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How many vaccines does the average child receive
Every Vaccine Your Child Needs From Birth to Graduation
Vaccinations help children build immunity against serious diseases — and protect others around them.
by Featured Provider Adam Secory on Wednesday, March 4, 2020
As your kids get older, it’s easy to forget that you spent the first 18 months of their lives shuttling them to well-child visits. Those visits were important to check the health and development of your infant.
But they always ended the same — with tears.
Seemingly every visit to your pediatrician resulted in shots in those years. Sometimes as many as six pokes! Those vaccinations were critical for immunizing young children against disease. But the required shots don’t end at 18 months. They just become less frequent — and harder to remember to schedule.
Why do children need all those vaccines?
Immunization is important at every age, but even more so for children. Young children have undeveloped immune systems. Exposure to some diseases can be life-threatening. Vaccinations protect your kids from these serious conditions. And everyone around them
It’s called herd immunity. Disease travels fast. One person can quickly spread an illness to the rest of the community. If enough people get sick, it can lead to an outbreak.
Vaccinations help prevent outbreaks of certain diseases, protecting both those who get the shots and those who are unable to or have weakened immune systems.
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Are vaccinations required for children?
Yep. In Iowa, many vaccinations are mandatory. Iowa law requires immunizations for all children attending licensed day care centers, elementary and secondary schools — even home schools. Your children must be vaccinated according to the Iowa Department of Public Health immunization schedule.
But IDPH only outlines the minimum immunization requirements. There are vaccines outside the law that are still recommended for your kids. The Iowa Clinic follows the vaccination schedule recommended by the CDC and American Academy of Pediatrics.
Recommended Vaccination Schedule for Children
Your kids will get more than 50 shots before they enter adulthood. That’s a lot of needles! This chart outlines which vaccines are recommended at each age. Or skip to your child’s age below to learn which immunizations are necessary and why.
The shots start before you even get out of the hospital. Newborns receive a hepatitis B vaccine to protect against liver infection.
Your child gets a second hepatitis B shot as early as one month, but no later than two months. But that’s just the beginning. Two-month-old babies also get immunized for:
Rotavirus — A common cause of diarrhea, rotavirus is a highly contagious virus that can easily spread between children. Instead of a shot, the vaccine is given in oral drops.
Diphtheria, tetanus and acellular pertussis (DTaP) — One-shot protects against these three common diseases caused by bacteria. Both pertussis, also known as whooping cough, and diphtheria can cause breathing problems in children.
Haemophilus influenzae type b (Hib) — Before the vaccine, Hib disease was a common cause of bacterial meningitis in kids under five years old. The vaccination effectively eliminated 99 percent of cases.
Pneumococcal conjugate — Pneumococcal disease can cause infections in the ear, blood, lungs, brain and spinal cord. Children two and under are at the most risk.
Inactivated poliovirus — There hasn’t been a new case of polio in the United States in 35 years — thanks to vaccinations. It’s important to keep it that way to prevent this crippling infectious disease from coming back.
At four months, babies get a second dose of rotavirus, DTaP, Hib, pneumococcal and poliovirus to continue building their immunity.
Third DTaP, Hib, pneumococcal and polio vaccinations are given to children six months old. They may also get a third hepatitis B shot any time between six months and 18 months.
There are a handful of vaccinations recommended once your child turns one. They get fourth doses of DTaP, Hib and pneumococcal. They also get their first immunizations for:
Influenza — The flu shot protects against the expected flu strains that year. Your child will get a flu shot sooner if flu season begins before their first birthday.
Measles, mumps and rubella (MMR) — This one-shot protects against three potentially serious viral diseases.
Varicella — Chickenpox is a highly contagious virus that can be serious in infants under the age of 12 months, which is why they cannot be vaccinated until they turn one.
Hepatitis A — An infection of the liver, hepatitis A is rarely serious, but can be hard to shake. Symptoms can last a long time or come back after several months.
