TABLE 1–3 Universally Recommended Vaccinations




All young children

Measles, mumps, rubella

Diphtheria-tetanus toxoid and pertussis vaccine


Haemophilus influenzae type ba

Hepatitis B


Hepatitis A (in selected areas)b

2 doses

5 doses

4 doses

3–4 doses

3 doses

1 dose

2 doses

Previously unvaccinated or partially vaccinated adolescents

Hepatitis Bc


3 doses total

If no previous history of varicella, 1 dose for children aged<12 years, 2 doses for children aged≥13 years


Mumps, measles, and rubella

Tetanus-diphtheria toxoid

2 doses, total

If not vaccinated during previous 5 years, 1 combined booster during ages 11–16 years

All adults


1 dose administered every 10 years

All adults aged≥65d


1 dose administered annually



1 dose

aOnly children below age 5 receive Haemophilus influenzae type b.

bHepatitis A was added to the schedule after the original table’s publication.

cAn optional two-dose schedule for adolescents aged 11 to 15 was recently approved by the Food and Drug Administration.

dThe Advisory Committee on Immunization Practices has recommended that all adults aged≥50 receive an influenza vaccination.

SOURCE: Briss et al., 2000.

insurance requirements and local practice guidelines. Some health practices may also charge separate fees for the production and copying of immunization records, fees that are commonly not reimbursed by health plans. Moreover, the shift in many states from fee-for-service to managed care plans (which has occurred swiftly within Medicaid), makes it more

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