How many shots does a child get by age 5
Immunization Schedule (for Parents) - Nemours KidsHealth
Reviewed by: Elana Pearl Ben-Joseph, MD
Primary Care Pediatrics at Nemours Children's Health
en español Calendario de vacunación
This schedule of recommended immunizations may vary depending upon where you live, your child's health, the type of vaccine, and the vaccines available.
Some of the vaccines may be given as part of a combination vaccine so that a child gets fewer shots. Talk with your doctor about which vaccines your kids need.
Birth
- HepB: Hepatitis B vaccine. Ideally, the first dose is given within 12–24 hours of birth, but kids not previously immunized can get it at any age. Some low birth weight infants will get it at 1 month or when they're discharged from the hospital.
1–2 months
- HepB: Second dose should be given 1 to 2 months after the first dose.
2 months
- DTaP: Diphtheria, tetanus, and acellular pertussis vaccine
- Hib: Haemophilus influenzae type b vaccine
- IPV: Inactivated poliovirus vaccine
- PCV: Pneumococcal conjugate vaccine
- RV: Rotavirus vaccine
4 months
- DTaP
- Hib
- IPV
- PCV
- RV
6 months
- DTaP
- Hib: This third dose may be needed, depending on the brand of vaccine used in previous Hib immunizations.
- PCV
- RV: This third dose may be needed, depending on the brand of vaccine used in previous RV immunizations.
6 months and annually
- Influenza (Flu): The flu vaccine is recommended every year for children 6 months and older:
- Kids younger than 9 who get the flu vaccine for the first time (or who have only had 1 dose before July 2022) will get it in 2 separate doses at least a month apart.
- Those younger than 9 who have had at least 2 doses of flu vaccine previously (before July 2022) will only need 1 dose.
- Kids older than 9 need only 1 dose.
- The vaccine is given by injection with a needle (the flu shot) or by nasal spray. Both types of vaccine can be used this flu season (2022–2023) because they seem to work equally well. Your doctor will recommend which to use based on your child's age and general health. The nasal spray is only for healthy people ages 2–49.
People with weak immune systems or some health conditions (such as asthma) and pregnant women should not get the nasal spray vaccine.
6–18 months
- HepB
- IPV
12–15 months
- Hib
- MMR: Measles, mumps, and rubella (German measles) vaccine. Sometimes given together with the varicella vaccine and called MMRV.
- PCV
- Varicella (chickenpox)
12–23 months
- HepA: Hepatitis A vaccine; given as 2 shots at least 6 months apart
15–18 months
- DTaP
4–6 years
- DTaP
- MMR
- IPV
- Varicella
9–16 years
- Dengue vaccine: This vaccine is given in 3 doses to children who have already had dengue fever and who live in areas where it is common (such as Puerto Rico, American Samoa, and the U.
S. Virgin Islands).
11–12 years
- HPV: Human papillomavirus vaccine, given in 2 shots over a 6- to 12-month period. It can be given as early as age 9. For teens and young adults (ages 15–26), it is given in 3 shots over 6 months. It's recommended for both girls and boys to prevent genital warts and some types of cancer.
- Tdap: Tetanus, diphtheria, and pertussis booster. Also recommended during each pregnancy a woman has.
- MenACWY: Meningococcal vaccine. Protects against meningococcal bacteria types A, C, W, and Y. A booster dose is recommended at age 16.
16–18 years
- MenB: Meningococcal vaccine. Protects against meningococcal bacterium type B. The MenB vaccine may be given to kids and teens in 2 or 3 doses, depending on the brand. Unlike the meningococcal conjugate vaccine, which is recommended for all, the decision to get the MenB vaccine is made by the teens, their parents, and the doctor.
It is only recommended as routine for kids 10 years and older who have specific conditions that weaken their immune system, or during an outbreak.
Other Things to Know
- The HepA vaccine can be given as early as 6 months of age to babies who will travel to a place where hepatitis A is common (they will still need routine vaccination after their first birthday). It's also recommended for older kids who did not get it in the past.
- The MMR vaccine can be given to babies as young as 6 months old if they will be traveling internationally. These children should still get the recommended routine doses at 12–15 months and 4–6 years of age, but can get the second dose as early as 4 weeks after the first if they will still be traveling and at risk.
- The flu vaccine is especially important for kids who are at risk for health problems from the flu. High-risk groups include, but aren't limited to, kids younger than 5 years old and those with chronic medical conditions, such as asthma, heart problems, sickle cell disease, diabetes, or HIV.
- Pneumococcal vaccines can be given to older kids (age 2 and up) who have conditions that affect their immune systems, such as asplenia or HIV infection, or other conditions, like a cochlear implant, chronic heart disease, or chronic lung disease.
