Schedule of vaccines as per the ACVIP guidelines

This month, we have a quick reference guide to the schedule of vaccines as per the ACVIP guidelines.
You can put this up at your clinic for the caregivers to be prepared for the next vaccination milestone.

BD- Birth Dose, ACVIP- Advisory Committee on Vaccines & Immunization Practices; @- Typhoid Conjugate vaccine can be administered between 6-9 months. BCG- Bacille Calmette Guerin vaccine; OPV - Oral Polio Vaccine; Hep B – Hepatitis B; DTaP/ DTwP - Diphtheria-Tetanus acellular /Diphtheria Tetanus whole cell Pertussis; IPV- Injectable Polio Vaccine; Hib- Haemophilus influenzae type b; Rota- Rotavirus; PCV- Pneumococcal Conjugate Vaccine; IIV- Inactivated Influenza Vaccine; MMR- Measles Mumps Rubella; HepA- Hepatitis A; HPV- Human Papillomavirus; Tdap- Tetanus and diphtheria toxoids with cellular pertussis

References

Indian Academy of Pediatrics (IAP) Advisory Committee on Vaccines and Immunization Practices (ACVIP): Recommended immunization schedule (2020-21) and update on immunization for children aged 0 through 18 years. [cited 2022Nov23]. Available from: https://www.indianpediatrics.net/jan2021/jan-44-53.htm

IAP recommended vaccines for routine use

Age	Vaccine	Comments
Birth	BCG OPV Hepatitis B-1 (BD)	BCG: before discharge OPV: as soon as possible after birth Hep B should be administered within 24 hours of birth
6 weeks	DTaP/DTwP-1 IPV-1 Hib-1 Hep B-2 Rotavirus-1 PCV-1	DTwP or DTaP may be administered in primary immunization IPV: 6-10-14 weeks is the recommended schedule. If IPV, as part of a hexavalent combination vaccine, is unaffordable, the infant should be sent to a government facility for primary immunization as per UIP schedule.
10 weeks	DTaP/DTwP-2 IPV-2 Hib-2 Hep B-3 Rotavirus-2 PCV-2	RV1: 2 -dose schedule; all other rotavirus brands: 3-dose schedule
14 weeks	DTaP/DTwP-3 IPV-3 Hib-3 Hep B-4 Rotavirus-3 PCV-3	An additional 4th dose of Hep B vaccine is safe and is permitted as a component of a combination vaccine
6 months	Influenza (IIV)-1	Uniform dose of 0.5 ml for DCGI approved brands
7 months	Influenza (IIV)-2	To be repeated every year, in pre-monsoon period, till 5 y of age
6-9 months	Typhoid conjugate vaccine	As of available data, there is no recommendation for a booster dose
9 months	MMR -1
12 months	Hepatitis A	Single dose for live attenuated vaccine
15 months	MMR-2 Varicella -1 PCV booster
16-18 months	DTwP/DTaP-B1 Hib-B1, IPV-B1
18-19 months	Hep A-2 Varicella-2	Only for inactivated Hep A vaccine
4-6 years	DTwP/DTaP-B2 IPV-B2 MMR-3
10-12 years	Tdap HPV	Tdap is to be administered even if it has been administered earlier (as DTP-B2) HPV: 2 doses at 6 mo interval between 9-14 y; 3 doses: from 15 y or immunocompromised of any age (0-1-6 mo for HPV2, 0-2-6 mo forHPV4)

*Recommended vaccines for high-risk children - Meningococcal Vaccine, Japanese Encephalitis Vaccines, Oral Cholera Vaccine, Rabies Vaccine, High fever Vaccine, and Pneumococcal

Polysaccharide Vaccine (PPSV23)

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MAT-IN-2300165-02/2023