Routine Immunisations

Age Due	Disease Protected Against	Vaccines Given	Trade Name	Usual Site1
Eight Weeks Old	– Diphtheria – Tetanus – Pertussis – Polio – Haemophilus Influenzae Type-B – Hepatitis B	DTaP/IPV/Hib/HepB	Infanrix hexa or Vaxelis	Thigh
	Meningococcal Group B	MenB	Bexsero	Thigh
	Rotavirus gastroenteritis	Rotavirus	Rotarix2	By Mouth
Twelve Weeks Old	– Diphtheria – Tetanus – Pertussis – Polio – Haemophilus Influenzae Type-B – Hepatitis B	DTaP/IPV/Hib/HepB	Infanrix hexa or Vaxelis	Thigh
	Pneumococcal (13 serotypes)	PCV	Prevenar 13	Thigh
	Rotavirus gastroenteritis	Rotavirus	Rotarix2	By Mouth
Sixteen Weeks Old	– Diphtheria – Tetanus – Pertussis – Polio – Haemophilus Influenzae Type-B – Hepatitis B	DTaP/IPV/Hib/HepB	Infanrix hexa or Vaxelis	Thigh
	Meningococcal Group B	MenB	Bexsero	Thigh
One year old (on or after the child’s first birthday)	– Haemophilus Influenzae Type-B – Meningococcal Group C	Hib/MenC	Menitorix	Upper Arm/Thigh
	Pneumococcal (13 serotypes)	PCV booster	Prevenar 13	Upper Arm/Thigh
	– Measles – Mumps – Rubella (German measles)	MMR	MMRvaxPro3 or Priorix	Upper Arm/Thigh
	Meningococcal Group B	MenB booster	Bexsero	Thigh
Eligible paediatric age group4	Influenza (each year from September)	Live attenuated influenza vaccine LAIV	Fluenz3,5	Both Nostrils
Three years four months old or soon after	– Diphtheria – Tetanus – Pertussis – Polio	dTaP/IPV	REPEVAX	Upper Arm
	– Measles – Mumps – Rubella (German measles)	MMR (check first dose given)	MMRvaxPro3 or Priorix	Upper Arm
Boys and girls aged twelve to thirteen years	Cancers and genital warts caused by specific human papillomavirus (HPV) types	HPV6	Gardasil 9	Upper Arm
Fourteen years old (school Year 9)	– Diphtheria – Tetanus – Polio	Td/IPV (check MMR status)	REPEVAX	Upper Arm
	Meningococcal groups A, C, W and Y	MenACWY	MenQuadf	Upper Arm
65 years old	Pneumococcal (23 serotypes)	Pneumococcal Polysaccharide Vaccine (PPV23)	Pneumovax 23	Upper Arm
65 years of age and older	Influenza (each year from September)	Inactivated Influenza vaccine	Multiple	Upper Arm
65 from September 20237	Shingles	Shingles Vaccine	Shingrix	Upper Arm
70 to 79 years of age (plus eligible age groups and severely immunosuppressed)7	Shingles	Shingles Vaccine	Zostavax3,7 (or Shingrix if Zostavax contraindicated)	Upper Arm
75 years of age	Respiratory syncytial virus (RSV)	RSV vaccine	Abrysvo	Upper Arm
Elderly (75+), Immunocompromised, Housebound	COVID-19	Covid Vaccine	Varies due to stock	Upper Arm

1. Intramuscular injection into deltoid muscle in upper arm or anterolateral aspect of the thigh.
2. Rotavirus vaccine should only be given after checking for SCID screening result.
3. Contains porcine gelatine.
4. See annual flu letter at: www.gov.uk/government/collections/annual-flu-programme
5. If LAIV (live attenuated influenza vaccine) is contraindicated or otherwise unsuitable use inactivated flu vaccine (check Green Book Chapter 19 for details).
6. See Green Book chapter 1
7. See Green Book Shingles Chapter 28a for details on eligible age groups including severely immunosuppressed individuals from age 50

Selective Immunisation Programmes

Target Group	Age & Schedule	Disease	Vaccine Required
Babies born to hepatitis B infected mothers	At birth, four weeks and 12 months old1,2	Hepatitis B	Hepatitis B (Engerix B/HBvaxPRO)
Infants in areas of the country with TB incidence ≥ 40/100,000	Around 28 days old4	Tuberculosis	BCG
Infants with a parent or grandparent born in a high incidence country3	Around 28 days old4	Tuberculosis	BCG
Children in a clinical risk group	From 6 months to 17 years of age	Influenza	LAIV or inactivated flu vaccine if contraindicated to LAIV or under 2 years of age
Pregnant Women	At any stage of pregnancy during flu season	Influenza	Inactivated flu vaccine
	From 16 weeks gestation	Pertussis	Tdap (ADACEL)
	From 28 weeks gestation	Respiratory syncytial virus (RSV)	RSV vaccine (Abrysvo)

1. Take blood for HBsAg at 12 months to exclude infection.
2. In addition hexavalent vaccine (Infanrix hexa or Vaxelis) is given at 8, 12 and 16 weeks
3. Where the annual incidence of TB is >= 40/100,000 – see https://www.gov.uk/government/publications/tuberculosis-tb-by-country-rates-per-100000-people
4. Check SCID screening outcome before giving BCG