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2015 Recommended for Children from 7 Through 18 Years Old

7–10 YEARS 11-12 YEARS 13-18 YEARS

Tdap 1 Tetanus, Diphtheria, Pertussis (Tdap) Tdap Human Papillomavirus (HPV) Vaccine (3 Doses)2 HPV MCV4 Meningococcal Conjugate Vaccine (MCV4) Dose 13 MCV4 Dose 13 Booster at age 16 years (Yearly)4 Pneumococcal Vaccine5 A (HepA) Vaccine Series6 (HepB) Vaccine Series Inactivated Vaccine (IPV) Series , , Rubella (MMR) Vaccine Series Series

These shaded boxes indicate when the vaccine is These shaded boxes indicate the These shaded boxes indicate the vaccine is recommended for children with certain health recommended for all children unless your doctor tells vaccine should be given if a child is conditions that put them at high risk for serious diseases. Note that healthy children can get the you that your child cannot safely receive the vaccine. catching-up on missed . HepA series6. See vaccine-specific recommendations atwww.cdc.gov/vaccines/pubs/ACIP-list.htm .

FOOTNOTES 1 Tdap vaccine is recommended at age 11 or 12 to protect against tetanus, diphtheria and pertussis. If your child has not received any or all of the DTaP vaccine series, or if you don’t know if your child has received these shots, your child needs a single dose of Tdap when they are 7 -10 years old. Talk to your child’s health care provider to find out if they need additional catch-up vaccines. 2 All 11 or 12 year olds – both girls and boys – should receive 3 doses of HPV vaccine to protect against HPV-related disease. The full HPV vaccine series should be given as recommended for best protection. 3 Meningococcal conjugate vaccine (MCV) is recommended at age 11 or 12. A booster shot is recommended at age 16. Teens who received MCV for the first time at age 13 through 15 years will need a one-time booster dose between the ages of 16 and 18 years. If your teenager missed getting the vaccine altogether, ask their health care provider about getting it now, especially if your teenager is about to move into a college dorm or military barracks. 4 Everyone 6 months of age and older—including preteens and teens—should get a flu vaccine every year. Children under the age of 9 years may require more than one dose. Talk to your child’s health care provider to find out if they need more than one dose. 5 Pneumococcal Conjugate Vaccine (PCV13) and Pneumococcal Polysaccharide Vaccine (PPSV23) are recommended for some children 6 through 18 years old with certain medical conditions that place them at high risk. Talk to your healthcare provider about pneumococcal vaccines and what factors may place your child at high risk for pneumococcal disease. 6 is recommended for older children with certain medical conditions that place them at high risk. HepA vaccine is licensed, safe, and effective for all children of all ages. Even if your child is not at high risk, you may decide you want your child protected against HepA. Talk to your healthcare provider about HepA vaccine and what factors may place your child at high risk for HepA. For more information, call toll free 1-800-CDC-INFO (1-800-232-4636) or visit http://www.cdc.gov/vaccines/teens Vaccine-Preventable Diseases and the Vaccines that Prevent Them