- The meningococcal vaccines can be given to kids as young as 8 weeks old (depending on the vaccine brand) who are at risk for a meningococcal infection, such as meningitis. This includes children with some immune disorders. Kids who live in (or will travel to) countries where meningitis is common, or where there is an outbreak, also should get the vaccine.
- COVID- 19 vaccines are recommended for all children ages 6 months and older. Booster shots are recommended for adults and kids 5 and older. Everyone who is eligible should get these as soon as possible.
- Adults who were fully vaccinated against polio as children can get a polio vaccine booster dose if they're at risk for exposure to polio.
This can include people who: - travel to areas where there's a high risk for catching polio
- might be exposed to poliovirus at work
- have close contact at home with someone who has polio
Note: An outbreak is when a disease happens in greater numbers than expected in a particular area. If you have questions about vaccinating your family during an outbreak, ask your health care provider or contact your state or local health department.
Reviewed by: Elana Pearl Ben-Joseph, MD
Date reviewed: November 2022
2022 children’s vaccine schedule by age
Every year, the Centers for Disease Control and Prevention (CDC) publishes recommended childhood vaccination schedules. Why are schedules created? Because the timing and spacing of immunizations are really important for the best possible protection against preventable diseases.
Kids’ immune systems are more vulnerable to illness and disease, and vaccination schedules are scientifically designed by top infectious disease experts and doctors with this in mind.
The goal is to protect kids from vaccine-preventable diseases as early and as safely as possible.
Below, we cover how many vaccines are recommended for children and when, an overview of the current schedule changes, and a list of vaccine recommendations by age group. We also answer questions around COVID-19 vaccines for children and teens.
How many vaccines do kids get if the childhood immunization schedule is followed?
There is a wide range of vaccines – some requiring multiple doses at specific ages and times – that are recommended from birth to 18 years old. Recommended vaccines include:
- Influenza (annual flu shot)
- Diphtheria, tetanus and pertussis (DTaP)
- Tetanus, diphtheria and acellular pertussis (Tdap “booster” for adolescents)
- Poliovirus (IPV)
- Measles, mumps and rubella (MMR)
- Varicella (Chickenpox)
- Pneumococcal (PCV)
- Haemophilus influenzae type b (Hib)
- Rotavirus
- Hepatitis B (Hep B)
- Hepatitis A (Hep A)
- Human papillomavirus (HPV)
- Meningococcal (MenACWY)
- Meningococcal B (MenB)**
**MenB is recommended for specific populations only.
If you have questions, ask your child’s doctor.
What changes have been made to the child vaccine schedule in 2022?
For 2022, the pediatric immunization schedule has been updated to include dengue vaccination recommendations for children living in areas with high rates of dengue fever (such as Puerto Rico and American Samoa) who have previously caught it. The schedule was also updated to include the latest recommendations for the MMR, varicella and hib vaccines. In addition, information about “special situations” was added for the hep B, HPV and MenACWY vaccines. If you have specific questions about 2022 schedule updates and how they relate to your kid’s vaccination schedule, talk with your child’s doctor.
The CDC’s Advisory Committee on Immunization Practices (ACIP) meets three times a year to review the latest scientific research and make any necessary changes to the child vaccination schedule. The CDC officially sets the schedule based on ACIP’s recommendations, and the schedule is also approved by organizations like the American Academy of Pediatrics (AAP) and the American Association of Family Physicians (AAFP).
The CDC’s 2022 childhood vaccination schedule: A list of immunizations by age
The flu shot: An annual immunization for children starting at 6 months old
The flu vaccine – or influenza vaccine – may be the most well-known of all immunizations. That’s because it’s one of the longest-running vaccines in the United States, with the first of its kind being approved for widespread use in 1945.
While influenza viruses circulate year-round, flu cases peak in the fall and winter months nearly every year. Flu shots help protect against the types of influenza viruses that research indicates will be most common that season. That’s why the CDC recommends annual flu shots for everyone by the end of October – including kids 6 months and older.
When children receive their first flu shot, the vaccine is delivered in two doses, given at least one month apart. After that first pair of doses, just one shot is needed each year.
Baby vaccine schedule: Recommended immunizations for children ages 0 to 18 months
When do babies get their first shots? Staying on track with childhood immunizations starts early, with immunizations beginning at birth and coinciding with baby and child wellness schedules.
Remember, baby and child vaccination schedules are made with young immune systems in mind. If you have specific questions about when or why specific childhood vaccines are recommended for your newborn baby, infant or toddler, talk with your child’s doctor.
An overview of immunizations for newborns to 18-month-olds
- Hep B – Many new parents wonder what vaccines are given at birth, and just one "newborn vaccine" is recommended right away: the first dose of hepatitis B. The first dose is recommended early on in case mothers are knowingly or unknowingly hepatitis B positive. The hep B vaccine schedule requires three doses in total. The second dose is recommended when your child is between 1 and 2 months old, and the third dose is recommended between 6 and 18 months.
