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Routine childhood immunisations from July 2014

When to Diseases Vaccine Immunisation


immunise protected against given site*
Two months old Diphtheria, tetanus, pertussis, polio and DTaP/IPV/Hib Thigh
Haemophilus influenzae type b (Hib) (Pediacel or Infanrix IPV Hib)1
Pneumococcal disease PCV (Prevenar 13) Thigh
Rotavirus (from July) Rotavirus (Rotarix) By mouth
Three months old Diphtheria, tetanus, pertussis, polio DTaP/IPV/Hib Thigh
and Hib (Pediacel or Infanrix IPV Hib)1
Meningococcal group C disease (MenC) Men C (NeisVac-C or Menjugate) †1 Thigh
Rotavirus (from July) Rotavirus (Rotarix) By mouth
Four months old Diphtheria, tetanus, pertussis, polio DTaP/IPV/Hib Thigh
and Hib (Pediacel or Infanrix IPV Hib)1
Pneumococcal disease PCV (Prevenar 13) Thigh
Between 12 and 13 Hib/MenC Hib/MenC (Menitorix) Upper arm/thigh
months old – within
Pneumococcal disease PCV (Prevenar 13) Upper arm/thigh
a month of the first
birthday Measles, mumps MMR Upper arm/thigh
and rubella (German measles) (Priorix or MMR VaxPRO)1
Two, three and four Influenza (from September) Flu nasal spray (Fluenz Tetra) Nostrils
years old (annual). (If Fluenz unsuitable, Upper arm
use inactivated flu vaccine)
Three years four months Diphtheria, tetanus, pertussis dTaP/IPV (Repevax) or DTaP/IPV Upper arm
old or soon after and polio (Infanrix IPV)1
Measles, mumps MMR (Priorix or MMR VaxPRO)1 Upper arm
and rubella (check first dose has been given)

Girls aged 12 to Cervical cancer caused by human HPV (Gardasil) Upper arm
13 years papillomavirus types 16 and 18 (and
genital warts caused by types 6 and 11)
Around 14 years old Tetanus, diphtheria and polio Td/IPV (Revaxis), and check MMR Upper arm
status
MenC MenC (Meningitec, Menjugate Upper arm
or NeisVac-C)†1

Immunisations for at-risk children


At birth, 1 month old, Hepatitis B Hep B Thigh
2 months old and
12 months old
At birth Tuberculosis BCG Upper arm (intradermal)

Six months up to two years Influenza Inactivated flu vaccine Upper arm/thigh

Over two up to less than Influenza Flu nasal spray (Fluenz Tetra) Nostrils
18 years (If Fluenz unsuitable, use inactivated flu vaccine) Upper arm

© Crown copyright 2014 Available as a pdf only. Published by Public Health England 2014.

Pediacel1 Infanrix IPV Hib1 Prevenar 13 Rotarix Menjugate1 NeisVac-C 1 Menitorix

Priorix1 MMR VaxPRO1 Repevax1 Infanrix IPV1 Fluenz Gardasil Revaxis

* 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 vaccines are given intramuscularly unless otherwise stated.
1
Where two or more products to protect against the same disease are available, it may, on occasion, be necessary to substitute an alternative brand.

Meningitec and Menjugate are not currently available to order through ImmForm – only NeisVac-C is available at the moment.
All vaccines for use in the routine childhood programme are available free of charge at www.immform.dh.gov.uk

the safest way to protect children