When your child turns one-and-a-half, they catch up on any immunizations they missed in the first 18 months. Some shots, like DTaP, require six months in between vaccinations. Depending on when your appointments are scheduled, your pediatrician may hold off on certain vaccines until this point. They will also get the second dose of hepatitis A to complete the series.
Then they get a much-needed break from all the shots.
Four to Six Years
Between the ages of four and six, your kid gets their final DTaP, polio, MMR and chickenpox vaccines.
11 to 12 Years
After another long break, the vaccination schedule picks up again. Your child is immunized for:
Tetanus, diphtheria and acellular pertussis (Tdap) — The naming order isn’t the only difference from the DTaP shot. The Tdap vaccine boosts immunity for these three diseases in the time since the final DTaP vaccine. This version is designed for adolescents and adults and is repeated every 10 years.
Meningococcal — Meningococcal disease is a severe bacterial infection that attacks the lining of the brain and spinal cord. It’s commonly spread between 11- and 12-year-olds and is a more recent addition to the vaccination schedule.
Human papillomavirus (HPV) — HPV is the virus that causes cervical cancer. Your child, boy or girl, should receive three doses over the course of six months to prevent this virus.
Sixteen is a milestone year for your child. It marks the end of their childhood vaccination schedule! They receive a second dose of meningococcal to end that series.
Every Flu Season From One to 18
Yearly flu vaccinations are recommended. Even though the vaccine is not 100% effective, it’s better to get a flu shot than risk hospitalization or death against something that could have been prevented. Flu shots are quick, easy and readily available. You may not even need to schedule a separate appointment to get your kids vaccinated against the flu every year because their school may offer flu shots.
Vaccines Required for School
There is little variation between the recommended vaccination schedule and the immunizations required by Iowa law. Children are required to be up-to-date on all their shots with a couple exceptions: rotavirus, HPV and influenza. Although recommended by the CDC and your pediatrician, these vaccines are not mandatory for school-age children in Iowa.
You’ll have to provide an updated certificate of immunization to your day care center or school every year to verify your child’s vaccines.
Once your child gets through the bulk of their shots in the early years, they can receive the recommended — and mandatory — vaccines at their annual school physical or well child visit. No shots means no school, so schedule an appointment with your pediatrician to get your kid caught up on their vaccines.
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)
Measles, mumps and rubella (MMR)
Haemophilus influenzae type b (Hib)
Hepatitis B (Hep B)
Hepatitis A (Hep A)
Human papillomavirus (HPV)
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.
Vaccination of a child under two years of age
vaccinated her daughter according to the ideal calendar
I wanted to give my child all the necessary vaccinations, but I was not ready to spend a lot of time in queues and get all the required vaccines.
The question of whether to vaccinate a child or not was not even raised in our family. Even during pregnancy, my husband and I decided that we would do all the vaccinations available in our country for children.
Some vaccines can be obtained free of charge through MHI, others always have to be paid for. I decided to pay for all vaccinations. I’ll tell you how much it cost me to vaccinate a child under two years old and how to choose a clinic to reduce costs.
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.
Why I decided to vaccinate my child for a fee
Russia has a National Preventive Immunization Schedule, it includes those vaccines that can be given free of charge. There is also a separate list of vaccinations for epidemic indications - these are given free of charge only to people from risk groups.
National calendar of preventive vaccinations and vaccinations according to epidemic indications - Ministry of Health of the Russian Federation
Some vaccines are not included in the general calendar, but they should also be given to the child. For example, for 2022, these are vaccines against rotavirus infection, meningococcus, hepatitis A, chicken pox. These diseases are common, can be severe and lead to complications, including fatal ones.
I wanted to fully protect my daughter from all dangerous infections, so I started looking for information.
I was lucky twice. First, I found a post on social networks by pediatrician Sergei Butriy about childhood vaccinations with a vaccination calendar. Today it is a little outdated, but it can still be used as a basis.