- Rotavirus – Depending on the manufacturer of the vaccine, your child may need two or three doses of the rotavirus vaccine, with the first dose being given at 2 months old and the second at 4 months old.
If needed, the third dose is given at 6 months old. It’s important to note that this vaccine cannot be given after 8 months of age, so following the recommended schedule is especially important to ensure your child is protected. - DTaP – The diphtheria, tetanus and pertussis vaccine requires five doses. The first four are recommended at 2 months, 4 months, 6 months, and between 15 and 18 months old.
- Hib – Depending on the manufacturer of the vaccine, your child may need three or four doses of the haemophilus influenzae type b vaccine. If three doses are needed, shots are given at 2 months, 4 months, and between 12 and 15 months old. If four doses are needed, kids also receive a dose at 6 months old.
- PCV – The pneumococcal vaccine is a series of four doses taking place at 2 months, 4 months, 6 months, and between 12 and 15 months old.
- IPV – The poliovirus vaccine is another four-dose series. The first three are recommended at 2 months, 4 months, and between 6 and 18 months old.
- MMR – The measles, mumps and rubella vaccine is given in two doses. The schedule recommends the first MMR vaccine dose be given between 12 and 15 months old.
- Varicella – The chickenpox vaccine is also given in two doses, with the first shot taking place between 12 and 15 months old.
- Hep A – Like several other important vaccines, the hepatitis A vaccine requires two doses. The first dose is recommended at 12 months old.
Recommended childhood vaccines for ages 4 to 6 years old
The recommended shots for kids between the ages of 4 and 6 years old are often called “kindergarten vaccines.” That’s because kids are often required to be up to date on their immunizations to start attending elementary school. No new vaccines are introduced at this time, but oftentimes vaccines are given as combinations.
For example, DTaP and IPV can be given in a single shot. MMR and varicella vaccines can also be combined into a single immunization.
These vaccines are just as effective when given together, and it cuts down on the number of shots kids need.
An overview of immunizations for kids ages 4 to 6 years old
- DTaP – The fifth and final diphtheria, tetanus and pertussis vaccine is recommended when your child is between 4 and 6 years old.
- IPV – The fourth and final poliovirus vaccine is recommended when your child is between 4 and 6 years old.
- MMR – The second and final dose of the measles, mumps and rubella vaccine is also recommended when your child is between 4 and 6 years old.
- Varicella – The second and final dose of the chickenpox vaccine is also recommended when your child is between 4 and 6 years old.
Recommended childhood vaccines for ages 11 to 12 years old
The immunizations that are recommended at this age (“middle school shots”) are for diseases that teens and young adults are at higher risk for – plus one “booster” dose to strengthen immunity for three diseases.
Your child’s annual wellness visit or back-to-school checkup is the perfect time to get these vaccines.
An overview of immunizations for kids ages 11 to 12 years old
- Tdap – At this age, this immunization is what’s commonly referred to as a “booster shot” because it boosts your child’s tetanus, diphtheria and pertussis immunity. While related to the DTaP vaccine kids receive during childhood, this vaccine is formulated for adolescents and adults.
- MenACWY – The first of two meningococcal vaccine doses is recommended sometime between 11 and 12 years old. This vaccine protects against the most common types of meningococcal bacteria (often the cause of meningitis) that affect adolescents.
- HPV – While in some cases doctors may recommend the human papillomavirus vaccine as early as age 9, this vaccine is routinely recommended to begin between 11 and 12 years old. If the initial vaccination is completed before age 14, just two doses are needed.
The second dose should be completed 6 to 12 months after the first dose. (If the initial vaccination is completed at age 15 or older, three doses are needed at specific intervals.)
Recommended immunizations for teens ages 16 to 18 years old
Between the ages of 16 and 18, there is one regularly recommended immunization and one immunization that may be recommended under certain circumstances.
An overview of immunizations for teens ages 16 to 18 years old
- MenACWY – The second and final meningococcal vaccine shot is recommended at 16 years old.
- MenB – The meningococcal B vaccine is recommended under specific circumstances, specifically if a college or university requires students to have this vaccination, or if a bacterial meningitis outbreak has occurred. The vaccine is given in two doses between the ages of 16 and 18. Once the first dose is given, the timing of the second dose is dependent on the manufacturer of the vaccine.
When are COVID-19 vaccines recommended for children and teenagers?
Everyone 6 months old and older can now get the COVID-19 vaccine. While the CDC has not added COVID-19 vaccines to their official childhood or adolescent vaccination schedules, they’re encouraging all eligible kids, teens and adults to be vaccinated as soon as they can.
