Immunization against six other illnesses — hepatitis A, hepatitis B, meningococcal disease, rotavirus, influenza and respiratory syncytial virus, the leading cause of hospitalization in American infants — will be recommended for only some high-risk groups or after consultation with a health care provider.
In September, a federal panel of vaccine advisers also recommended that vaccinations against Covid-19 also be administered only after consultation with a health care provider.
Changes to the vaccine schedule
Federal health officials reduced the number of diseases prevented by routine shots, narrowing recommendations for certain vaccines to only high-risk children or after consultation with a health care provider.
No longer recommended for all children
At birth
Hepatitis B 1st doseRespiratory syncytial virus (RSV) 1st
1 month
Hepatitis B 2nd
2 months
Diphtheria, tetanus, pertussis (DTaP) 1stHaemophilus influenzae type b (Hib) 1stPolio 1stPneumococcal (*PCV) 1stRotavirus (RV) 1st
4 months
DTaP 2ndHib 2ndPolio 2ndPCV *2ndRV 2nd
6 months
DTaP 3rdPolio 3rdPCV *3rdHepatitis B 3rd
12 months
*Hepatitis A 1st and 2ndHib 3rdPCV 4thMeasles, Mumps, Rubella (MMR) 1stVaricella (Chickenpox) 1st
15 months
DTaP 4th
4 years
DTaP 5thPolio 4thMMR 2ndChickenpox 2nd
11 years
*Human Papillomavirus (*HPV) 1stHPV 2ndMeningococcal 1stTetanus, diphtheria, pertussis (Tdap) 1st
16 years
Meningococcal 2nd
Annual
Flu*Covid-19*
*Starting at 6 months, administer two doses the first year, then one dose annually.
Note: The start of the age range for each recommended dose is shown.
Elena Shao/The New York Times
The need to see a doctor for the vaccines excluded.