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CDC - Child and Adolescent Immunization Schedule by Age (Addendum updated August 7, 2025)

sharon sanders

sharon sanders

Editor-in-Chief & President
Child and Adolescent Immunization Schedule by Age (Addendum updated August 7, 2025)

Recommendations for Ages 18 Years or Younger, United States, 2025 Health Care Providers
July 2, 2025


Purpose


Guide health care providers in determining recommended vaccines for each age group.

How to use the schedule

Vaccines and Other Immunizing Agents in the Child and Adolescent Immunization Schedule

To make vaccination recommendations, healthcare providers should:
  1. Determine recommended vaccine by age (Table 1 – By Age)
  2. Determine recommended interval for catch-up vaccination (Table 2 – Catch-up)
  3. Assess need for additional recommended vaccines by medical condition or other indication (Table 3 – By Medical Indication)
  4. Review vaccine types, frequencies, intervals, and considerations for special situations (Notes)
  5. Review contraindications and precautions for vaccine types (Appendix)
  6. Review new or updated ACIP guidance (Addendum)
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To make vaccination recommendations, healthcare providers should:
  1. Determine recommended vaccine by age (Table 1 - By Age)
  2. Determine recommended interval for catch-up vaccination (Table 2 - Catch-up)
  3. Assess need for additional recommended vaccines by medical condition or other indication (Table 3 - By Medical Indication)
  4. Review vaccine types, frequencies, intervals, and considerations for special situations (Notes)
  5. Review contraindications and precautions for vaccine types (Appendix)
Additional Information


Report
  • Suspected cases of reportable vaccine-preventable diseases or outbreaks to your state or local health department
  • Clinically significant adverse events to the Vaccine Adverse Event Reporting System (VAERS) at www.vaers.hhs.gov or (800-822-7967)
Questions or comments
Contact www.cdc.gov/cdc-info or 800-CDC-INFO (800-232-4636), in English or Spanish, 8 a.m.–8 p.m. ET, Monday through Friday, excluding holidays.

Helpful information
​
https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html
 
Child Immunization Schedule Addendum

Recommendations for Ages 18 Years or Younger, United States, 2025 Health Care Providers
Aug. 7, 2025


Purpose


Outline new or updated vaccine recommendations that have occurred since October 24, 2024.

How to use the schedule

Vaccines and Other Immunizing Agents in the Child and Adolescent Immunization Schedule
To make vaccination recommendations, healthcare providers should:
  1. Determine recommended vaccine by age (Table 1 – By Age)
  2. Determine recommended interval for catch-up vaccination (Table 2 – Catch-up)
  3. Assess need for additional recommended vaccines by medical condition or other indication (Table 3 – By Medical Indication)
  4. Review vaccine types, frequencies, intervals, and considerations for special situations (Notes)
  5. Review contraindications and precautions for vaccine types (Appendix)
  6. Review new or updated ACIP guidance (Addendum)
Addendum


In addition to the recommendations presented in the previous sections of this immunization schedule, CDC has approved the following ACIP recommendations since October 24, 2024.
MenABCWY vaccine may be used when both MenACWY and MenB are indicated at the same visit in:
  1. healthy persons aged 16–23 years (routine schedule) when shared clinical decision-making favors administration of MenB vaccine and
  2. persons aged ≥10 years who are at increased risk for meningococcal disease (e.g., because of persistent complement deficiencies, complement inhibitor use, or functional or anatomic asplenia)
June 25, 2025
ACIP reaffirms the recommendations for routine annual influenza vaccination of all persons aged ≥ 6 months who do not have contraindications for the 2025-2026 seasonJuly 22, 2025
ACIP recommends only single-dose formulations of annual influenza vaccines that are free of thimerosal as a preservative for three populations:
  • Children 18 years or younger
  • Pregnant women
  • All adults
July 22, 2025
ACIP recommends infants aged < 8 months born during or entering their first RSV season who are not protected by maternal vaccination receive one dose of clesrovimab.August 4, 2025
Note: As of May 29, 2025, the schedule incorporates the HHS directive regarding COVID-19 vaccine recommendations. (Changes were made to tables and notes for COVID-19 vaccines in pregnant women and children/adolescents ages 6 months through 17 years who are not moderately or severely immunocompromised).
*The effective date is the date when the recommendation was adopted and became official.


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https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html
 
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