Diphtheria (Can be prevented by Tdap vaccine) droplets of an infected person. Measles is so contagious that just cord), bacteremia and sepsis (blood stream ). Sinus and Diphtheria is a very contagious bacterial disease that affects the being in the same room after a person who has measles has already ear are usually mild and are much more common than , including the lungs. Diphtheria can be left can result in infection. Symptoms usually include a rash, , the more severe forms of pneumococcal disease. However, in passed from person to person by direct contact with droplets from cough, and red, watery eyes. Fever can persist, rash can last for up some cases pneumococcal disease can be fatal or result in long- an infected person’s cough or sneeze. When people are infected, to a week, and coughing can last about 10 days. Measles can also term problems, like brain damage, and limb loss. the diptheria bacteria produce a toxin (poison) in the body that cause , seizures, brain damage, or death. Pneumococcal disease spreads when people cough or sneeze. can cause weakness, sore throat, low-grade fever, and swollen Many people have the bacteria in their nose or throat at one time glands in the neck. Effects from this toxin can also lead to swell- Meningococcal Disease (Can be prevented by MCV vaccine) or another without being ill—this is known as being a carrier. ing of the heart muscle and, in some cases, heart failure. In severe Meningococcal disease is caused by bacteria and is a leading cases, the illness can cause coma, paralysis, and even death. cause of bacterial meningitis (infection around the brain and Polio (Can be prevented by IPV vaccine) spinal cord) in children. The bacteria are spread through the Polio is caused by a that lives in an infected person’s throat Hepatitis A (Can be prevented by HepA vaccine) exchange of nose and throat droplets, such as when coughing, and intestines. It spreads through contact with the feces (stool) Hepatitis A is an infection in the liver caused by hepatitis A virus. The sneezing or kissing. Symptoms include nausea, vomiting, of an infected person and through droplets from a sneeze or virus is spread primarily person-to-person through the fecal-oral sensitivity to light, confusion and sleepiness. Meningococcal cough. Symptoms typically include sudden fever, sore throat, route. In other words, the virus is taken in by mouth from contact disease also causes blood infections. About one of every , muscle weakness, and pain. In about 1% of cases, with objects, food, or drinks contaminated by the feces (stool) of an ten people who get the disease dies from it. Survivors of polio can cause paralysis. Among those who are paralyzed, up to infected person. Symptoms include fever, tiredness, loss of appetite, meningococcal disease may lose their arms or legs, become 5% of children may die because they become unable to breathe. nausea, abdominal discomfort, dark urine, and jaundice (yellowing deaf, have problems with their nervous systems, become devel- of the skin and eyes). An infected person may have no symptoms, opmentally disabled, or suffer seizures or strokes. Rubella (German Measles) (Can be prevented by MMR vaccine) may have mild illness for a week or two, or may have severe illness Rubella is caused by a virus that is spread through coughing and for several months that requires hospitalization. In the U.S., about Mumps (Can be prevented by MMR vaccine) sneezing. In children rubella usually causes a mild illness with 100 people a year die from hepatitis A. Mumps is an infectious disease caused by the , fever, swollen glands, and a rash that lasts about 3 days. Rubella which is spread in the air by a cough or sneeze from an infected rarely causes serious illness or complications in children, but can Hepatitis B (Can be prevented by HepB vaccine) person. A child can also get infected with mumps by coming be very serious to a baby in the womb. If a pregnant woman is Hepatitis B is an infection of the liver caused by hepatits . in contact with a contaminated object, like a toy. The mumps infected, the result to the baby can be devastating, including The virus spreads through exchange of blood or other body fluids, virus causes fever, , painful swelling of the salivary , serious heart defects, mental retardation and loss of for example, from sharing personal items, such as razors or during glands under the jaw, fever, muscle aches, tiredness, and loss of hearing and eye sight. sex. Hepatitis B causes a flu-like illness with loss of appetite, nausea, appetite. Severe complications for children who get mumps are vomiting, rashes, joint pain, and jaundice. The virus stays in the liver uncommon, but can include meningitis (infection of the cover- Tetanus (Lockjaw) (Can be prevented by Tdap vaccine) of some people for the rest of their lives and can result in severe liver ing of the brain and spinal cord), ( of Tetanus is caused by bacteria found in soil. The bacteria enters diseases, including fatal . the brain), permanent hearing loss, or swelling of the testes, the body through a wound, such as a deep cut. When people are which rarely can lead to sterility in men. infected, the bacteria produce a toxin (poison) in the body that Human Papillomavirus (Can be prevented by HPV vaccine) causes serious, painful spasms and stiffness of all muscles in the Human papillomavirus is a common virus. HPV is most common Pertussis (Whooping Cough) (Can be prevented by Tdap vaccine) body. This can lead to “locking” of the jaw so a person cannot in people in their teens and early 20s. It is the major cause of Pertussis is caused by bacteria spread through direct contact open his or her mouth, swallow, or breathe. Complete recovery in women and genital in women and men. with respiratory droplets when an infected person coughs or from tetanus can take months. Three of ten people who get The strains of HPV that cause cervical cancer and genital warts sneezes. In the beginning, symptoms of pertussis are similar to tetanus die from the disease. are spread during sex. the , including runny nose, sneezing, and cough. After 1-2 weeks, pertussis can cause spells of violent coughing Varicella () (Can be prevented by varicella vaccine) Influenza (Can be prevented by annual flu vaccine) and choking, making it hard to breathe, drink, or eat. This cough Chickenpox is caused by the . Chickenpox Influenza is a highly contagious viral infection of the nose, throat, and can last for weeks. Pertussis is most serious for babies, who can is very contagious and spreads very easily from infected people. lungs. The virus spreads easily through droplets when an infected get pneumonia, have seizures, become brain damaged, or even The virus can spread from either a cough, sneeze. It can also person coughs or sneezes and can cause mild to severe illness. Typical die. About two-thirds of children under 1 year of age who get spread from the blisters on the skin, either by touching them or symptoms include a sudden high fever, chills, a dry cough, headache, pertussis must be hospitalized. by breathing in these viral particles. Typical symptoms of chick- runny nose, sore throat, and muscle and joint pain. Extreme fatigue enpox include an itchy rash with blisters, tiredness, headache can last from several days to weeks. Influenza may lead to hospitalization Pneumococcal Disease and fever. Chickenpox is usually mild, but it can lead to severe or even death, even among previously healthy children. (Can be prevented by Pneumococcal vaccine) skin infections, pneumonia, encephalitis (brain swelling), or even Pneumonia is an infection of the lungs that can be caused by the death. Measles (Can be prevented by MMR vaccine) bacteria called pneumococcus. This bacteria can cause other Measles is one of the most contagious viral diseases. Measles types of infections too, such as ear infections, sinus infections, virus is spread by direct contact with the airborne respiratory meningitis (infection of the covering around the brain and spinal