Optimal vaccination schedule - ANO "Collective Immunity"
Post on how to properly, timely and fully vaccinate a child - Sergey Butriy, author of the blog "Notes of a pediatrician"
Later I came across an article by Antonina Oblasova, from which I learned about AON website "Collective Immunity", and there I saw the optimal vaccination schedule for a child.
The first two vaccinations scheduled according to the calendar, BCG against tuberculosis and Regevak B against hepatitis B, were given to my daughter at the maternity hospital. Vaccines were included in the cost of the delivery contract, we did not pay anything extra for them. Vaccination by the rest had to be arranged independently.
This is where the trouble began. During routine check-ups at the pediatrician, I found out that not all of the mandatory vaccines are available in our clinic. And those that are, you still have to catch. For some reason, they don’t give information about vaccines over the phone, that is, every time you need to come to the registry.
The situation was even worse with over-calendar vaccinations. Vaccines from the optional list got to the polyclinic so rarely that even the employees themselves were surprised at this. The procedural nurse told me that the chickenpox vaccine was brought only once.
I wanted to try to buy the necessary vaccines myself at the pharmacy and bring them to the clinic. I was told that this would not work: it is long and difficult, it is necessary to coordinate with the head physician. The district doctor even stated that the child does not need vaccinations against rotavirus and chickenpox - let him get sick, it's not scary.
Due to health reasons, I could not come to the clinic alone and sit there with the baby in long queues. Each time I had to call for help from my husband, who took a day off from work at his own expense for that day.
How much does it cost to vaccinate a child? . The summer heat — my daughter was born in August — and the upcoming autumn and winter, with the risk of catching SARS, only strengthened our desire.
I was guided by this calendar at the very beginning. Source: blog of pediatrician Sergei Butriy
How I made my own vaccination calendar for my child and calculated the cost of vaccination
I wrote down all the necessary vaccinations in the table to understand how much it would cost me to fully vaccinate my daughter. The cost of each vaccine was taken with a margin, so that the budget was definitely enough.
I did not take into account the costs of a mandatory visit to the pediatrician before vaccination: I did not think about them then. If there were several options, she chose a complex vaccine in order to get vaccinated against several infections in one injection. According to the optimal calendar, up to two years, we had to do quite a lot of vaccinations. I'll tell you what vaccines I wanted to introduce at the very beginning.
"Regevak B" is a domestic vaccine against the hepatitis B virus. The child receives the first dose in the maternity hospital on the first day after birth. The second is introduced in a month, the last in six months. This vaccine is included in the national calendar and can be obtained free of charge. I took the average cost of one dose of 2000 R. We needed to do two.
How to save on childhood vaccinations without saving on health
Prevenar 13 is a vaccine to prevent most pneumococcal infections, which are often complicated by pneumonia and meningitis. It is included in the list of mandatory and should be provided free of charge, but due to the fact that the vaccine is imported, there are interruptions. One dose will cost about 3500 R.
There is an analogue - "Synflorix". But it is less common and protects against only ten types of pneumococcus, while Prevenar protects against 13.
There are several schemes for using the vaccine. In the first year of life, two or three doses may be administered. In the latter case, the baby should receive the first dose at two months, the second at four and a half, and the third at six months.
The national calendar for most children has a two-dose schedule: at two and four and a half months. The third dose at six months is given only to children at risk. In both cases, revaccination is needed at 15 months.
Rotatek is a vaccine against rotavirus infection, the same one that causes diarrhea, vomiting, fever and is very dangerous for children in their first years of life. I especially hunted for this vaccine. She has a very tight schedule, it is possible to vaccinate a child only in the first year of life, then protection will not work. It is expensive: 4500 R per dose.
The first dose is administered from the seventh week of life, but not later than the twelfth. Then two more doses with an interval of at least a month.
The vaccine has no analogues, it is not included in the national calendar, although it is available in some regions, for example, in Moscow. We could only get it for a fee, but this is definitely not the kind of vaccine that is worth saving on.
What vaccinations does your child need? Although in theory it should be in state clinics, in practice this is not always the case. One dose costs about 2500 R.
