Vaccinations, Pediatric Catch-Up 7-18 yr

Vaccination recommendations below are derived from the US Centers for Disease Control and Prevention. ^[1]

Diphtheria, tetanus, pertussis vaccine (DTaP)

• Minimum age: 7 years

• 4 doses

• Dose 1 to dose 2: 4-week interval

• Dose 2 to dose 3: 4-week interval if dose 1 administered before first birthday; 6-month interval (as final dose) if dose 1 administered at or after first birthday

• Dose 3 to dose 4: 6-month interval if dose 1 administered before first birthday

• See CDC recommendations for routine adolescent Tdap booster

Guidelines on Immunization from the American Academy of Pediatrics Committee on Infectious Diseases and the Advisory Committee on Immunization Practices specify that if the fourth-dose DTaP vaccine was administered 4 months or more after the third dose, at an appropriate age, it can be counted as a valid dose and need not be repeated after the recommended 6-month interval between doses 3 and 4. ^[1]

Human papillomavirus 9-valent vaccine

• Minimum age: 9 yr

• Routine dosing intervals recommended

• Age 9 through 14 years: 2 doses 6-12 months apart

• Age 15 through 45 years: 3 doses at 0, 1 to 2, and 6 months

Hepatitis A vaccine

• Minimum age: 12 mo

• 2 doses

• Dose 1 to dose 2: 6 mo

Hepatitis B vaccine

• Minimum age: Birth

• 3 doses

• Dose 1 to dose 2: 4 wk

• Dose 2 to dose 3: 8 wk (16 wk after dose 1)

Inactivated poliovirus vaccine

• Minimum age: 6 wk

• 4 doses

• Dose 1 to dose 2: 4 wk

• Dose 2 to dose 3: 4 wk

• Dose 3 to dose 4: 4 wk

Measles, mumps, rubella vaccine

• Minimum age: 12 mo 

• 2 doses

• Dose 1 to dose 2: 4 wk

Varicella vaccine

• Minimum age: 12 mo

• 2 doses

• Dose 1 to dose 2: 3 mo (age < 13 yr), 4 wk (age >13)

Pneumococcal 13-valent vaccine

Guidelines on Immunization from the American Academy of Pediatrics Committee on Infectious Diseases and the Advisory committee on Immunization Practices state to administer 1 dose of PCV13 or PCV20 if any incomplete schedule of 3 doses of PCV were received previously. Administer 2 doses of PCV13 or PCV20 at 8 weeks apart if unvaccinated or any incomplete schedules of fewer than 3 doses of PCV were received previously. ^{[1, 2]}