Vaccination Advice

Childhealthy offers vaccinations for children and babies including all immunisations recommended for children living in the UK and international immunisation schedules.

You can find all the latest information on child vaccinations below.

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Sample Vaccine Schedule

The following schedule is based on the UK vaccination schedule with additional recommended vaccines available on other international vaccination schedules.

Highlighted vaccines are not routinely offered to all children on the UK vaccination schedule

AGE VACCINE TRADE NAME ROUTE
From 4 weeks or after newborn screening results available BCG   Intradermal
8 weeks Diphtheria, tetanus, pertussis, polio,
Haemophilus influenza type b, hepatitis B
(DTaP/IPV/Hib/Hep B)
Infanrix Hexa Injection
8 weeks Meningococcal B Bexsero Injection
8 weeks Rotavirus Rotarix Oral drops
12 weeks Diphtheria, tetanus, pertussis, polio,
Haemophilus influenza type b, hepatitis B
(DTaP/IPV/Hib/Hep B)
Infanrix Hexa Injection
12 weeks Pneumococcal Conjugate Vaccine (PCV) Prevenar 13 Injection
12 weeks Rotavirus Rotarix Oral drops
16 weeks Diphtheria, tetanus, pertussis, polio,
Haemophilus influenza type b, hepatitis B
(DTaP/IPV/Hib/Hep B)
Infanrix Hexa Injection
16 weeks Meningococcal B Bexsero Injection
20 weeks Meningococcal C NeisVac C Injection
20 weeks Pneumococcal Prevenar 13 Injection
From 6 Months Influenza vaccine inactivated 2nd dose due after 4 weeks   Injection
From 6 Months Influenza vaccine inactivated 2nd dose   Injection
12 Months
(two injections per visit over 2-4 weeks)
Haemophilus influenzae type B
Meningococcal C
Menitorix Injection
12 Months
(two injections per visit over 2-4 weeks)
Measles, Mumps & Rubella MMR Vaxpro or MMR Priorix Injection
12 Months
(two injections per visit over 2-4 weeks)
Meningococcal B Bexsero Injection
12 Months
(two injections per visit over 2-4 weeks)
Pneumococcal Prevenar 13 Injection
From 1 year (aim for 13-14 months) Varicella (Chicken Pox) Varivax Injection
From 1 year (aim for 13-14 months) Hepatitis A Havrix Junior or Vaqta Paediatric Injection
From 1 year (aim for 13-14 months) Varicella (Chicken Pox)(2nd dose – minimum 4 weeks after 1st dose) Varivax Injection
From 1 year (aim for 13-14 months) Hepatitis A (2nd dose – minimum 6 months after 1st dose) Havrix Junior or Vaqta Paediatric Injection
2 years to 18 years Annual Nasal Flu Vaccine
Live attenuated
Fluenz Tetra Nasal Spray
3 years 4 months Diptheria, Tetanus, Pertussis, Poliomyelitis Repevax or Boostrix IPV Injection
3 years 4 months Measles, Mumps & Rubella MMR Vaxpro or MMR Priorix Injection
12 years Cervical cancer caused by human papillomavirus (HPV) types 16 and 18 and genital warts caused by types 6 and 11 Gardasil 1st dose Injection
13 years Cervical cancer caused by human papillomavirus (HPV) types 16 and 18 and genital warts caused by types 6 and 11 Gardasil 2nd dose Injection
14 years Tetanus, Diptheria, Poliomyelitis Td/IPV Revaxis Injection
14 years Meningococcal serogroup ACWY Menveo or Nimenrix Injection
Other

Hepatitis A and B combined (Available for over 1 year olds)

(Three doses needed, 2nd dose 1 month after 1st dose and 3rd dose 5 months after 2nd dose.)