Pentaxim does not have a complete analogue. Similar in composition are the imported Infanrix, where there is no poliomyelitis and hemophilic infection, and Infanrix Hexa, where a component from hepatitis B is added. I also considered it at first, but in the end it did not fit us in time.
There are no domestic vaccines with this composition. There is a separate DPT - an adsorbed pertussis-diphtheria-tetanus vaccine, a separate vaccine against polio and a separate vaccine against hemophilus infection. That is, three vaccinations instead of one. They can now be made by OMS.
In 2020, hemophilic infection was not yet included in the national calendar, so we could only get it for a fee. Therefore, Pentaxim was the best solution in our situation. The first dose is given at three months, the second at four and a half, and the third at six months. Then, in a year and a half, revaccination is needed.
Menactra is a meningitis vaccine. It is produced in France. There are no domestic analogues for babies under two years old. For reasons unknown to me, it has not yet been included in the national calendar. The first dose can be administered at nine months, and after three months the second. This is the most expensive vaccine, I calculated that it will cost 8000 R per dose.
In April 2022, another meningococcal vaccine was registered in Russia - Bexero, Italy. This is not an analogue of Menactra, it contains a different type of bacteria. Both vaccines can be administered to protect the child as much as possible, but it is not yet clear whether Bexero has purchased at least some private clinics.
Varilrix is a Belgian varicella vaccine. Another infection from which, in my opinion, it is necessary to protect the child as much as possible. Although most people consider it a harmless childhood illness, chickenpox in babies is sometimes complicated by sepsis, meningitis, and pneumonia.
How much does medical care for a child under two years old cost?
The mandatory list of vaccinations is not included, there are no domestic analogues It costs about 4500 R per dose.
Recently, the Varivax vaccine has appeared, the Netherlands - USA. It differs from Varilrix only in the manufacturer. For complete protection, two doses are needed with a minimum interval of six weeks.
Priorix Tetra is a combined vaccine against measles, mumps, rubella and chickenpox. All of these infections, except for chicken pox, are included in the mandatory vaccination minimum. For one dose I laid 1500 R.
Unfortunately, this vaccine disappeared in Russia in 2020, so, in my opinion, it never appeared. There is an incomplete analogue, " Priorix" without chickenpox, but you also rarely see it. There is also a domestic analogue of VacTriVir, but we did not find it at the time of vaccination either.
As a result, a year we were vaccinated with domestic vaccines: one against measles and mumps, the second against rubella. These vaccinations for children under two years of age are given once. The mumps-measles vaccine cost 1000 R, and for rubella 500 R. The final cost was the same.
I managed to get vaccinated against chickenpox almost in two years with Varivax. At the time we needed, Varilrix disappeared, so I had to postpone the vaccination until almost two years, and instead of the Belgian vaccine, I could only find Varivax. They cost about the same.
Havrix 720 Hepatitis A vaccine for children under two years of age. Production - Belgium. The first dose can be administered starting from the year, but is usually postponed for a year and three months, combined in time with others. The second is done six months later. It costs about 2300 R per dose.
Not included in the national calendar, can be obtained according to epidemic indications, but it is difficult. In some regions, it is rare, but it is found in state clinics.
I did not take into account the vaccination against tick-borne encephalitis , since this infection does not occur in our region. We live in the Krasnodar Territory, there are ticks there, but they only carry borreliosis.
The final figure turned out to be large and frightening - 70,600 R. But the whole amount was not needed right away, because there will be a break between vaccines of at least a month, and in some cases even more. Therefore, I broke it down by months, focusing on my own vaccination calendar.
according to my calculations, I need to fully vaccinate a child under two years of age
As a result, I got a table for the entire vaccination period, in which I took into account the approximate costs and how much I need to save for vaccinations.
