2020 Recommended Vaccinations for Infants and Children (birth through 6 years) Parent-Friendly Version
Note: If your child misses a shot, you don’t need to start over. Just go back to your child’s doctor for the next shot. Talk with your child’s doctor if you have questions about vaccines.
*Two doses given at least four weeks apart are recommended for children age 6 months through 8 years of age who are getting an influenza (flu) vaccine for the first time and for some other children in this age group.
§Two doses of HepA vaccine are needed for lasting protection. The first dose of HepA vaccine should be given between 12 months and 23 months of age. The second dose should be given 6 months after the first dose. All children and adolescents over 24 months of age who have not been vaccinated should also receive 2 doses of HepA vaccine.
If your child has any medical conditions that put him or her at risk for infection or is traveling outside the United States, talk to your child’s doctor about additional vaccines that he or she may need.Vaccine-Preventable Diseases and the Vaccines that Prevent ThemDiseaseVaccineDisease spread byDisease symptomsDisease complicationsChickenpoxVaricella vaccine protects against chickenpox.Air, direct contactRash, tiredness, headache, feverInfected blisters, bleeding disorders, encephalitis (brain swelling), pneumonia (infection in the lungs)DiphtheriaDTaP* vaccine protects against diphtheria.Air, direct contactSore throat, mild fever, weakness, swollen glands in neckSwelling of the heart muscle, heart failure, coma, paralysis, deathHibHib vaccine protects against Haemophilus influenzae type b.Air, direct contactMay be no symptoms unless bacteria enter the bloodMeningitis (infection of the covering around the brain and spinal cord), intellectual disability, epiglottitis (life-threatening infection that can block the windpipe and lead to serious breathing problems), pneumonia (infection in the lungs), deathHepatitis AHepA vaccine protects against hepatitis A.Direct contact, contaminated food or waterMay be no symptoms, fever, stomach pain, loss of appetite, fatigue, vomiting, jaundice (yellowing of skin and eyes), dark urineLiver failure, arthralgia (joint pain), kidney, pancreatic, and blood disordersHepatitis BHepB vaccine protects against hepatitis B.Contact with blood or body fluidsMay be no symptoms, fever, headache, weakness, vomiting, jaundice (yellowing of skin and eyes), joint painChronic liver infection, liver failure, liver cancerInfluenza (Flu)Flu vaccine protects against influenza.Air, direct contactFever, muscle pain, sore throat, cough, extreme fatiguePneumonia (infection in the lungs)MeaslesMMR** vaccine protects against measles.Air, direct contactRash, fever, cough, runny nose, pink eyeEncephalitis (brain swelling), pneumonia (infection in the lungs), deathMumpsMMR**vaccine protects against mumps.Air, direct contactSwollen salivary glands (under the jaw), fever, headache, tiredness, muscle painMeningitis (infection of the covering around the brain and spinal cord), encephalitis (brain swelling), inflammation of testicles or ovaries, deafnessPertussisDTaP* vaccine protects against pertussis (whooping cough).Air, direct contactSevere cough, runny nose, apnea (a pause in breathing in infants)Pneumonia (infection in the lungs), deathPolioIPV vaccine protects against polio.Air, direct contact, through the mouthMay be no symptoms, sore throat, fever, nausea, headacheParalysis, deathPneumococcalPCV13 vaccine protects against pneumococcus.Air, direct contactMay be no symptoms, pneumonia (infection in the lungs)Bacteremia (blood infection), meningitis (infection of the covering around the brain and spinal cord), deathRotavirusRV vaccine protects against rotavirus.Through the mouthDiarrhea, fever, vomitingSevere diarrhea, dehydrationRubellaMMR** vaccine protects against rubella.Air, direct contactSometimes rash, fever, swollen lymph nodesVery serious in pregnant women—can lead to miscarriage, stillbirth, premature delivery, birth defectsTetanusDTaP* vaccine protects against tetanus.Exposure through cuts in skinStiffness in neck and abdominal muscles, difficulty swallowing, muscle spasms, feverBroken bones, breathing difficulty, death
* DTaP combines protection against diphtheria, tetanus, and pertussis.
** MMR combines protection against measles, mumps, and rubella.