If you have concerns about vaccinating your child, talk with your child’s doctor or read this resource on COVID-19 vaccines for kids and teens where we answer questions such as:
- Should my child get the COVID-19 vaccine or other recommended vaccines first?
- Can my child receive the COVID-19 vaccine alongside other vaccines?
- How do I talk to my kid or teen about getting a COVID-19 vaccine?
If your child is ready to get the COVID-19 vaccine, you can make an immunization appointment online
What should I do if my child is behind on their vaccination schedule?
Don’t worry. There are catch-up recommendations in place.
But since each vaccine has its own guidelines, talk with your child’s doctor to make a plan for getting back on schedule. They can talk with you about your child’s medical and immunization history, give you more information on specific vaccines and catch-up guidelines, and discuss any concerns or questions you may have.
Are there any reasons not to vaccinate my child?
Yes. There are times when some children should not get certain vaccines, or they should wait. For example, if your child has any severe, life-threatening allergies, they’ve had an allergic reaction after a previous dose of vaccines, or they’re moderately or severely ill, their doctor may recommend not getting or delaying a specific vaccination.
When it comes to getting your child vaccinated against COVID-19, you don’t need to delay vaccination unless you, your child or someone in your household is experiencing COVID-19 symptoms.
While staying on track with all immunizations is important, making sure your child has their annual flu shot will be especially important this year.
Now that many COVID-19 health and safety guidelines have been removed, your child will likely be spending more time close to others indoors – where flu viruses can thrive during cold and dry winter weather. Flu shots are typically available starting in early September.
Questions about when and why to vaccinate your child? Talk with a doctor.
If you have questions, we have answers. We have a team of family medicine doctors and pediatricians who are experts in kids’ health. They can talk with you about specific vaccines, walk you through the vaccination schedule, make recommendations based on your child’s medical and immunization history, and more.
If your child is due for their next round of shots or you need to get them caught up, make an appointment at a HealthPartners or Park Nicollet clinic near you.
immunization schedule for children in 2022
I have been blogging about vaccinations since 2018. During this time, about 400 publications and more than 120 thousand readers appeared in it.
Antonina Oblasova
knows everything about vaccinations
Author profile
This year, together with two like-minded people, we founded the non-profit organization Collective Immunity. Its goal is to support and develop vaccine prevention in Russia, help parents understand this issue and defend the rights of their children to be protected from infections. nine0003
In this article, I will tell you about which infections children in Russia can be vaccinated against, which of them are available free of charge at the clinic, which you will have to pay for, and what difficulties you may encounter in the process of childhood vaccination. As examples, there are real cases from the life of readers of my blog.
Go see a doctor
Our articles are written with love for evidence-based medicine. We refer to authoritative sources and go to doctors with a good reputation for comments. But remember: the responsibility for your health lies with you and your doctor.
We don't write prescriptions, we make recommendations. Relying on our point of view or not is up to you. nine0003
What is vaccination
Vaccination is a way to get immunity to an infection without getting sick. Even contagious diseases that can be treated with antibiotics often do not go according to plan and can worsen long-term health. They are especially dangerous for children: before the widespread introduction of vaccination, many of them died of smallpox, diphtheria or whooping cough before they reached the age of five. Today such cases are rare.
Vaccinations are available against a wide variety of infections, including exotic ones, such as Japanese encephalitis. There are also vaccinations against diseases well known from history textbooks, such as plague and cholera. But for any parent, the diseases that their child - and they themselves - may encounter in everyday life are much more relevant. nine0003
Most of these diseases are mentioned in a document called "The National Immunization Calendar of the Russian Federation".
It defines the list of infections that can be vaccinated against at public expense.
Order of the Ministry of Health of the Russian Federation No. 125n "On approval of the national calendar of preventive vaccinations and the calendar of preventive vaccinations according to epidemic indications"
However, this list is far from complete. With the help of vaccinations, a child can be protected from a greater number of infections. The problem is that parents often find out about vaccines for meningococcus or chickenpox after the child is sick. nine0003
What vaccinations can be given in the clinic for free
There are 11 infectious diseases in the national calendar, against which every child in our country can be vaccinated for free in a maternity hospital or children's clinic. Most of these vaccinations occur at the age of up to a year, another part is done at 15-20 months.