If you have any questions about your child’s vaccines, talk to your healthcare provider. Last updated on 02/02/2015 • CS254242-A CS 249472_D DISTRIBUTED BY: of getting seasonal flu and spreading it to others.of gettingseasonalfluandspreading Even itto The annualfluvaccineisthe bestway to reduce thechances Flu Vaccine should askthedoctorornurseaboutgettingthemnow. teens whohaven’t orfinished theHPVvaccineseries started 6 monthswhentheyare 11or12years old.Preteens and warts. HPVvaccinesare given over topreteens as3shots girlsandboysfrom anal cancer both andgenital protect cancer. causemostcervical that OneHPVvaccinealsohelps HPV. Two girlsfrom HPVvaccinesprotect thetypesofHPV girls andboysfrom HPVinfectionandcancer causedby both vaccineshelpprotect (HPV) Human papillomavirus HPV Vaccine as soonpossible. haven’t anyshouldgetonedose gotten meningococcalshots age16.Olderteenswho at should stillgetasecondshot whentheyweremeningococcal shot 13,14,or15years old age16.Teens at a secondmeningococcalshot the whogot whentheyare 11or12yearsmeningococcal shot oldand (an infectionintheblood).Preteens needthefirst lining around thebrainandspinalcord) andsepticemia cancausemeningitis(swellingof thebacteriathat ofthe some against vaccineprotects Meningococcal conjugate Meningococcal Vaccine now.about gettingtheshot asapreteen, askthetheirdoctor ornurse get aTdapshot Preteens age11or12.Ifyour shouldgetTdapat teendidn’t tetanus, (whoopingcough). diphtheria,andpertussis three seriousdiseases: against This vaccinehelpsprotect Tdap Vaccine What vaccines doesmychildneed? your preteen illnesses. orteenfrom theseother they were babies. There are canhelpprotect vaccinesthat they may comeincontactwithdifferent diseasesthanwhen babies getcanwear offaskidsgetolder. Andaskidsgrow up Vaccines aren’t justforbabies. Someof thevaccinesthat Why doesmychildneedvaccines now? Last updatedJUNE2014 Vaccines forPreteensand Teens: What Parents ShouldKnow vaccines that yourvaccines that childmay need. good ideatoaskthedoctorornurseevery year ifthere are any a physical examrequired forsports, school,orcamp. It’s a checkup. Your preteen orteencanalsoget thesevaccinesat A goodtimetogetthesevaccinesisduringayearly health When shouldmychildbevaccinated? January orlater. even in are circulating, can bebeneficialaslongfluviruses begins causingillnessinyour community, fluvaccination October.ideally by Whileit’s before besttobevaccinated flu vaccine isassoonafterit’s available inyour community, Thebesttimetogettheflu diseasetogetvaccinated. heart chronic healthconditionssuchasasthma,diabetes, and get afluvaccine,it’s forthosewith especiallyimportant and spread Whileallpreteens ittoothers. andteensshould healthy preteens andteenscangetvery sickfrom theflu www.cdc.gov/vaccines/teens vaccines onCDC’s Vaccines forPreteens andTeens website at may need.You canalsofindmore aboutthese information Talk toyour child’s vaccinesthey doctoror nurseaboutwhat Where canIlearnmore? cdc.gov andtypingVFCinthesearchbox. find outmore abouttheVFCprogramby goingonlineto Native.Medicaid-eligible, AmericanIndianorAlaska You can for children ages18years andyounger, insured, whoare not The Vaccines forChildrenprogram (VFC) provides vaccines How canIgethelppaying thesevaccines? for beforeyeast, theyreceive orchickeneggs, latex, any shots. if your childhasany seriousallergies, includingallergies to effects are rare. totellthedoctorornurse Itis important very canhelpprevent Seriousside minutes aftertheshot, fainting. andthenforabout15 or lyingdownwhengettingashot Sitting preteens andteensmightfaintaftergettingashot. wasgiven. ofthearmwherein thepart theshot Some safe. Theycancausemildsideeffects, likesoreness or redness These vaccineshave allbeenstudiedvery carefully andare What elseshouldIknowaboutthesevaccines? |DISEASESandthe VACCINES THAT PREVENT THEM | INFORMATION FOR PARENTS PARENTS FOR INFORMATION Control andPrevention Centers for Disease Health andHuman Services U.S. of Department . www.