This is the original version of the calendar. As a result, the table changed a little in terms of terms and vaccines, but the financial part remained almost unchanged, because I laid the cost with a margin of
. My table is an individual vaccination schedule, which I give here as an example. You can also create your own personal calendar, but be sure to discuss it with your pediatrician. A doctor can also make a vaccination plan. For this, it is not necessary to come to him personally, in some clinics the service is provided online. Its cost is approximately 1000-2000 R.
Of course, the ideal variant of the vaccination calendar could not be adhered to. For example, we were able to introduce Prevenar 13 only in six months, although we were supposed to at four and a half months. In the midst of winter and the coronavirus pandemic, there was no vaccine in any clinic in the city.
Vaccination of a child under two years of age will cost approximately R 70,600
Number of doses
16 000 R
14 000 R
13 500 Р
10 000 R
Varilrix or Varivax
Priorix Tetra, replaced with domestic vaccines
10 000 000 0002 "Varilelrix" or "Varivaks"
9000 9000 r
The number of doses
“PrioRiks Tetra”, replaced with domestic vaccines
1500 R 9000 R
How I chose a private clinic to vaccinate my child
Prices for the same vaccines can vary greatly from clinic to clinic. For example, the Varivax chickenpox vaccine costs 4,500 R in one clinic, and 2,650 R in another. The difference is significant.
In addition to the price of vaccinations, the cost of a pre-vaccination examination by a pediatrician may be added. On average, this is from 500 to 1000 R, although there are clinics that provide the service for free.
Not all clinics have the ability to reserve a vaccine in advance. That is, you can call a few days in advance, make an appointment, come and find out that the vaccine you need is over. This point must always be clarified.
How children are vaccinated in Russia
In addition, it was important for me to be able to get vaccinated on a weekend or a holiday so that my husband could take us with the child by car without taking time off from work. This also turned out not to be possible everywhere.
An example of how prices can vary greatly for the same vaccines in three different clinics
In order not to get confused about vaccinations and not miss anything, I acted point by point: clinic websites.
If the price was about the same, I chose the nearest clinic. For example, one of our local network clinics was only a 15-minute walk from home, which was convenient.
Two or three days before the vaccination, I called and made an appointment at a convenient time.
On the eve of the appointed date, I called again and clarified the availability of the vaccine.
We arrived at the clinic ten minutes before the appointed time, so that my daughter could get used to the new place a little. The appointment with the pediatrician took 15 minutes, and the vaccination itself did not take more than ten. We were then asked to wait another 20-30 minutes in case the child had an adverse reaction to the vaccine.
Each of the clinics had a small play area, and my daughter spent all this time playing there. After one of the vaccinations, she was presented with a toy, after another - a balloon and colored stickers. On the way back, we usually stopped by the park. As a result, no more than an hour was spent on a visit to the clinic, and the child, thanks to gifts and a walk, had only pleasant memories.
How I vaccinated my daughter with Sputnik M
I am satisfied with the way we were able to vaccinate the child. As a result, the amount spent turned out to be almost the same as I planned: 71,100 R along with visits to doctors. There was no heavy burden on the family budget due to the fact that every month I set aside a small amount for vaccination.
I didn't sit in endless lines, didn't waste my nerves waiting, arguing with doctors, trying to calm my child down. My daughter is not afraid of doctors and vaccinations, I hope that in the future we will not have problems with this.
I am sure that this is one of our most successful decisions and a good investment in the child's health. When the turn of the rest of the vaccinations comes up, I also plan to do them in private clinics.
How I was able to return part of the money with the help of a tax deduction
I was able to return part of the money spent on vaccination with the help of a tax deduction - the state returns 13% of the amount spent on treatment.
The maximum amount from which part of the money can be returned is 120,000 R per year. However, if the treatment belongs to the category of expensive, then 13% is calculated from the entire amount spent.
List of medical services for which you can get a deduction
A deduction can be received by a person who paid for medical services for himself or close relatives: husband, wife, children, parents. Until 2022, the deduction was given only for children under 18 years old, and now up to 24 years old, provided that they study at a higher or secondary specialized educational institution.