What vaccinations will the child get free of charge
| Disease | At what age do they get vaccinated | |
|---|---|---|
| Hepatitis B | B 0; one; 6 months for normal children B 0; one; 2; 12 months for children at risk | |
| Tuberculosis | Days 3-7 of life | |
| Pneumococcal infection | B2; 4. 5; 15 months | |
| Whooping cough | B 3; 4.5; 6; 18 months | |
| Diphtheria | B 3; 4.5, 6; 18 months | |
| Tetanus | B 3; 4.5; 6; 18 months | |
| Polio | B 3; 4.5; 6; eighteen; 20 months | |
| Kori | in 12 months | |
| Rubber | in 12 months | |
| In 12 months | flu | sequet These vaccinations will be given to the child free of charge:
In addition to this list, some children may also get the Haemophilus influenzae type B vaccine. This vaccine is available for children:
In addition, children from these categories, instead of the live poliomyelitis vaccine prescribed by the national calendar in the form of drops in the mouth, should be given an inactivated one - by injection into the thigh or shoulder. /baby-cost/ How much does a child cost in the first year How to be healthy and rich We tell you how to choose a good doctor and not pay for unnecessary tests. Twice a week - in your mail along with other articles about money. Subscribe it's free Other things you can get vaccinated againstOn their own initiative, parents can give their children a few more shots during the first two years of life. You almost always have to pay for them out of your own pocket. These vaccinations are not included in the national calendar, but it is important for a parent to know about them.
What else can a child be vaccinated against: vaccination table for children under one year old by months
These vaccinations can be given to the child additionally:
What are complex vaccinesAt their own expense, parents can also replace the vaccines provided under compulsory medical insurance with complex vaccines - when one syringe protects against several infections at once. Comprehensive vaccines reduce the number of injections and allow you to travel less often for vaccinations. nine0003 For example, at 6 months, the ideal scenario would be for a child to be vaccinated against whooping cough, diphtheria, tetanus, polio, hepatitis B, and Haemophilus influenzae. In the polyclinic, you will be offered to give two injections and, in addition, to instill the vaccine in the form of drops into your mouth, and to be vaccinated against hemophilic infection separately in a private clinic is plus one more injection. /prepare-for-baby/ Pros and cons: is it worth financially preparing for the birth of a child? nine0003 Which vaccines are better - domestic or imported Many different vaccines from different manufacturers are available in Russia.
Overview of vaccines available in Russia for children under two years of age, compiled by the staff of Herd Immunity I believe that the best vaccine is the one that is indicated for the child by age and is available. In the pursuit of the best vaccines, you can lose time, and as a result, the child will remain completely unvaccinated, which means vulnerable to infection. How much does it cost to vaccinate a child in a private clinic If you are not lucky with a local pediatrician and every trip to the clinic is stressful for you and your child, then you can completely refuse vaccination at public expense and get all vaccinations in a private clinic. Unfortunately, a paid pediatrician can also be incompetent, require unnecessary tests and examinations before vaccination, administer only one vaccination at a time, and give false medical excuses. So for starters, you should take care of finding a good specialist. False medical exemption is when a doctor says that it is impossible to vaccinate now, because he has identified a contraindication for vaccination in a child. At the same time, the deviation in the state of health, which was revealed by the doctor, is not an objective reason for refusing to be vaccinated Vaccination in a private clinic is also expensive. In an ideal situation, when a child receives all the necessary vaccinations on time and does not get sick, during the first 20 months of his life, he will have to visit a doctor about 11 times. Each appointment with a pediatrician will cost, depending on the region, 1000-3500 R and more. The cost of vaccines also varies. For example, "Menactra" - a vaccination against meningococcal infection - a resident of Moscow will cost about 7500 R, in Barnaul or St. I made a plate with the optimal vaccination schedule in private clinics and calculated the approximate budget for parents from Moscow and Perm. With its help, you can calculate the cost of all vaccinations for your child from birth to 20 months. 134,250 R the cost of vaccinating a child in a private clinic in Moscow These are the prices I got for vaccination in the capital. Vaccination of a child in a private clinic in Moscow will cost 134,250 R
Vaccination against whooping cough, diphtheria, tetanus, polio and hemophilus infection, 4 doses 24,750 R Vaccination against meningococcal infection, 2 doses 15,000 R Vaccination against pneumococcal infection, 4 doses 14 000 R Vaccination from rotavirus infection, 3 doses 13 500 r Vaccination from chickenpox, 2 doses 12 000 R Vaccination from hepatitis A, 2 doses 9000 7000 PWaccination dated tick -borne encephalitis, primary course, 2 doses 6000 r Vaccination for measles, rubella and mumps, 2 doses 5000 R Dose 4000 R Vaccination from hepatitis B, 2 doses 9 doses 3000 Р Mantoux test, 1 pc. 2000 R Similar services in a private clinic in Perm, according to my calculations, will cost the parent almost twice as much - 71,800 R. But for many parents, even this amount will be unbearable. Is it always necessary to pay extra for vaccinationsIn addition to the national vaccination calendar, there are regional vaccination calendars and programs. This is when, at the expense of additional funding from the regional budget and other sources, the authorities provide residents with vaccines that are not included in the main