Immunization Guidelines for Children
A vaccine, or immunization, is a medicine given to a person so that he produces antibodies against a certain infection. These antibodies then serve to help prevent the infection.
In the US, vaccines have resulted in record-low levels of certain childhood diseases. Vaccines do not only protect the person they are given to, but also the population at large, since they work to reduce the general prevalence of once-common infections.
The following infections can now be prevented by vaccination:
- ]]>Diphtheria]]>—a respiratory infection caused by bacteria that may result in breathing problems, coma, and death if not treated
- Haemophilus influenzae type B—a bacterial infection occurring primarily in children; if severe, can lead to ]]>meningitis]]>, death, and permanent brain damage
- ]]>Hepatitis A]]>—an infection caused by the hepatitis A virus that affects the liver
- ]]>Hepatitis B]]>—an infection caused by the hepatitis B virus that can lead to scarring of the liver and ]]>liver cancer]]>
- ]]>Human papillomavirus]]> (HPV)—the virus that causes some warts and is associated with ]]>cervical cancer]]>
- ]]>Influenza]]>—a common viral infection occurring during the winter months
- ]]>Measles]]>—a viral respiratory infection that may lead to diarrhea, ear infections, ]]>pneumonia]]>, swelling of the brain, seizures, and death
- Meningococcal—a cause of ]]>bacterial meningitis]]>, a serious, often fatal, disease
- ]]>Mumps]]>—a viral infection of the lymph nodes that may lead to meningitis, inflammation of the testicles, ovaries, or pancreas, and permanent deafness
- ]]>Pertussis]]> (whooping cough)—a bacterial respiratory infection that may lead to pneumonia, swelling of the brain, and death, especially in infants
- Pneumococcal disease—a bacterial infection that is a common cause of pneumonia in adults but may lead to ear infections and meningitis in children
- ]]>Polio]]>—a viral infection of the nervous system that can lead to disability and death
- ]]>Rotavirus]]>—major cause of potentially life-threatening gastroenteritis (vomiting, diarrhea)
- ]]>Rubella]]> (German measles)—a viral respiratory infection that, when contracted by a pregnant woman, can cause birth defects, including deafness, cataracts, heart abnormalities, ]]>mental retardation]]>, and liver and spleen damage
- ]]>Tetanus]]> (lockjaw)—a bacterial infection of the nervous system that can result in death
- ]]>Varicella]]> (chickenpox)—a herpes virus that may lead to pneumonia and ]]>encephalitis]]> (swelling of the brain)
The following vaccines are recommended in children who are at average risk for these infections:
- DTaP—three vaccines in one shot given in a series of five doses; protects against ]]>diphtheria]]>, ]]>tetanus]]>, and ]]>pertussis]]>; Tdap is a vaccine recommended as a booster dose in early adolescence
- ]]>HepA]]>—given in a series of two doses to protect against hepatitis A
- ]]>Hep B]]>—given as a series of three shots to help prevent hepatitis B
- ]]>Hib]]>—given as a series of 3-4 shots to help prevent Haemophilus influenza type B
- ]]>HPV]]>—given as a series of three shots to help prevent HPV, which can cause genital warts and cervical cancer
- ]]>Influenza]]>—given annually to help prevent the flu
- ]]>MCV4]]>—given to protect against four strains of bacterial meningitis
- ]]>MMR]]>—given as two shots to protect against measles, mumps, and rubella
- ]]>PCV]]>—given in a series of four doses to protect against the pneumococcal bacteria
- ]]>Polio vaccine]]>—given four times as a shot to prevent polio
- ]]>Rotavirus vaccine]]>—given in a series of three doses to protect against rotavirus
- ]]>Varicella]]>—given as two shots to help prevent chickenpox
Childhood Immunization Schedule
The table below summarizes when children of average risk should receive certain vaccinations. You may print the table and use the “Date received” column to track when your child receives each vaccine.
|Age||Recommended vaccines||Date received|
|Yearly after 6 months|
Certain “high-risk” children may need to receive additional vaccinations and/or doses. Also, if your child missed one or more vaccines, the Centers for Disease Control and Prevention (CDC) has recommended times for “catch-up” immunizations. Talk to the doctor to find out if this applies to your child.
Some Children Should Not Be Vaccinated
Childhood vaccines are generally very safe. Some children may experience mild adverse events at the time of the vaccine, including fever, soreness at the vaccine site, or a lump under the skin where the shot was given.
The small risk of serious adverse events is far outweighed by the disease-preventing benefits of vaccines in most cases. But, there are some situations in which children should not receive certain vaccines. Examples of these situations include children who
- Had a life-threatening allergic reaction to a component in the vaccine
- Are moderately or severely ill (wait until the child has recovered)
- Are taking medicines to suppress the immune system
- Have certain types of cancer or other diseases
Talk with the doctor to find out if it is safe to have your child vaccinated.
American Academy of Pediatrics
Vaccines and Immunizations
Centers for Disease Control and Prevention
Public Health Agency of Canada
2008 child and adolescent immunization schedules. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/nip/recs/child-schedule.htm. Updated January 2008. Accessed August 27, 2008.
2010 recommended immunization schedule for persons aged 0 through 6 years. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/vaccines/recs/schedules/downloads/child/2010/10_0-6yrs-schedule-pr.pdf. Accessed March 29, 2010.
2010 recommended immunization schedule for persons aged 7 through 18 years. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/vaccines/recs/schedules/downloads/child/2010/10_7-18yrs-schedule-pr.pdf. Accessed March 29, 2010.
Childhood vaccines: what they are and why your child needs them. American Academy of Family Physicians website. Available at: http://familydoctor.org/028.xml. Updated November 2006. Accessed August 27, 2008.
Human papillomavirus vaccine. EBSCO Health Library website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=15topicID=81. Updated January 2010. Accessed March 29, 2010.
Vaccine-preventable childhood diseases. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/nip/diseases/child-vpd.htm. Updated January 2007. Accessed August 27, 2008.
Varicella (Chickenpox) Vaccination. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/vaccines/vpd-vac/varicella/default.htm. Updated November 2010. Accessed November 12, 2010.
Last reviewed June 2010 by ]]>Brian P. Randall, MD]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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