Expanded Immunization Program

• Tdap should replace one dose of Td given during 27 - 36 wks AOG.
• Bacillus Calmette-Guerin (BCG) is a vaccine used to prevent tuberculosis and is administered intradermally.
• Hepatitis B vaccine (HBV) is a vaccine used to prevent hepatitis B and is administered intramuscularly.
• Hepatitis B vaccine is administered to infants born to hepatitis B surface antigen (HBsAg) positive mothers within 12 hours of life and hepatitis B immunoglobulin (HBIG) should be administered not later than 7 days of age if not immediately available.
• Hepatitis B vaccine is also administered to infants born to mothers with unknown HBsAg status within 12 hours of life.
• Hemophilus Influenzae Type B Conjugate Vaccine (HIB) is a vaccine used to prevent Hemophilus influenzae type B and is administered intramuscularly.
• Diphtheria and Tetanus Toxoid and Pertussis Vaccine (DTP) is a vaccine used to prevent diphtheria, tetanus, and pertussis and is administered intramuscularly.
• Inactivated Poliovirus Vaccine (IPV) is a vaccine used to prevent poliomyelitis and is administered intramuscularly.
• Rotavirus Vaccine (RV) is a vaccine used to prevent rotavirus and can be administered orally as a monovalent human rotavirus vaccine (RV1) or as a pentavalent human bovine rotavirus vaccine (RV5).
• Hepatitis A Vaccine (HAV) is administered in two doses, with the second dose given less than 6 months from the first.
• The minimum interval between doses of MMRV is 3 months.
• For pregnant adolescents, a single dose of Tdap vaccine is administered during 27 - 36 weeks.
• Bivalent HPV (2vHPV), Quadrivalent (4vHPV) or nonvalent (9vHPV) is administered at 0,2 and 6 months.
• If the interval between the first and second dose of HPV is less than 6 months, a third dose is needed.
• Measles - Mumps - Rubella - Varicella Vaccine (MMRV) may be given as an alternative to separately administered MMR and Varicella vaccines.
• Pregnant women can receive subsequent doses of Td.
• The minimum interval between the second and third dose of HPV is 3 months.
• The third dose of HPV should be given less than 6 months from the first dose.
• Tetanus and Diphtheria Toxoid (Td) / Tetanus and Diphtheria Toxoid and Acellular Pertussis Vaccine (TdaP) is administered in five doses of DTP or four doses of DTP if the fourth dose was given on or after the fourth birthday.
• Human Papillomavirus Vaccine (HPV) is recommended for ages 9 - 14 years in a 2 dose series, and for ages 15 years and older in a 3 dose series.
• Fully immunized children receive a Td booster every 10 years.
• Influenza Vaccine (Trivalent/Quadrivalent Influenza Vaccine) is given IM or SC.
• Measles Vaccine is administered SC and is recommended for children aged 9 months but may be given as early as 6 months in cases of outbreaks.
• For children aged 6 weeks for PCV10 and PCV13, the interval between doses is also less than 4 weeks, and a booster is given 6 months after the third dose.
• For children aged 6 months to 35 months, the dose of TIV is 0.25 ml, and for children aged 36 months to 18 years, the dose is 0.5 ml.
• Japanese Encephalitis Vaccine (JE) is administered SC and the recommended age for the first dose is 9-17 years, with a booster dose given 12-24 months after the primary dose.
• If only one dose of the influenza vaccine was given during the previous influenza season, two doses of the vaccine should be given then one dose yearly thereafter.
• For 9-18 year olds, a single dose of the vaccine should be given annually.
• The minimum age for influenza vaccination is 6 months.
• For children aged 2-5 years who do not have PCV vaccination, a single dose of PCV13, or two doses of PCV10 may be given, with an interval of less than 8 weeks between doses.
• Varicella Vaccine is administered SC and the recommended age for the first dose is 4-6 years, with a second dose given from 4-6 years, but may be given earlier at an interval of 3 months from the first dose.
• Measles-Mumps-Rubella (MMR) Vaccine is administered SC and the recommended age for the first dose is 9 months, with a second dose given from 4-6 years, but may be given earlier with a minimum of 4 weeks interval between doses.
• For those aged 18 years and older, a single dose of the vaccine should be given.
• Pneumococcal Conjugate Vaccines (PCV) are administered IM and the primary vaccination consists of 3 doses with an interval of less than 4 weeks between doses, plus a booster given 6 months after the third dose.
• Children aged 6-8 years receiving the vaccine for the first time should receive two doses separated by less than 4 weeks.