Immunization Schedule with Combination Vaccines EVERY FALL: FLU VACCINE 6 for anyone 6 months and older

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

® ® ® PEDIARIX PEDIARIX PEDIARIX HepA DTaP HepA QUADRACELTM ® ® PEDIARIX DTaP, IPV, HepB DTaP, IPV, HepB1 DTaP, IPV, HepB MMR4 or KINRIX 7 PROQUAD® + + + Varicella4 DTaP, IPV QUADRACELTM PCV PCV PCV PCV5 + 2 5 ® or KINRIX Rotavirus Rotavirus Rotavirus Hib ® 3 PROQUAD Hib Hib Hib MMRV

® ® ® HepA ® HepA TM 5 PENTACEL PENTACEL PENTACEL PENTACEL QUADRACEL ® ®7 PENTACEL DTaP, IPV, Hib DTaP, IPV, Hib DTaP, IPV, Hib MMR4 DTaP, IPV, Hib or KINRIX PROQUAD® + + + Varicella4 DTaP, IPV QUADRACELTM PCV PCV PCV PCV5 + 2 or KINRIX® Rotavirus Rotavirus Rotavirus ® 1 PROQUAD HepB HepB HepB MMRV

TM TM TM HepA DTaP HepA TM 8 VAXELIS VAXELIS VAXELIS QUADRACEL TM ®7 VAXELIS DTaP, IPV, DTaP, IPV, DTaP, IPV, 4 or KINRIX 1 3 MMR PROQUAD® Hib, HepB Hib, HepB Hib , HepB DTaP, IPV 4 QUADRACELTM + + + Varicella + 5 or KINRIX® PCV PCV PCV PCV PROQUAD® Rotavirus Rotavirus Rotavirus2 Hib5 MMRV

Make sure the vaccine you administer 1 A dose of Hepatitis B vaccine is not necessary at 4 months if doses are 6 given at birth and 2 months but may be included as part of a combination Health and Safety Code § 124172. contains the antigens on the doctor’s order. vaccine. 7 Licensed by FDA for children 4 through 6 years with previous doses of IN- Keep it simple. Stick with the same product. 2 The six month dose is not needed if Rotarix® was used exclusively for both FANRIX™ or PEDIARIX™. ACIP recommends that, whenever feasible, the dose 1 and 2 of the rotavirus vaccine series. same manufacturer’s DTaP vaccines be used for each dose in the series; This is a suggested schedule for VFC providers ordering 3 ® however, vaccination should not be deferred because the type of DTaP pre- combination vaccines. For alternatives and details, con- This six month Hib dose is not indicated if PedvaxHIB is used exclusively for the 2 and 4 month infant doses. viously administered is unavailable or unknown. See www.cdc.gov/mmwr/ sult the latest “Recommended Immunization Schedules preview/mmwrhtml/mm5739a4.htm. for persons aged 0-18 years, United States.” For more 4 CDC recommends MMR + Varicella at 12-15 months. Providers can use 8 Licensed by FDA for children 6 weeks through 4 years of age (prior to the info, visit EZIZ.ORG their discretion whether to use MMRV, however. 5th birthday). 5 Can be administered as late as 15 months. For more information, consult the Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger, United States, 2021. California Department of Public Health, Immunization Branch IMM-922 (5/21)