is the immunization schedule recommended by the Pan American Health Organization and the the World Health Organization.

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TABLE G-1 Immunization Schedule Recommended by ACIP

Age	Vaccine
Birth	HBV
2 months	HBV, DTP, OPV, Hib-CV
4 months	HBV, DTP, OPV, Hib-CV
6 months	HBV, DTP, Hib-CV
12 months	Hib-CV
15 months	DTaP or DTP, OPV, MMR, Hib-CV
4–6 years	DTaP or DTP, OPV, MMR
14–16 years	Td
(every 10 years throughout life)
NOTE: The recommended ages are not absolute; for example, age 2 months can be ages 6–10 weeks. All recommended vaccines can be given simultaneously. Hepatitis B vaccine may be given in either of 2 schedules: birth, 1–2 months, 6–18 months or 1–2 months, 4 months, 6–18 months. HibOC is given at 2,4,6, and 15 months; PRP-OMP is given at 2,4, and 12 months. DTaP is recommended for 15 months and 4–6 years, but whole-cell DTP may still be used if DTaP is not available. SOURCE: Adapted from the ACIP Recommended Immunization Schedule. Copies can be obtained from: National Immunization Program, Centers for Disease Control and Prevention, Mailstop E-05, 1600 Clifton Road, Atlanta, GA 30333.

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TABLE G-2 Immunization Schedule Recommended by AAP

Age	DTP	Polio	MMR	Hepatitis B^a	Haemoghilus	Tetanus-Diphtheria
Birth				X
1–2 months				X
2 months	X	X			X
4 months	X	X			X
6 months	X				X^b
6–18 months				X
12–15 months					X^b
15 months			X		X^b
15–18 months	X^c	X
4–6 years	X^c	X
11–12 years			X^d
14–16 years						X
^a Infants of mothers who tested seropositive for hepatitis B (HBsAg+) must receive hepatitis B immune globulin (HBIG) at or shortly after the first dose. These infants also will require a second hepatitis B vaccine dose at 1 month and a third hepatitis B vaccine injection at 6 months of age. ^b Depends on previous Haemophilus influenzae type b vaccine given. ^c For the fourth and fifth dose, the acellular (DTaP) pertussis vaccine may be substituted for the DTP vaccine. ^d Except where public health authorities require otherwise. SOURCE: Used with permission of the American Academy of Pediatrics. Schedule.

TABLE G-3 Immunization Schedule Recommended for EPI

Contact	Age	Vaccines
1	Birth	BCG and OPV
2	6 weeks	DTP and OPV
3	10 weeks	DTP and OPV
4	14 weeks	DTP and OPV
5	9 months	Measles
SOURCE: Expanded Program on Immunization, World Health Organization; Pan American Health Organization. Provided by Ciro de Quadros, Pan American Health Organization.

The Children's Vaccine Initiative: Achieving the Vision (1993)

Chapter: Appendix G: Immunization Schedules

G
Immunization Schedules

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The Children's Vaccine Initiative: Achieving the Vision (1993)

Chapter: Appendix G: Immunization Schedules

G Immunization Schedules

G
Immunization Schedules