Childhood & Adolescent Vaccine Schedule

Birth to 18 years · United States 2026

Kids & Teens

Birth

1 mo

2 mo

4 mo

6 mo

9 mo

12 mo

15 mo

18 mo

19–23 mo

2–3 yrs

4–6 yrs

7–10 yrs

11–12 yrs

13–15 yrs

16 yrs

17–18 yrs

RSV antibody for babies (nirsevimab / clesrovimab)

Birth to 6 mo

1 dose in RSV season if mom not vaccinated in pregnancy

9 to 23 mo

2nd season: 1 dose if high risk

Hepatitis B (HepB)

Birth

1st dose

1 to 2 mo

2nd dose

6 to 18 mo

3rd dose

19 mo to 18 yrs

Catch up if series not complete

Rotavirus (RV)

2 mo

1st dose

4 mo

2nd dose

6 mo

3rd if RV5

Diphtheria, tetanus, whooping cough (DTaP)

2 mo

1st dose

4 mo

2nd dose

6 mo

3rd dose

12 mo · Catch up

15 to 18 mo

4th dose

19 mo to 3 yrs · Catch up

4–6 yrs

5th dose

Haemophilus influenzae type b (Hib)

2 mo

1st dose

4 mo

2nd dose

6 mo

3rd if needed

12 to 15 mo

Booster

18 mo to 3 yrs

Catch up

4 to 18 yrs

Only certain conditions

Pneumococcal (PCV15 / PCV20)

2 mo

1st dose

4 mo

2nd dose

6 mo

3rd dose

12 to 15 mo

4th dose

18 mo to 3 yrs

Catch up

4 to 18 yrs

Only certain conditions

Polio (IPV)

2 mo

1st dose

4 mo

2nd dose

6 to 18 mo

3rd dose

19 mo to 3 yrs · Catch up

4–6 yrs

4th dose

7 to 18 yrs

Catch up if series not complete

COVID-19 (2026–2027 vaccine)

6 to 23 mo

1 or more doses (all babies 6–23 mo)

2 to 18 yrs

Recommended if high risk · others: optional, if desired

Flu (influenza) — every year

6 mo to 10 yrs

1 or 2 doses each year (2 doses the first year)

11 to 18 yrs

1 dose every year

Measles, mumps, rubella (MMR)

6 to 9 mo

Travel abroad

12 to 15 mo

1st dose

18 mo to 3 yrs · Catch up

4–6 yrs

2nd dose

7 to 18 yrs

Catch up (2 doses total)

Chickenpox (varicella)

12 to 15 mo

1st dose

18 mo to 3 yrs · Catch up

4–6 yrs

2nd dose

7 to 18 yrs

Catch up (2 doses total)

Hepatitis A (HepA)

6 to 9 mo

Travel abroad

12 to 23 mo

2 doses, 6 months apart

2 to 18 yrs

Catch up if series not complete

Tetanus, diphtheria, whooping cough booster (Tdap)

7–10 yrs · Catch up

11–12 yrs

1 dose

13 to 18 yrs

Catch up

HPV (prevents several cancers)

7–10 yrs

From age 9

11–12 yrs

2 doses

13 to 18 yrs

Catch up · 3 doses if started at 15+

Meningitis ACWY (MenACWY)

2 mo to 10 yrs

Only certain health conditions or travel

11–12 yrs

1st dose

13–15 yrs · Catch up

16 yrs

2nd dose

17–18 yrs · Catch up

Meningitis B (MenB)

7 to 12 yrs

Only certain conditions

13 to 16 yrs

Ask your doctor

RSV vaccine in pregnancy (Abrysvo)

11 to 18 yrs

If pregnant: weeks 32–36, Sept 1–Mar 1

Dengue (9–16 yrs)

7 to 16 yrs

Only if prior dengue & living in endemic area

Mpox

17–18 yrs

At risk

Recommended for everyone at this age

Catch-up: get it if you missed it

Only for certain health conditions, pregnancy, travel or exposure

Optional — talk to your doctor or care team

The baby’s 5 key visits

2, 4 and 6 months: DTaP, Hib, polio, pneumococcal, rotavirus (and hepatitis B). 12–15 months: MMR, chickenpox, hepatitis A, Hib and pneumococcal boosters. 4–6 years: boosters before starting school.

Preteens & teens

Age 11–12: Tdap, HPV (2 doses) and MenACWY in one visit. Age 16: 2nd MenACWY dose; ask about MenB. HPV vaccine prevents cervical, throat and other cancers.

Every fall, the whole family

Flu: everyone 6 months and up. COVID-19: all babies 6–23 months; ages 2–18 if high risk (or if desired). RSV: protects babies in their first season. Shots can be given together on the same day. Behind? It’s never too late — no need to restart a series.

Sources · American Academy of Pediatrics (AAP), Recommended Child and Adolescent Immunization Schedule, United States, 2026 · American Academy of Family Physicians (AAFP), Adult Immunization Schedule 2026 and 2026–2027 Influenza, RSV and SARS-CoV-2 Immunization Recommendations · American College of Physicians (ACP) · American Medical Association (AMA), SpreadTheFacts.org · Vaccine Integrity Project (VIP), CIDRAP · American College of Obstetricians and Gynecologists (ACOG), Maternal Immunizations 2026 · Infectious Diseases Society of America (IDSA), 2026 Guidelines for Immunocompromised Patients.

This material does not replace the advice of your doctor or MiSalud care team. Always confirm your personal plan with a clinician. Updated October 2026.