The routine immunisation schedule from Summer 2016

Age due Diseases protected against Vaccine given and trade name Usual site1
Diphtheria, tetanus, pertussis (whooping
Pediacel or
cough), polio and Haemophilus DTaP/IPV/Hib Thigh
Infanrix IPV Hib
influenzae type b (Hib)
Pneumococcal conjugate
Eight weeks old Pneumococcal (13 serotypes) Prevenar 13 Thigh
vaccine (PCV)
Meningococcal group B (MenB)2 MenB2 Bexsero Left thigh

Rotavirus gastroenteritis Rotavirus Rotarix By mouth

Diphtheria, tetanus, pertussis, polio and Pediacel or

DTaP/IPV/Hib Thigh
Hib Infanrix IPV Hib
Twelve weeks
Rotavirus Rotavirus Rotarix By mouth

Diphtheria, tetanus, pertussis, polio and Pediacel or

DTaP/IPV/Hib Thigh
Hib Infanrix IPV Hib
Sixteen weeks old
MenB2 MenB2 Bexsero Left thigh

Pneumococcal (13 serotypes) PCV Prevenar 13 Thigh

Hib and MenC Hib/MenC booster Menitorix Upper arm/thigh

Pneumococcal (13 serotypes) PCV booster Prevenar 13 Upper arm/thigh

One year old
Measles, mumps and rubella (German
MMR MMR VaxPRO3 or Priorix Upper arm/thigh
measles)

MenB2 MenB booster2 Bexsero Left thigh

Two to seven years

old (including Live attenuated influenza
children in school Influenza (each year from September) Fluenz Tetra3 Both nostrils
vaccine LAIV4
years 1, 2 and 3)5

Diphtheria, tetanus, pertussis and polio DTaP/IPV Infanrix IPV or Repevax Upper arm
Three years four
months old
Measles, mumps and rubella MMR (check first dose given) MMR VaxPRO3 or Priorix Upper arm

Cervical cancer caused by human

Girls aged 12 to 13 HPV (two doses 6-24 months
papillomavirus (HPV) types 16 and 18 (and Gardasil Upper arm
years apart)
genital warts caused by types 6 and 11)

Tetanus, diphtheria and polio Td/IPV (check MMR status) Revaxis Upper arm
Fourteen years old
(school year 9) Meningococcal groups A, C, W
MenACWY Nimenrix or Menveo Upper arm
and Y disease © Crown copyright 2016. Available as a pdf only. Published by Public Health England 2016.

Pneumococcal Pneumococcal
65 years old Pneumococcal (23 serotypes) Upper arm
polysaccharide vaccine (PPV) polysaccharide vaccine

65 years of age and

Influenza (each year from September) Inactivated influenza vaccine Multiple Upper arm
older

70 years old Shingles Shingles Zostavax3 Upper arm6

1
 here 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
W
apart. For more details see Chapters 4 and 11 in the Green Book. All injected vaccines are given intramuscularly unless stated otherwise.
2
Only for infants born on or after 1 May 2015
3
Contains porcine gelatine
4
If LAIV (live attenuated influenza vaccine) is contraindicated and child is in a clinical risk group, use inactivated flu vaccine
5
Age on 31 August 2016
6
This can be administered subcutaneously but intramuscular is preferred.

All vaccines can be ordered from www.immform.dh.gov.uk free of charge except influenza for adults and
Pneumococcal polysaccharide vaccine.

The safest way to protect children and adults

 Selective immunisation programmes
Target group Age and schedule Disease Vaccines required
Babies born to hepatitis B infected At birth, four weeks, eight weeks Hepatitis B vaccine
Hepatitis B
mothers and at one year1 (Engerix B / HBvaxPRO)

Infants in areas of the country with

At birth Tuberculosis BCG
TB incidence >= 40/100,000

Infants with a parent or grandparent

At birth Tuberculosis BCG
born in a high incidence country2

During flu season

Pregnant women Influenza Inactivated flu vaccine
At any stage of pregnancy

dTaP/IPV
Pregnant women From 20 weeks gestation3 Pertussis
(Boostrix-IPV or Repevax)
1
Take blood for HBsAg to exclude infection
2
Where the annual incidence of TB is >= 40/100,000
www.gov.uk/government/uploads/system/uploads/attachment_data/file/393840/Worldwide_TB_Surveillance_2013_Data_High_and_Low_Incidence_Tables____2_.pdf
3
Can be given from 16 weeks but usually offered after the anomaly scan

Additional vaccines for individuals with underlying medical conditions

Medical condition Diseases protected against Vaccines required1
Hib/MenC
Meningococcal groups A, B, C, W and Y MenACWY
Asplenia or splenic dysfunction (including Pneumococcal MenB
sickle cell and coeliac disease)3 Haemophilus influenzae type b (Hib) PCV13 (up to five years of age)
Influenza PPV (from two years of age)
Annual flu vaccine
PCV13 (up to five years of age)
Cochlear implants Pneumococcal
PPV (from two years of age)

Chronic respiratory and heart conditions3 PCV13 (up to five years of age)
Pneumococcal
(such as severe asthma, chronic pulmonary PPV (from two years of age)
disease, and heart failure) Influenza
Annual flu vaccine
Chronic neurological conditions3 PCV13 (up to five years of age)
Pneumococcal
(such as Parkinson’s or motor neurone PPV (from two years of age)
disease, or learning disability) Influenza
Annual flu vaccine
PCV13 (up to five years of age)
Pneumococcal
Diabetes3 PPV (from two years of age)
Influenza
Annual flu vaccine
PCV13 (up to five years of age)
Pneumococcal (stage 4 and 5 CKD)
Chronic kidney disease (CKD)3 PPV (from two years of age)
Influenza (stage 3, 4 and 5 CKD)
(including haemodialysis) Annual flu vaccine
Hepatitis B (stage 4 and 5 CKD)
Hepatitis B
PCV13 (up to five years of age)
Pneumococcal
PPV (from two years of age)
Influenza
Chronic liver conditions 3
Annual flu vaccine
© Crown copyright 2016. Available as a pdf only. Published by Public Health England 2016.

Hepatitis A
Hepatitis A
Hepatitis B
Hepatitis B
Hepatitis A Hepatitis A
Haemophilia
Hepatitis B Hepatitis B
PCV13 (up to five years of age)2
Immunosuppression due to disease or Pneumococcal
PPV (from two years of age)
treatment3 Influenza
Annual flu vaccine
Hib/MenC
Meningococcal groups A, B, C, W and Y MenACWY
Complement disorders3 Pneumococcal MenB
(including those receiving complement
inhibitor therapy) Haemophilus influenzae type b (Hib) PCV13 (to any age)
Influenza PPV (from two years of age)
Annual flu vaccine
1
Check relevant chapter of green book for specific schedule
2
To any age in severe immunosuppression
3
Consider annual influenza vaccination for household members and those who care for people with these conditions

The safest way to protect children and adults