2023 Recommended Immunizations for Children 7–18 Years Old

KEY
7 8 9 10 11 12 13 14 15 16 17 18
YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS YEARS Indicates when the vaccine is
recommended for all children
RECOMMENDED VACCINES unless your doctor tells you that
your child cannot safely receive
COVID-19* COVID-19* the vaccine.
Coronavirus disease 2019

Flu** Flu
(One or Two
Flu (One Dose Yearly)
Influenza Doses Yearly)**
Indicates the vaccine series can
begin at this age.
Tdap Tetanus, Tdap
Diphtheria, & Pertussis

HPV† HPV† Indicates the vaccine should be

Human papillomavirus
given if a child is catching up on
missed vaccines. A vaccine series
MenACWY MenACWY MenACWY does not need to be restarted,
Meningococcal disease regardless of the time that has
elapsed between doses.
MenB MenB
Meningococcal disease

CATCHING UP ON MISSED CHILDHOOD VACCINATION‡ Indicates children not at increased

risk may get the vaccine if they
MMR Measles, MMR wish after speaking to a provider.
Mumps, & Rubella

ADDITIONAL INFORMATION
Varicella Varicella
Chickenpox 1. If your child misses a shot
recommended for their age, talk
HepA HepA
to your child’s doctor as soon as
Hepatitis A possible to see when the missed
shot can be given.
HepB HepB 2. If your child has any medical
Hepatitis B conditions that put them at risk
for infection or is traveling outside
IPV IPV the United States, talk to your
Polio child’s doctor about additional
vaccines that they may need.
ONLY IN PLACES WHERE DENGUE IS COMMON — MUST have a laboratory test confirming past dengue infection Talk with your child’s doctor if
you have questions about any shot
Dengue Dengue recommended for your child.

FOOTNOTES

COVID-19*
Number
Flu**
Two doses given at least 4 weeks
HPV†
Ages 11 through 12 years old should get a ‡Originally recommended age ranges for missed childhood vaccinations: 2-dose
of doses apart are recommended for children 2-shot series separated by 6 to 12 months. series of MMR at 12–15 months and 4–6 years; 2-dose series of Varicella at 12–15
recommended depends on age 6 months through 8 years of age who are The series can begin at 9 years old. A 3-shot series is months and 4–6 years; 2-dose series of HepA (minimum interval: 6 months) at
your child’s age and type getting an influenza (flu) vaccine for the first time recommended for those with weakened immune systems age 12–23 months; 3-dose series of HepB at birth, 1–2 months, and 6–18 months;
of COVID-19 vaccine used. and for some other children in this age group. and those who start the series after their 15th birthday. and 4-dose series of Polio at 2 months, 4 months, 6–18 months, and 4–6 years.

FOR MORE INFORMATION

Call toll-free: 1-800-CDC-INFO (1-800-232-4636)
Or visit: cdc.gov/vaccines/parents
Diseases and the Vaccines that Prevent Them 7–18
– YEARS OLD

DISEASE VACCINE DISEASE SPREAD BY DISEASE SYMPTOMS DISEASE COMPLICATIONS

Coronavirus vaccine protects against severe May be no symptoms, fever, muscle aches, Pneumonia (infection in the lungs), respiratory failure, blood
disease 2019 COVID-19 complications from coronavirus Air, direct contact sore throat, cough, runny nose, diarrhea, clots, bleeding disorder, injury to liver, heart or kidney, multi-
(COVID 19) disease 2019. vomiting, new loss of taste or smell system inflammatory syndrome, post-COVID syndrome, death

Fever, muscle pain, sore throat, cough, Pneumonia (infection in the lungs), bronchitis, sinus
Influenza (Flu) Flu vaccine protects against influenza. Air, direct contact
extreme fatigue infections, ear infections, death

and Td** vaccines protect against Exposure through Stiffness in neck and abdominal muscles,
Tetanus Tdap*
tetanus. cuts in skin difficulty swallowing, muscle spasms, fever
Broken bones, breathing difficulty, death

and Td** vaccines protects against Sore throat, mild fever, weakness, swollen
Diphtheria Tdap* diphtheria.
Air, direct contact
glands in neck
Swelling of the heart muscle, heart failure, coma, paralysis, death

Pertussis Tdap*
vaccine protects against pertussis
Air, direct contact
Severe cough, runny nose, apnea (a pause
Pneumonia (infection in the lungs), death
(whooping cough) (whooping cough). in breathing in infants)

Human HPV
vaccine protects against human
Direct skin contact May be no symptoms, genital warts Cervical, vaginal, vulvar, penile, anal, oropharyngeal cancers
papillomavirus papillomavirus.

Meningococcal MenACWY MenB

vaccines protect against
Air, direct contact
Sudden onset of fever, headache, and stiff Loss of limb, deafness, nervous system disorders,
disease meningococcal disease. neck, dark purple rash developmental disabilities, seizure disorder, stroke, death

Encephalitis (brain swelling), pneumonia (infection in the lungs),

Measles MMR† vaccine protects against measles. Air, direct contact Rash, fever, cough, runny nose, pink eye
death

Meningitis (infection of the covering around the brain and spinal

Swollen salivary glands (under the jaw),
Mumps MMR† vaccine protects against mumps. Air, direct contact
fever, headache, tiredness, muscle pain
cord), encephalitis (brain swelling), inflammation of testicles or
ovaries, deafness, death

Very serious in pregnant women—can lead to miscarriage,

Rubella MMR† vaccine protects against rubella. Air, direct contact Sometimes rash, fever, swollen lymph nodes
stillbirth, premature delivery, birth defects

Infected blisters, bleeding disorders, encephalitis (brain

Chickenpox Varicella vaccine protects against chickenpox. Air, direct contact Rash, tiredness, headache, fever
swelling), pneumonia (infection in the lungs), death

Direct contact, May be no symptoms, fever, stomach pain,

Liver failure, arthralgia (joint pain), kidney, pancreatic and blood
Hepatitis A HepA vaccine protects against hepatitis A. contaminated food loss of appetite, fatigue, vomiting, jaundice
disorders, death
or water (yellowing of skin and eyes), dark urine

May be no symptoms, fever, headache,

Contact with blood
Hepatitis B HepB vaccine protects against hepatitis B.
or body fluids
weakness, vomiting, jaundice (yellowing Chronic liver infection, liver failure, liver cancer, death
of skin and eyes), joint pain

Air, direct contact, May be no symptoms, sore throat, fever,

Polio IPV vaccine protects against polio.
through the mouth nausea, headache
Paralysis, death

May be no symptoms, fever, headache,

Bite from infected pain behind the eyes, rash, joint pain, Severe bleeding, seizures, shock, damage to the liver, heart, and
Dengue Dengue‡ vaccine protects against dengue.
mosquito body ache, nausea, loss of appetite, feeling lungs, death
tired, abdominal pain

Tdap combines protection against Td combines protection against MMR combines protection against Recommended where Last updated December 2022
Tdap* Td** MMR† Dengue‡
diphtheria, tetanus, and pertussis. diphtheria and tetanus. measles, mumps, and rubella. dengue is common. CS322257-B