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Centers for Disease Control and Prevention


Vaccines & Immunizations

Recommendations and Guidelines:

2009 Child & Adolescent Immunization Schedules
for persons aged 0-6 years, 7-18 years, and "catch-up schedule"

Are Your Child's Vaccinations Up to Date?

The Schedules lists the ages (birth through 6 years old and 7 through 18 years old) for when each vaccine or series of shots is to be given. If your child or adolescent has missed any shots, consult the catch-up schedule AND check with your doctor about getting back on track.

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Child & Adolescent Immunization Schedule

2009 Schedules


thumbnail of 0-6 schedule

REGULAR SIZE - 8.5" x 11" Portrait
PERSONS AGED 0-6 years

thumbnail of 7-18 schedule


PERSONS AGED 7-18 years


thumbnail of catch-up schedule


CATCH-UP schedule (4 months to 18 years)

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MMWR of Recommended Schedules (published January 02, 2009)


MMWR logo
Recommended Immunization Schedules for Persons Aged 0-18 Years -- United States, 2009
The recommended immunization schedules for persons aged 0 through 18 years and the catch-up immunization schedule for 2009 have been approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP).
This version also serves as a text-only for screen-reader devices.

Print-friendly version Adobe Acrobat print-friendly PDF file (see pages 37-40 of this 40 page document)

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Changes in the Schedule since last release

Changes listed here are outlined in MMWR with figures, etc.

  • Recommendations for rotavirus vaccines include changes for the maximum age for the first dose (14 weeks 6 days) and the maximum age for the final dose (8 months 0 days). The rotavirus footnote also indicates that if RV1 (Rotarix®) is administered at ages 2 and 4 months, a dose at 6 months is not indicated .
  • Routine annual influenza vaccination is recommended for all children aged 6 months through 18 years. Children aged younger than 9 years who are receiving influenza vaccine for the first time or who were vaccinated for the first time during the previous season but only received 1 dose should receive 2 doses of influenza vaccine at least 4 weeks apart. Healthy nonpregnant persons aged 2 through 49 years may receive either live attenuated influenza vaccine or inactivated influenza vaccine.
  • The minimum interval between tetanus and diphtheria toxoids (Td) and tetanus and diphtheria toxoids and acellular pertussis vaccine (Tdap) for persons aged 10 through 18 years is addressed. An interval less than 5 years may be used if pertussis immunity is needed .
  • Information about the use of Haemophilus influenzae type b (Hib) conjugate vaccine among persons aged 5 years and older at increased risk for invasive Hib disease has been added. Use of Hib vaccine for these persons is not contraindicated.
  • Catch-up vaccination with human papillomavirus (HPV) vaccine is clarified. Routine dosing intervals should be used for series catch-up (i.e., the second and third doses should be administered 2 and 6 months after the first dose). The third dose should be given at least 24 weeks after the first dose.
  • Abbreviations for rotavirus, pneumococcal polysaccharide and meningococcal polysaccharide vaccines have been changed.

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Presentation Graphics

These images are only the chart portions of the immunization schedule and are provided for use in PowerPoint Presentations:

  • jpg image 1 Image file (.jpg - 494 KB) (chart only-birth to 6 years) new Jan 2, 2009
  • jpg image 2 Image file (.jpg - 561 KB) (chart only-7 to 18 years) new Jan 2, 2009
  • jpg image 3 Image file (.jpg - 405 KB) (catch-up chart-4 mos. to 18 yrs.) new Jan 2, 2009

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Reproduction Instructions

The color versions are the preferred files for office printer and commercial/professional printer use. Black-and-white versions are intended only for those who must print in black and white.

Tip: If you wish to save printer toner, use a color copier to make additional copies.

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Related Topics

 

*MMWR--Morbidity and Mortality Weekly Report

Note: Please contact NIPINFO@cdc.gov via e-mail for assistance with accessing copies not provided above.

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This page last modified on January 7, 2009
Content last reviewed on January 2, 2009
Content Source: National Center for Immunization and Respiratory Diseases

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