Twinrix Injection
  Additional travel vaccinations including typhoid and rabies available on request    
AGE VACCINE TRADE NAME ROUTE
From Birth BCG   Intradermal
AGE VACCINE TRADE NAME ROUTE
8 weeks Diphtheria, tetanus, pertussis, polio,
Haemophilus influenza type b, hepatitis B
(DTaP/IPV/Hib/Hep B)
Infanrix Hexa Injection
8 weeks Meningococcal B Bexsero Injection
8 weeks Rotavirus Rotarix Oral drops
AGE VACCINE TRADE NAME ROUTE
12 weeks Diphtheria, tetanus, pertussis, polio,
Haemophilus influenza type b, hepatitis B
(DTaP/IPV/Hib/Hep B)
Infanrix Hexa Injection
12 weeks Pneumococcal Conjugate Vaccine (PCV) Prevenar 13 Injection
12 weeks Rotavirus Rotarix Oral drops
AGE VACCINE TRADE NAME ROUTE
16 weeks Diphtheria, tetanus, pertussis, polio,
Haemophilus influenza type b, hepatitis B
(DTaP/IPV/Hib/Hep B)
Infanrix Hexa Injection
16 weeks Meningococcal B Bexsero Injection
AGE VACCINE TRADE NAME ROUTE
20 weeks Meningococcal C NeisVac C Injection
20 weeks Pneumococcal Prevenar 13 Injection
AGE VACCINE TRADE NAME ROUTE
From 6 Months Influenza vaccine inactivated 2nd dose due after 4 weeks   Injection
From 6 Months Influenza vaccine inactivated 2nd dose   Injection
AGE VACCINE TRADE NAME ROUTE
12 Months
(two injections per visit over 2-4 weeks)
Haemophilus influenzae type B
Meningococcal C
Menitorix Injection
12 Months
(two injections per visit over 2-4 weeks)
Measles, Mumps & Rubella MMR Vaxpro or MMR Priorix Injection
12 Months
(two injections per visit over 2-4 weeks)
Meningococcal B Bexsero Injection
12 Months
(two injections per visit over 2-4 weeks)
Pneumococcal Prevenar 13 Injection
AGE VACCINE TRADE NAME ROUTE
From 1 year (aim for 13-14 months) Varicella (Chicken Pox) Varivax Injection
From 1 year (aim for 13-14 months) Hepatitis A Havrix Junior or Vaqta Paediatric Injection
From 1 year (aim for 13-14 months) Varicella (Chicken Pox)(2nd dose – minimum 4 weeks after 1st dose) Varivax Injection
From 1 year (aim for 13-14 months) Hepatitis A (2nd dose – minimum 6 months after 1st dose) Havrix Junior or Vaqta Paediatric Injection
AGE VACCINE TRADE NAME ROUTE
2 years to 18 years Annual Nasal Flu Vaccine
Live attenuated
Fluenz Tetra Nasal Spray
AGE VACCINE TRADE NAME ROUTE
3 years 4 months Diptheria, Tetanus, Pertussis, Poliomyelitis Repevax or Boostrix IPV Injection
3 years 4 months Measles, Mumps & Rubella MMR Vaxpro or MMR Priorix Injection
AGE VACCINE TRADE NAME ROUTE
12 years Cervical cancer caused by human papillomavirus (HPV) types 16 and 18 and genital warts caused by types 6 and 11 Gardasil 1st dose Injection
AGE VACCINE TRADE NAME ROUTE
13 years Cervical cancer caused by human papillomavirus (HPV) types 16 and 18 and genital warts caused by types 6 and 11 Gardasil 2nd dose Injection
AGE VACCINE TRADE NAME ROUTE
14 years Tetanus, Diptheria, Poliomyelitis Td/IPV Revaxis Injection
14 years Meningococcal serogroup ACWY Menveo or Nimenrix Injection
AGE VACCINE TRADE NAME ROUTE
Other

Hepatitis A and B combined (Available for over 1 year olds)

(Three doses needed, 2nd dose 1 month after 1st dose and 3rd dose 5 months after 2nd dose.)

Twinrix Injection
Additional travel vaccinations including typhoid and rabies available on request

Further information on vaccinations

Pneumococcal vaccine (PCV): Prevenar 13

The routine UK immunisation schedule changed on the 1 January 2020.

The change means that via the current UK schedule babies born on or after 1 January 2020 receive one dose of pneumococcal vaccine at the age of 12 weeks, followed by a booster dose at the age 12 months.

Prior to this two doses were given at the age of 8 and 16 weeks, followed by a booster dose at the age 12 months.

The change is due to the success of the immunisation programme in UK resulting in lower rates of pneumococcal related illnesses.

The additional doses of the vaccine are still recommended to protect younger infants earlier.

BCG: Not available for all children via the UK schedule.

BCG is the vaccine for Tuberculosis (TB). The vaccine is offered to children born in areas with higher rates of TB or more likely to come into contact with TB.

BCG vaccine is not offered routinely to all children via the UK immunisation schedule.

Ideally the vaccine is given during the first year and can be given any time from 4 weeks of age or after newborn screening results are available.

The vaccine protects infants from the complications of Tuberculosis and so earlier is better but can given at any age.

Children over 6 years of age and some children who may have been exposed to TB require a blood and/or skin test prior to receiving the vaccine.

A reaction usually occurs 2 to 3 weeks after injection and there is no fever expected on day of injection.

A red pimple usually appears at the site of the injection and may ooze. This may last for several weeks/months and heals with a scar.

8 week immunisations: Can be given from 6 weeks if needed due to travel, ideally at 8 weeks.

The minimum interval between injections is 4 weeks and can be longer if your schedule doesn’t allow or you are unable to make an appointment after 4
weeks.

Expect fever on day of vaccines, mainly due to Meningitis B vaccine.

