Recommendations and Guidelines:
2009 Child & Adolescent Immunization Schedules
for persons aged 0-6 years, 7-18 years, and "catch-up schedule"
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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On This Page:
2009 Schedules
PERSONS AGED 0-6 years
PERSONS AGED 7-18 years
CATCH-UP schedule (4 months to 18 years)
- 8.5"x11" color (catch-up) for office printing (90 KB)
- 8.5"x11" black and white (catch-up) for office printing (67 KB)
- 8.5"x11" color (catch-up) for commercial press printer (90 KB)
- Interactive Catchup Scheduler
This tool once downloaded can be used to determine the vaccines your child needs and is especially useful for quickly seeing missed or skipped vaccines according to the Immunization scheduler.
2009 Childhood, Adolescent, and Catch-up Immunization Schedules
- 11"x17" color for office printing (1.46MB / 2 pages*)
- 11"x17" color for commercial press printer (236 KB / 2 pages*)
*Page 1 is the catch-up schedule and intro
*Page 2 is the child schedule and adolescent schedule
2009 Pocket size, laminated, palm, etc.
- Pocket-size -- 6" x 4.5" (back & front)
- Laminated versions for sale at IAC (exit)
Immunization Action Coalition - Download Shots 2009 to your Palm/Pocket-PCs Handhelds
Requirements and installation instructions for both Palm OS® Handhelds (exit) and Pocket-PCs, (exit) license and disclaimer use, etc., can be found on the ImmunizationEd.org website. This is freeware software and is to be used at your own risk, courtesy of ImmunizationEd.org (exit) website.
MMWR of Recommended Schedules (published January 02, 2009)
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 (see pages 37-40 of this 40 page document)
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.
Presentation Graphics
These images are only the chart portions of the immunization schedule and are provided for use in PowerPoint Presentations:
- jpg image 1 (.jpg - 494 KB) (chart only-birth to 6 years)
- jpg image 2 (.jpg - 561 KB) (chart only-7 to 18 years)
- jpg image 3 (.jpg - 405 KB) (catch-up chart-4 mos. to 18 yrs.)
Related Topics
- Interactive child's immunization scheduler (birth-6 years old)
- Child immunization and "scheduler" brochures
- ACIP Recommendations
- Summary of Recommendations for Childhood & Adolescent Immunization (exit)
- Blank vaccine record forms
- Vaccines in delay or shortage
- Article: "Economic Evaluation of the 7-Vaccine Routine Childhood Immunization Schedule in the U.S., 2001" (exit) from Dec. 2005 - Archives of Pediatrics and Adolescent Medicine
- Vaccines for teens and college students
- Vaccines for adults (adult immunization schedule)
- Additional info about adolescent and adult vaccines
- History of the Vaccine Schedule (exit)
- Childhood Schedules from Past Years
*MMWR--Morbidity and Mortality Weekly Report
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This page last modified on February 26, 2009
Content last reviewed on January 2, 2009
Content Source: National Center for Immunization and Respiratory Diseases