CS 249472_B HPV Vaccine forPreteensand Teens DISTRIBUTED BY: cancer, andgenital warts. Girls cangetthisvaccinetoprevent cancer, cervical anal this HPVvaccinetoprevent analcancer andgenitalwarts. femalesandmales.and analcancer Boysshouldget inboth genitalwarts against One oftheHPVvaccinesalsoprotects should geteitherHPVvaccinetoprevent cancer. cervical There are two HPVvaccines. Girlsandyoung women What elseshouldIknowaboutHPVvaccine? older adolescents. produces ahigherimmuneresponse inpreteens thanin HPVvaccinealso is given 6monthsafterthefirstshot. Thenathirdgiven shot 1or2monthsafterthefirstshot. is The HPVvaccineisgiven Thesecondshot in3shots. about gettingitforthemassoonpossible. your thevaccineyet, teenhasn’t talktotheirdoctor gotten immune response inpreteens thaninolderadolescents. If HPVvaccinealsoproducesexposed tothevirus. ahigher age11or12sotheyare beforegirls at protected ever being The HPVvaccineisrecommended forpreteen boysand When shouldmychildbevaccinated? menandwomen. inboth warts HPV canalsocauseanalcancer, throat cancer, andgenital and vulvarcancers inwomen andpenilecancer inmen. HPV eachyear. vaginal, HPVinfectioncancausecervical, million people,includingteens, becomeinfectedwith they have person.About14 sexualcontactwithanother spreads that betweenis avery commonvirus peoplewhen infection.HPV (HPV) humanpapillomavirus caused by fromThis vaccineisforprotection mostofthecancers Why doesmychildneedHPVvaccine? Last updatedJUNE2014 Medicine. of Pediatrics, andtheSocietyforAdolescent Healthand Academy ofFamily , theAmericanAcademy Disease Control andPrevention theAmerican (CDC), isrecommendedHPV vaccination theCentersfor by recommended foranyonevaccine isnot whoispregnant. severe allergies, oryeast. tolatex HPV includinganallergy totellthedoctorornurseifyourimportant childhasany Serious sideeffectsfrom theHPVvaccineare rare. Itis couldhappenwhilefainting. any that injury Thiscanhelppreventminutes aftertheshot. faintingand andstay forabout15 likethat down whentheygetashot Preteensvaccine oranyandteensshouldsitlie shot. Some preteens andteensmightfaintaftergettingtheHPV andnausea. dizziness wasgiven,include paininthearmwhere theshot fever, adverse events (sideeffects) duringthesestudies reported studies showed noserioussafetyconcerns. Common,mild HPVvaccineshaveBoth beenstudiedvery carefully. These www.cdc.gov/vaccines/teens Vaccines forPreteens andTeens website at or nurse.More isalsoavailable information onCDC’s vaccines forpreteens andteens, talktoyour child’s doctor For more aboutHPVvaccinesandtheother information Where canIlearnmore? www.cdc.gov andtypingVFCinthesearchbox. can findoutmore abouttheVFCprogramby goingonlineto Native.Medicaid-eligible, AmericanIndianorAlaska You for children ages18years andyounger, insured, whoare not The Vaccines forChildrenprogram (VFC) provides vaccines How canIgethelppaying thesevaccines? for |DISEASESandthe VACCINES THAT PREVENT THEM | INFORMATION FOR PARENTS PARENTS FOR INFORMATION Control andPrevention Centers for Disease Health andHuman Services U.S. of Department . HPV CANCER PREVENTION

HPV VACCINE IS CANCER PREVENTION HPV vaccine protects against HPV types that most commonly cause anal, cervical, oropharyngeal, penile, vaginal, and vulvar .

Every year in the That’s 1 person U.S., 27,000 20 every 20 minutes min. 1 people get cancer of every day, all caused by HPV. year long.

Most of these cancers can be prevented by HPV vaccine.

HPV VACCINE IS RECOMMENDED AT THE SAME TIME AS OTHER TEEN VACCINES

Preteens need three vaccines at

11 or 12. They protect against Vaccines for your 2 whooping cough, cancers 11-12 year old: caused by HPV, and meningitis.  Tdap  HPV  Meningococcal

HPV VACCINE IS BEST AT 11-12 YEARS Preteens have a higher immune response to HPV vaccine than older teens.

