Immunization Schedule with Combination Vaccines

EVERY FALL: FLU VACCINE 4 for anyone 6 months and older

2 MONTHS 4 MONTHS 6 MONTHS 12 MONTHS 15 MONTHS 18 MONTHS 4-6 YEARS

PEDIARIX® PEDIARIX® PEDIARIX® PCV DTaP HepA QUADRACELTM
PEDIARIX ®
DTaP, IPV, HepB DTaP, IPV, HepB1 DTaP, IPV, HepB Hib or KINRIX ®5
PROQUAD ®
+ + + HepA
DTaP, IPV

+
QUADRACEL TM
PCV PCV PCV MMR6
or KINRIX ® Rotavirus Rotavirus Rotavirus 2 Varicella6 PROQUAD®
Hib Hib Hib3 MMRV

PENTACEL® PENTACEL® PENTACEL® PCV PENTACEL® HepA QUADRACELTM

PENTACEL ®5
DTaP, IPV, Hib DTaP, IPV, Hib DTaP, IPV, Hib HepA DTaP, IPV, Hib or KINRIX ®5
PROQUAD + + + DTaP, IPV

+
®
MMR 6

QUADRACELTM PCV PCV PCV Varicella6

Rotavirus Rotavirus 2
or KINRIX ® Rotavirus PROQUAD®
HepB HepB1 HepB MMRV

DTaP DTaP DTaP Hib DTaP HepA QUADRACELTM

PCV
or KINRIX ®5
PROQUAD ® IPV IPV IPV
DTaP, IPV

+
HepB HepB1 HepB HepA
QUADRACELTM
Hib Hib Hib3 MMR6
or KINRIX ®
PCV PCV PCV Varicella6 PROQUAD®
Rotavirus Rotavirus Rotavirus 2 MMRV

1 A dose of Hepatitis B vaccine is not necessary at 4 months if doses are 5 Licensed by FDA for children 4 through 6 years with previous doses of
Make sure the vaccine you administer
given at birth and 2 months but may be included as part of a combination INFANRIX™ or PEDIARIX™. ACIP recommends that, whenever feasible,
contains the antigens on the doctor’s order. vaccine. the same manufacturer’s DTaP vaccines be used for each dose in the
Keep it simple. Stick with the same product. 2 The six month dose is not needed if Rotarix® was used exclusively for both series; however, vaccination should not be deferred because the type of
dose 1 and 2 of the rotavirus vaccine series. . DTaP previously administered is unavailable or unknown.
This is a suggested schedule for VFC providers ordering 3 This six month Hib dose is not indicated if PedvaxHIB® is used exclusively
See www.cdc.gov/mmwr/preview/mmwrhtml/mm5739a4.htm
combination vaccines. For alternatives and details, con- 6 CDC recommends MMR + Varicella at 12-15 months. Providers can use
sult the latest “Recommended Immunization Schedules for the 2 and 4 month infant doses.
their discretion whether to use MMRV, however.
for persons aged 0-18 years, United States.” For more 4 Influenza vaccine is available in thimerosal-free options. See California
info, visit EZIZ.org Health and Safety Code § 124172.
California Department of Public Health, Immunization Branch IMM-922 (4/17)