OnExam

Routine schedule for infants and children

Age at vaccination DTaP-IPV HiB MMR Var HB Pneu-C-7 Tdap
Birth Infancy 3 doses or pre-teen/teen 2-3 doses
2 mo
4 mo
6 mo
12 mo
12-15 mo
18 mo
or
4-6 yrs
12 yrs
14-16 yrs
  • DTaP-IPV: diphtheria, tetanus, acellular pertussis, inactivated polio virus vaccine
  • Hib: Haemophilus influenzae type b conjugate vaccine
  • MMR: measles, mumps, rubella vaccine
  • Var: varicella vaccine
    • Two live vaccines (varicella, MMR) must be given either together or at ≥4 week interval
  • HB: hepatitis B vaccine
    • Second dose at least 1 mo after first dose, third at least 2 mo after second
  • Pneu-C-7: pneumococcal conjugate vaccine - 7-valent
  • Tdap: diphtheria, tetanus, acellular pertussis vaccine

Other vaccines

  • Td: diphtheria, tetanus vaccine
    • Given to adults not immunized in childhood as second and third doses of primary series and subsequent booster doses every 10 years
  • Pneu-P-23: pneumococcal polysaccharide - 23-valent
    • Recommended for all adults ≥ 65 years old
  • Men-C: meningococcal C conjugate vaccine
    • Recommended for children under 5 years old, adolescents, and young adults
    • Before 12 mo: one additional dose in 2nd year of life (ideally 12-18 mo)
    • After 12 mo: one dose in infacy/early childhood sufficient
    • Additional dose recommended in early adolescence
  • HPV: human papillomavirus
    • Recommended routine use in females 9-13 years old before onset of sexual intercourse
    • 3 doses at 0, 2, and 6 months, with minimum interval of one month between first two doses
    • Also recommended for females 14-26 years old who would benefit
  • Inf: influenza
    • Recommended for all children 6-23 mo old and all persons ≥ 65 years old
    • <9 years old: two doses of current season's vaccine with interval of > 4 weeks. Second dose within same season not required if child received one or more doses during previous season
  • IPV: inactivated polio virus

Catch-up schedules for people with uncertain history of vaccination available at: http://www.phac-aspc.gc.ca/im/is-cv/

References

  1. 1. Immunization Schedules: Recommendations from the National Advisory Committee on Immunization. Public Health Agency of Canada Website. http://www.phac-aspc.gc.ca/im/is-cv/. Last updated September 15, 2010. Accessed December 19, 2011.
  2. 2. Habal M, LeBlanc M. Toronto Notes 2010: Clinical Handbook. Toronto, ON: Toronto Notes for Medical Students, Inc.: 2010.