So what? 07/11/22
The age of children for the deduction for treatment and sports was raised to 24 years
Our husband received our tax deduction, since only he was working and paying personal income tax at that moment.
For the registration itself, we provided:
Contract for the provision of medical services.
A copy of the medical institution's license.
Checks confirming payment.
In March 2022, the Federal Tax Service issued a letter stating that a certificate of payment for services, which must be obtained from the clinic, is sufficient to receive a deduction for treatment. That is, you will no longer need to collect checks, contracts and other documents.
We received the entire package of necessary documents in clinics - the process was slightly different everywhere. For example, in one of the clinics, I had to write an application personally, then wait a couple of weeks in order to pick up the necessary papers after a preliminary call. In another, everything was given out at once, without additional statements. In the third, I had to leave a request on WhatsApp and also wait two weeks.
How to return money for treatment
In one of the clinics I left a request on WhatsApp
However, this is the only inconvenience. In all three cases, we received a ready-made package of documents. According to him, we took a tax certificate confirming the deduction. This can be done through your personal account on the inspection website.
The husband took the certificate to the accounting department at work. Since 2022, the tax office has been sending it to the employer in electronic form, you no longer need to receive paper in your hands - just send the necessary documents to the inspection.
Getting a tax deduction through an employer is not the only option, it was just more convenient for us. You can return the money at the end of the year by submitting a declaration and application to the tax office.
We have so far submitted documents for two periods: 2020 and 2021. The total cost of vaccination during this time is 66,300 R. With the help of a tax deduction, we returned 8600 R.
we returned with the help of a tax deduction
The compulsory vaccination schedule does not contain some important vaccines. For example, it does not contain vaccinations against meningitis, rotavirus, chickenpox and hepatitis A. But they can be done for a fee.
If the prepared vaccination schedule does not suit you, you can create an individual plan with the help of a doctor. Many clinics provide this service.
To understand how much money you need per month, you should calculate the costs in accordance with your vaccination schedule.
If possible, it is better to choose imported combined vaccines. So you can get protection from several diseases at once in one injection.
Most vaccines are compatible with each other, so during one visit to the pediatrician, you can be vaccinated against several infections at once with different vaccines, if they coincide on schedule.
Based on the results of the year, you can apply for a tax deduction for treatment. With its help, it will be possible to return 13% of the cost of vaccination, not exceeding 120,000 R per year.
Health news, interviews with doctors and instructions for patients in our telegram channel. Subscribe to keep abreast of what is happening: @t_zdorov.
Immunizations for children | Children's City Hospital
During vaccination, a special medical preparation is introduced into the body - a vaccine. In response to the introduction of the vaccine, the body produces special cells - specific antibodies, which protect the person from the corresponding disease.
What is the essence of prophylactic vaccinations
During vaccinations, a special medicine is introduced into the body - a vaccine. In response to the introduction of the vaccine, the body produces special cells - specific antibodies, which protect the person from the corresponding disease.
Each vaccine has its own timing, schedule and routes of administration (oral, intramuscular, subcutaneous, intradermal).
The body reacts differently to each vaccine. In some cases, one vaccination at will is enough to develop long-term immunity, in others, multiple revaccination is required (re-introduction of the vaccine).
The essence of vaccination is to achieve the production of specific antibodies in an amount sufficient to prevent a specific disease. But this initial protective level is reduced, and a second dose of the vaccine is necessary to maintain a sufficient amount of antibodies (revaccination).
What vaccinations do we give our children?
The very first vaccination is the tuberculosis vaccine. It is usually done directly in the hospital for 4-7 days, once. In the future, revaccination is carried out at 7, 12 and 16-17 years. The question of whether or not to do revaccination against tuberculosis largely depends on the Mantoux test. Children do a test or Mantoux reaction quite often.
Practically every person becomes infected with tuberculosis bacteria sooner or later, ie. the microbe got in, and the body, thanks to the vaccination, has a protective amount of antibodies, and the disease does not develop, although the tuberculosis bacterium is present.