9 10 11 12 13 14 15 16 17 18 19 26 3  While there is very little risk of exposure to HPV before age 13, the risk of exposure increases thereafter.

Parents and healthcare professionals are the key to protecting adolescents from HPV cancers. VACCINATE YOUR 11-12 YEAR OLDS. www.cdc.gov/vaccines/teens

Distributed by: U.S. Department of Health and Human Services Centers for Disease Control and Prevention

NCIRDig406 | 07.23.2014 Tips and Time-savers for Talking with Parents about HPV Vaccine Recommend the HPV vaccine series the same way you recommend the other adolescent vaccines. For example, you can say “Your child needs these shots today,” and name all of the vaccines recommended for the child’s age. Parents may be interested in vaccinating, yet still have questions. Taking the time to listen to parents’ questions helps you save time and give an effective response. CDC research shows these straightforward messages work with parents when discussing HPV vaccine—and are easy for you or your staff to deliver.

CDC RESEARCH The “HPV vaccine is cancer prevention” message resonates strongly with parents. In addition, studies show that a strong recommendation SHoWS: from you is the single best predictor of vaccination. Try saying: HPV vaccine is very important because it prevents cancer. I want your child to be protected from cancer. That’s why I’m recommending that your daughter/son receive the first dose of HPV vaccine today. CDC RESEARCH Disease prevalence is not understood, and parents are unclear about what the vaccine actually protects against. SHoWS: Try saying: HPV can cause cancers of the cervix, vagina, and in women, cancer of the penis in men, and cancers of the anus and the mouth or throat in both women and men. There are about 26,000 of these cancers each year—and most could be prevented with HPV vaccine. There are also many more precancerous conditions requiring treatment that can have lasting effects. CDC RESEARCH Parents want a concrete reason to understand the recommendation that 11–12 year olds receive HPV vaccine. SHoWS: Try saying: We’re vaccinating today so your child will have the best protection possible long before the start of any kind of sexual activity. We vaccinate people well before they are exposed to an infection, as is the case with measles and the other recommended childhood vaccines. Similarly, we want to vaccinate children well before they get exposed to HPV. CDC RESEARCH Parents may be concerned that vaccinating may be perceived by the child as permission to have sex. SHoWS: Try saying: Research has shown that getting the HPV vaccine does not make kids more likely to be sexually active or start having sex at a younger age. CDC RESEARCH Parents might believe their child won’t be exposed to HPV because they aren’t sexually active or may not be for a long time. SHoWS: Try saying: HPV is so common that almost everyone will be infected at some point. It is estimated that 79 million Americans are currently infected with 14 million new HPV infections each year. Most people infected will never know. So even if your son/daughter waits until marriage to have sex, or only has one partner in the future, he/she could still be exposed if their partner has been exposed. CDC RESEARCH Emphasizing your personal belief in the importance of HPV vaccine helps parents feel secure in their decision. SHoWS: Try saying: I strongly believe in the importance of this cancer-preventing vaccine, and I have given HPV vaccine to my son/daughter/grandchild/ niece/nephew/friend’s children. Experts (like the American Academy of Pediatrics, cancer doctors, and the CDC) also agree that this vaccine is very important for your child. CDC RESEARCH Understanding that the side effects are minor and emphasizing the extensive research that vaccines must undergo can help parents feel reassured. SHoWS: Try saying: HPV vaccine has been carefully studied by medical and scientific experts. HPV vaccine has been shown to be very effective and very safe. Like other shots, most side effects are mild, primarily pain or redness in the arm. This should go away quickly, and HPV vaccine has not been associated with any long-term side effects. Since 2006, about 57 million doses of HPV vaccine have been distributed in the U.S., and in the years of HPV vaccine safety studies and monitoring, no serious safety concerns have been identified. CDC RESEARCH Parents want to know that HPV vaccine is effective. SHoWS: Try saying: In clinical trials of boys and girls, the vaccine was shown to be extremely effective. In addition, studies in the U.S. and other countries that have introduced HPV vaccine have shown a significant reduction in infections caused by the HPV types targeted by the vaccine. CDC RESEARCH Many parents do not know that the full vaccine series requires 3 shots. Your reminder will help them to complete the series. SHoWS: Try saying: I want to make sure that your son/daughter receives all 3 shots of HPV vaccine to give them the best possible protection from cancer caused by HPV. Please make sure to make appointments on the way out, and put those appointments on your calendar before you leave the office today!

www.cdc.gov/vaccines/teens | [email protected] CS242429A