list. nine0003 Let's take, for example, the regional calendar of Moscow. In the capital, in an ordinary clinic, two-month-old babies will be offered free vaccinations against rotavirus infection, and at 12 months against chickenpox, in addition to the national calendar. Perm regional vaccination calendar Chelyabinsk region regional vaccination calendar In some cities, for example, in St. Petersburg, the supply of polyclinics with certain vaccines can vary greatly from district to district, and sometimes even from polyclinic to polyclinic. Many polyclinics maintain pages on social networks. You can try asking a question there. If you don’t like knocking on thresholds, write a request addressed to the head doctor or the head of the clinic. Written appeals often have a greater effect than verbal inquiries, because you are obliged to answer them. An example of a written application addressed to the head doctor, which my reader sent to get a free vaccination against meningococcal infection from the clinic for her sonHow not to go broke on vaccinations If you cannot pay for absolutely all vaccinations or there is no one to pay, because a pediatrician in the only private clinic in the city understands vaccination worse than you, I advise you to combine the possibilities of free and paid medicine. Find out which vaccines are available at your clinic for all children and if any of them are out of date. It will be convenient to do this during a preventive examination of the child, which is carried out when he turns one month old. For example, in many clinics, the first two doses of the pertussis, diphtheria and tetanus vaccine are made with the complex Pentaxim, and not DTP. And sometimes Pentaxim is administered throughout the entire course of vaccination. If this is the case in your clinic, it makes no sense to overpay for the services of private clinics. nine0003 /privivki/ How much does it cost to vaccinate a child? It also makes no sense to pay for it: in private clinics, the vaccines are exactly the same. Some polyclinics offer paid services, including paid vaccinations. Find out about this possibility, it will also help save on additional vaccines. Vaccinate your child at the public clinic with vaccines purchased by yourself. p. 3 art. 12 of the Law "On Immunoprophylaxis of Infectious Diseases" In many polyclinics, the process is so well established that you only need to pay for the vaccine at the pharmacy, and then it will be delivered to the polyclinic without your participation. This is true both for vaccines from the national calendar and for additional vaccinations that your child is not entitled to for free. nine0003 Not all clinics are enthusiastic about this idea: you may encounter resistance from doctors. Nevertheless, it is worth trying to reach an agreement. Discuss this possibility with your local pediatrician. Do part of the vaccinations for a fee, part - according to compulsory medical insurance. /oms/ How the MHI policy works You can have your child vaccinated on the same day at two different locations. For example, at 2 months in the morning you will get a free vaccination against pneumococcal infection in the clinic, and in the afternoon you will schedule a visit to a private center and vaccinate your baby against rotavirus infection. I don’t see any point in paying also for a pneumococcal vaccine in a private clinic, if it is given in the clinic with the same drug, Prevenar-13. Such a scheme will require you to organize and plan, but you will significantly save time and money. nine0003 Keep in mind: the instructions for Prevenar-13 say that it is better for a child of the first year of life to administer three doses of the vaccine, and not two, as indicated in the national calendar. What are the problems with vaccinating children according to MHI Vaccination is a fairly logical process, for which there is a clear schedule and regulations. But parents who want to vaccinate their child according to all the rules in a state clinic sometimes face unexpected obstacles. No information. Moms and dads run the risk of missing the vaccination deadline because no one explains to them what vaccinations and when they should give their child according to the calendar. nine0003 One of the readers of my blog said that she learned about the free pneumococcal vaccine from her sister, not from the pediatrician. The clinic didn't even offer vaccinations. When she asked to be vaccinated, she was refused, saying that she had to wait until the child was two years old - then one dose of the vaccine was enough for vaccination. She was told nothing at all about the possibility of being vaccinated against meningitis. Ignorance of standard schemes and principles of catch-up vaccination. nine0446 If the vaccination schedule has been violated for some reason, then it will be difficult to achieve the prescribed vaccinations. How schemes change depending on age, many doctors simply do not know, and often do not even know the standard scheme, misleading the parent. Post on my blog about the principles of catch-up vaccination No vaccines. Unfortunately, sometimes the vaccines that should be available according to the national calendar are simply not available at the polyclinic. Limited selection. nine0446 A certain list of vaccines is delivered to the polyclinic. Vaccines beyond the calendar, even if they are available at the clinic, are rarely offered to parents: often the doctors themselves do not know why they are needed, or do not see the advisability of additional vaccinations. Another reader of mine from Perm asked in a children's clinic about the Varilrix vaccine against chickenpox. The nurse in the vaccination room said that there is a vaccine, even a few packages, but only because of the expiration date they must be disposed of. It was March 2, the expiration date of the vaccines ended "in March 2020". The instructions for the vaccine itself say that the expiration date is the last day of the month indicated on the package. Unnecessary tests and