National recommendation is to administer Paracetamol 60 mg ( 2.5mls of 120mg/5 ml solution) within 1 hour of vaccines and repeat after 4 hours and again after further 4 hours. Three doses in total.
Further doses may be given following dosing guidance. Maximum 4 doses in 24 hours and minimum interval 4 hours between doses.

12 week immunisations: Meningitis C vaccine not included in the UK schedule at 12 weeks since July 2016.

This is due to the success of the immunisation programme in UK resulting lower rates of Meningococcal type C illnesses.

The vaccine is still recommended to protect younger infants. A further dose is given at 1 year of age.

Influenza vaccine: Not available for all children via the UK schedule.

Influenza (Flu) vaccines are usually available from September and during the winter months the UK.

An injection of inactivated flu vaccine is available from 6 months of age. Two doses needed at a minimum of 4 weeks apart.

The nasal spray, live attenuated vaccine, is available from 2 years of age and recommended annually until 18 years.

1 year immunisations:

There are 4 injections in total.

The practice offers two injections per visit, 2-4 weeks apart.

There is no minimum interval between these two visits.

All four injections can safely be given on a single day if specifically requested. Extra appointment time needed.

MMR:

Two doses are given at 12 months and 3 years 4 months of age in the UK NHS schedule.

The second dose may be given 3 months after the first if needed and is often recommended if there is an outbreak of measles.

The MMR vaccine can given from 6-12 months if travelling to an area with an outbreak, with two further doses needed as usual.

MMR Priorix is porcine gelatine free but MMR Vaxpro is not.

Usually there is fever and possible measles-like rash around 10 days after injection.

Varicella/Chicken Pox: Not available for all children via the UK schedule.

Available for children over 12 months of age.

Two doses needed with a minimum interval of 4 weeks between doses (usually recommended around 3 months).

Possible chickenpox-like rash 2 weeks after injection for which no treatment is needed.

To be given 4 weeks after other live vaccines, such as MMR.

Hepatitis A: Not available for all children via the UK schedule.

Available for children over 12 months of age

Two doses needed, 6 months apart.

If child has not received Hepatitis B already, combined vaccination with Hepatitis B is recommended.

Hepatitis A and B combined: Not available for all children via the UK schedule.

Hepatitis B has now been included in UK NHS schedule.

Infants born on or after 1st August 2017 will have had hepatitis B included in the 6 in 1 vaccine, Infanrix Hexa given at 8,12 and 16 weeks of age. In this case only Hepatitis A is needed as above.

Available for children over 12 months of age who have not received Hepatitis B during first year. Three doses needed, with first two doses a minimum of one month apart and third dose 5 months after second dose.

Useful resources

Very useful vaccine information for families, with summaries of the illnesses and vaccinations:

Vaccine FAQs

What does a vaccine do?

A vaccine is a type of medicine that is able to combat diseases which the body has not come into contact with before, by training the immune system. A vaccine can prevent disease but is not used for treatment after you have caught a disease.

Today, immunisation provided by vaccinations is an essential part of primary health care.

What vaccinations are routinely offered to infants?

In the UK, a number of vaccinations for infants will be administered at 8, 12 and 16 weeks, and then at 1 year. These vaccinations comprise the immunisation schedule for infants in the UK.

These vaccinations include:

  • 6-in-1 – which protects against diphtheria, hepatitis B, haemophilus influenzae type b (Hib), polio, tetanus, and whooping cough.
  • Meningitis B and C – which protects against sepsis and meningitis.
  • MMR – which protects against mumps, measles and rubella.
  • PCV – which protects against pneumococcal infections that can cause meningitis, pneumonia and sepsis.
  • Rotavirus drops – which protects against the rotavirus infection that leads to diarrhoea and vomiting.
Do vaccinations make your immune system weaker?

You might be concerned that vaccinations could weaken your child’s immune system, but the opposite is the case. Infants’ immune systems are constantly stimulated and exposed to external stimuli from birth. Vaccinations are an additional stimulus against specific illnesses, leading to protection against these illnesses. Many of the illnesses are rarely seen now due to the success of vaccinations. Infants’ immune systems are very capable of coping with multiple vaccinations.

Is it harmful to my baby to get multiple vaccinations at once?

This is something you needn’t be concerned about. Having multiple vaccinations at the same time is safe. Vaccines can be spaced out and timings varied, but there are no concerns with having multiple vaccines in one visit. Some vaccine injections cover multiple illnesses with a single injection, meaning fewer injections are required overall.

Can my child have a bad reaction to vaccinations?

Mild reactions to vaccinations are common. In most cases, these reactions include fever, swelling, redness and tenderness at the injection site and are not considered to be serious. In most cases, these reactions are noticeable in the hours after the injection was given, and settle within a day or two. Pain relief medications such as paracetamol can be given to ease symptoms. Dosing instructions should be followed for each medication. More serious reactions including allergic reactions are very rare.

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