The Mantoux test is not a vaccination, it is a test for tuberculosis infection. And if there are no tuberculosis bacteria in the body, then the test is negative, and after infection it becomes positive. Revaccination is carried out for tuberculin-negative children, i.e. not infected with Mycobacterium tuberculosis.
At the age of 3 months, vaccination starts directly at the children's health facility. For three injections with an interval of 1-1.5 months, vaccination is carried out immediately against four diseases - polio (the vaccine is liquid, it is dripped into the child's mouth), as well as whooping cough, diphtheria and tetanus. This vaccine is called DTP and is given by injection. In the second year of life, revaccination against all these diseases is carried out.
At the age of one year, the child is vaccinated against measles, rubella and mumps.
The vaccination schedule in our country is determined by the national vaccination schedule.
Of course, vaccination is a burden on the child's body, so parents should be aware of possible reactions to vaccination.
When can and when not to be vaccinated?
In this matter, the main adviser is a pediatrician who observes the child and examines him before vaccination. When deciding whether to vaccinate, he takes many factors into account.
First of all, it must be remembered that any vaccination is given to a child who at this moment does not have any acute infectious disease - no runny nose, no diarrhea, no rash, no fever. Why the absence of an infectious disease?
Because any infection is a burden on the immune system. In order to respond to the vaccine correctly and develop a sufficient amount of antibodies, the body must be more or less free from other matters, in turn, associated with the development of immunity. In other words, if a child has a leg in a cast, then this is not a contraindication to vaccination.
But some infectious diseases specifically affect precisely those cells of the human body that are responsible for the production of immunity. These are, for example, chicken pox and infectious mononucleosis. Even if the child has chickenpox, but the temperature and general condition are normal, this is not a reason. to get vaccinated
In addition, some infectious diseases transmitted by a child cause a prolonged weakening of the body's defenses, and this, in turn, is a contraindication to vaccination for a certain period (up to 6 months after recovery). These diseases include meningitis, hepatitis, infectious mononucleosis.
For every disease - allergic, congenital, neurological, etc. appropriate rules have been developed: how, when and what to vaccinate. All this is taken into account by the doctor who gives permission for the vaccination. Pediatric doctors, sending a child for vaccination, take into account all the variety of factors that may affect the decision to vaccinate.
In some cases, according to indications, the issue of vaccination is decided jointly with other specialists: an allergist, a neurologist, a cardiologist and others.
How to prepare for vaccination?
Nothing special needs to be done. Well, maybe, avoid experiments with food, try not to give any new products. Children with a tendency to allergic reactions are prescribed by a doctor antiallergic drugs and calcium gluconate 2-3 days before vaccination.
Since it is not advisable to wet the injection site for 1-2 days, it is advisable to wash well before vaccination.
What should I do after vaccination?
Try to underfeed a little (if appetite is good) or feed only according to appetite (if appetite is absent or reduced).
Drink more - mineral water, dried fruit compote, green, fruit, berry tea.
Maintain cool, moist air indoors.
If the body temperature is below 37.5 it is quite possible to walk in the fresh air.
Limit your child's contacts as much as possible.
What parents should know about reactions to vaccination
After any vaccination, a child's body reaction may occur - fever, refusal to eat. This is normal - the body develops immunity (protection) to a specific disease. Some vaccines are very well tolerated and almost never cause serious reactions. A typical example is the polio vaccine. The introduction of other drugs may be accompanied by a pronounced increase in temperature and a violation of the child's condition.
For example, the pertussis component of the DTP vaccine. But these reactions are usually short-term and do not cause serious disturbances in the body. Such reactions occur on the first day after vaccination and disappear on the 3rd day.
It is very important for parents to be aware of the fundamental difference between a reaction to a vaccine and a complication after vaccination.
Reactions to vaccination, in varying degrees of severity, simply must be, and this, as we have already noted, is absolutely normal. It is in order for the vaccination to be painless for the child that the child is examined by a pediatrician before vaccination and, according to indications, the necessary examinations are carried out.