examinations before vaccination. If nothing bothers the pediatrician when examining the child and talking with the parents, he should not prescribe tests and additional examinations. Not a single order prescribes taking blood and urine from a child or undergoing examinations by narrow specialists such as a neurologist for admission to vaccination. But often parents are forced to do this - for reinsurance or to fulfill the plan for additional services if it is vaccination in a private clinic. Some of the mothers and fathers, having received a list of such referrals, prefer not to be vaccinated at all. nine0003 /analyz/ You have the right to free medical insurance tests False medical taps. ch. 13 guidelines "Medical contraindications for preventive vaccinations with preparations of the national vaccination schedule" The son of my reader from Tver was born on time, healthy. He had a hemangioma on his shoulder. Doctors at the maternity hospital told me to wait with vaccinations, the child's mother trusted them. Already at home, she began to read about hemangiomas and realized that this was a false medical exemption from vaccination. But in the polyclinic, her son also refused to be vaccinated: “What are you, mommy, how do we do BCG, there is a hemangioma nearby!” The reader tried to get vaccinated at a paid medical center, but also to no avail. As a result, only when her son was 9 months old, the woman found an intelligent surgeon who wrote a “note” that the child could be vaccinated, and after that the pediatrician let him in for vaccination. At 10 months, the child received BCG, and then all other vaccinations, including those that are not included in the calendar. The hemangioma disappeared on its own by the age of 2 years. It will help to insist on vaccination in such a situation by referring to the guidelines on contraindications to vaccination and to the section "Contraindications" in the instructions for the vaccine. nine0003 /prava/doctor/ Patient's rights when contacting a doctor How to find out about true contraindications to vaccinationAsk your pediatrician or immunization office which vaccine is used in the clinic. Download the annotation for the vaccine on the manufacturer's website or on the website of the State Register of Medicines. Read the "Contraindications" section. If your child does not have any of the diseases or health features listed there, he should be vaccinated. nine0003 The instructions on the website of the Pentaxima manufacturer contain all the information about contraindications to vaccination. An allergy to milk protein, dysbacteriosis or an epileptic seizure in the past month is not a contraindication for vaccination another drug, ADS-anatoxin If references to these documents do not help, file an official appeal to the head of the polyclinic or change the doctor. nine0003 Instructions for parents: what to do if vaccination is denied Refusal to combine several vaccines on the same day. What moms and dads don't hear from doctors about this. This is supposedly a big load on the immune system, and an increased risk of complications, and comments about parental callousness: they say that the child will be in pain during the procedure, and the side effects from vaccinations are cumulative - but this is not so. The simplest argument in the parent's arsenal in such a case: in the national calendar itself, vaccines are administered not one, but several at a time. This is the only way we can speed up the moment when the child will be protected from infections that are dangerous for him. nine0003 Is it true that simultaneous vaccination with several drugs weakens the immune system? Journal of Pediatrics, 2009 PDF, 256 KB For example, at 4.5 months, a child is given 3 vaccines at the same time according to the calendar: DTP, pneumococcal and polio. This usually happens on the same day Misinformation about vaccination. “If you don’t make a live polio vaccine, then there will be no immunity!”, “Pentaxim is a weak vaccine, give our DTP”, “Prevenar is a new untested vaccine, it’s better not to do it”, “Chickenpox is better to get sick, why do you need a vaccination?", "If you do it during a runny nose, and there will definitely be a complication!". Such arguments would shock an American or Australian pediatrician, and in Russia every second parent hears them. My reader's daughter was born prematurely at 35 weeks. When she was discharged from the maternity hospital, she was only vaccinated against tuberculosis, then they refused to vaccinate at the clinic. The neurologist frightened the mother with terrible consequences and proved that one must be a conscious parent and not get vaccinated when the child is "in such a state" - and there was no "state", the girl felt good. The neurologist also prescribed endless treatments with drugs with unproven effectiveness and gave medical exemptions from vaccinations. nine0003 As a result, the reader vaccinated her daughter with the first vaccines only at 6 months. But he who is warned is armed. If you are ready to stand up for your child's right to be protected from infections, you will succeed. Sometimes it will be enough just to talk with a pediatrician, read the instructions for the vaccine together, show your adequacy and awareness, and the conversation will go easier. /patient-can/ What the law says about doctors Remember
