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Teen Immunization Recommendations

Vaccine	How Often	Disease Prevented	Recommended For:
Hepatitis A (HepA)	2 doses	Hepatitis A, an infection that can cause acute liver inflammation and jaundice (yellowing of the skin and whites of the eyes)	Anyone who hasn’t been vaccinated
Hepatitis B (HepB)	3 doses	Hepatitis B, an infection that causes severe, chronic liver disease	Anyone who didn’t receive all doses as a child
Human Papillomavirus (HPV)	3 doses	Human papillomavirus, a virus that causes genital warts and may increase risk of cervical, vaginal, vulvar, and anal cancers	Girls starting at age 11 or 12 (minimum age 9); boys between ages 9 and 18
Influenza	1 dose every year	Influenza, a viral illness that can cause severe respiratory problems	All children aged 6 months through 18 years
Measles, Mumps, Rubella (MMR)	2 doses	Measles, a disease that causes red spots on the skin, fever, and coughing Mumps, a disease that causes swelling in the salivary glands and may affect the ovaries or testicles Rubella (German measles), a disease that can cause rash, mild fever, and arthritis; if caught by a pregnant woman, can cause birth defects	Anyone who didn’t receive 2 doses as a child
Meningococcal (MCV)	1 or more doses	Bacterial meningitis, an inflammation of the membrane covering the brain and spinal cord; can lead to death	Once at 11 through 12 years, with a booster at 16. If vaccinated at 13 through 15 years, a booster is needed at 16 through 18 years. College freshmen should be vaccinated if they have not been before. Note: If child has low immune system due to HIV or other medical condition, the healthcare provider may recommend vaccinating child at a younger age than 13.
Pneumococcal (PPSV)	1 or more doses	Pneumonia, a disease that causes inflammation of the lungs and can lead to death	Any teen with a health condition, or exposure to someone at high risk
Polio (IPV)	3 or 4 doses	Polio, a disease that causes paralysis and can lead to death	Anyone who didn’t receive all doses as a child
Tetanus, Diptheria, and Pertussis (Tdap)	3 initial doses A booster of Td at age 11-12 A booster of Td every 10 years	Tetanus (lockjaw), a disease that causes muscles to spasm Diphtheria, an infection that causes fever, weakness, and breathing problems Pertussis (whooping cough), an infection that causes a severe cough	Anyone who hasn’t had their three initial doses, or hasn’t had a booster in the last 10 years
Varicella	2 doses	Chickenpox, a disease that causes itchy skin bumps, fever, and fatigue; can lead to scarring, pneumonia, or brain inflammation	Anyone who previously did not receive both doses

Immunization schedule based on the CDC National Immunization Program recommendations as of January 1, 2012, as approved by the CDC Advisory Committee on Immunization Practices, the American Academy of Pediatrics, and the American Academy of Family Physicians.