Child and Adolescent Immunization Schedule by Medical Indication – Recommendations for Ages 18 Years or Younger, United States, 2023

To make vaccination recommendations, healthcare providers should:

1. Determine needed vaccines based on age (Table 1)
2. Determine appropriate intervals for catch-up, if needed (Table 2)
3. Assess for medical conditions and other indications (Table 3)
4. Review special situations (Vaccination Notes)
5. Review contraindications and precautions to vaccination (Appendix)
6. See Addendum for new or updated ACIP vaccine recommendations (Addendum)

Report the following:

• Suspected cases of reportable vaccine-preventable diseases or outbreaks to your state or local health department
• Clinically significant adverse events to the Vaccine Adverse Event Reporting System (VAERS) at www.vaers.hhs.govexternal icon or (800-822-7967)

Other sources for helpful information related to immunization

• Complete Advisory Committee on Immunization Practices (ACIP) recommendations
• General Best Practice Guidelines for Immunization
• Vaccine information statements
• Outbreak information (including case identification and outbreak response), see Manual for the Surveillance of Vaccine-Preventable Diseases
• ACIP Shared Clinical Decision-Making Recommendations

Source: Centers for Disease Control and Prevention