Vaccinations: to be or not to be? The question of whether to vaccinate a child worries many parents. - Elena Sergeevna, can there be two opinions on the question of whether to vaccinate a child? - Definitely not! Vaccination is the only way to protect your child from many dangerous (and sometimes deadly) infections. Many parents are afraid of complications after vaccinations, but I assure you, the risk of complications from past infections is many times higher. If we talk about complications after vaccinations, then first we need to distinguish between unwanted side effects and really real complications. Side effects are usually easily tolerated by the child and pass quickly. As for serious complications after vaccinations, I can say that in my more than 30 years of practice, I have only twice encountered really unpredictable and serious complications in children. And even then it cannot be said that they were completely criminal. Usually, complications can be avoided by preparing the child for vaccination, taking into account his history, diseases, and allergies he has. - In what cases is the vaccine not given for medical reasons? - Most of our medical exemptions are purely Russian reinsurance, a concession to anxious parents. Abroad, for example, a high temperature will be considered the basis for a temporary refusal to vaccinate, and we even have a runny nose, which was three days ago for many, is a reason to postpone vaccination. In most cases, vaccination does not affect recovery, just as recovery does not affect vaccination. But we have accepted everything that happens to the child for a long time after the introduction of the vaccine, to write off the vaccination. We forget the golden rule: “after” does not mean “due to”. nine0003 Of course, there are cases when it is better to postpone vaccination. This is an acute condition in case of allergies (during the remission period, vaccination for allergy sufferers is not only possible, but must be done), high fever, acute respiratory viral infections, and some neurological diseases. |
5; 6; eighteen; 20 months; 
5 months 
Most of them are domestically produced, some are supplied from abroad. At the same time, parents do not always have a choice, even if they are willing to pay. Many domestic vaccines simply do not have an imported analogue, for example, a tuberculosis vaccine. In the same way, some imported vaccines, for example, against chicken pox or meningococcal infection, cannot be replaced with domestic ones, since we simply do not make drugs with a similar composition. nine0003 
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Petersburg you can meet 5000 R, but it's still a lot. nine0003 
Before you go with your child for a paid vaccination, just in case, check with your local pediatrician if it is possible to get one or another vaccination for free. If he doesn't know, go directly to the vaccination office and ask there. You can also try to find out this question from an immunologist or an infectious disease specialist. nine0003 
nine0446 If for some reason the vaccines available at the clinic do not suit you, it is not necessary to spend money on a visit to a private clinic. By law, you can buy an analogue in a pharmacy and bring it to a clinic so that the vaccine is administered to a child there. It is cheaper than getting vaccinated at a private center. 
If the clinic staff flatly refuses to administer to the child any vaccines other than those prescribed by the MHI, there is another way to combine private and public vaccination services. 
Most likely, they will not give you an additional dose of Prevenar for free in the clinic. You will have to buy it at your own expense and administer it either at a clinic by agreement with a doctor, or at a private medical center. 
The reader knew about this and enlightened the nurse. She replied: “I don’t know anything, that’s how we were taught,” and in front of the patient, she threw all the Varilrix packages into the trash can. nine0003 
A child may be denied vaccination for a variety of reasons. A common cause is asymptomatic abnormalities in test results, benign neonatal jaundice, mild SARS. Atopic dermatitis, suspected allergy, history of prematurity, or neurological features can also cause long-term refusal of vaccination. Such medical exemptions from vaccinations often indicate the incompetence of the pediatrician. nine0003 
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For example, here is the instruction for the Pentaxim vaccine on the manufacturer's website, it is also on the GRLS website. 
This provokes unnecessary fears and anxieties, and in some cases, in principle, disappoints parents in the idea of vaccination. nine0003 
This topic is associated with many fears, myths and doubts. We asked the most exciting questions to the pediatrician of EUROMED Clinic - Elena Sergeevna Kochetkova. 
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A separate case when vaccination is recommended to be postponed is the presence of benign neutropenia in a child under one year old. This condition is associated with the adaptation of the child to our urban conditions, modern loads; It is manifested by the fact that an insufficient number of neutrophils is observed in the blood test. Moreover, this amount does not fit either into the norm or into the state of illness, but is in the average value. In such a situation, it is better not to burden the body additionally, its immune forces are now already weakened, and all forces are aimed at adapting to the environment. nine0590 
As for allergy sufferers, an additional problem will arise with them - how to treat them, how they will react to the disease, to medications. Again, there is a high risk that the disease will be severe. nine0003 
So the additional couple of antigens that he will be injected with during vaccination do not play a special role against this background. nine0003 
Girls now have their ears pierced very early - and this is also a risk of contracting hepatitis. 
The vaccine protects against rotavirus and greatly facilitates the course of the disease with related viruses (norovirus, astrovirus, etc.). nine0003 
In older adults, chickenpox, most often, proceeds quite severely and with a large number of complications. nine0003 
This is usually associated with stress, with a decrease in immunity. 
Firstly, in order to protect their future beloved women, since boys can be carriers of HPV. Secondly, HPV can be one of the factors in the development of oncology of the reproductive system in men, although this is much less common. nine0003 
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5 ml with an interval of 1-1.5 months. 
