National immunization schedule for children, adult vaccine schedule
ER20-15P Social Pharmacy Practical
| Age | Vaccines given |
| Birth | Bacillus Calmette Guerin (BCG), Oral Polio Vaccine (OPV)-0 dose, Hepatitis B birth dose |
| 6 Weeks | OPV-1, Pentavalent-1, Rotavirus Vaccine (RVV)-1, Fractional dose of Inactivated Polio Vaccine (fIPV)-1, Pneumococcal Conjugate Vaccine (PCV) -1* |
| 10 weeks | OPV-2, Pentavalent-2, RVV-2 |
| 14 weeks | OPV-3, Pentavalent-3, fIPV-2, RVV-3, PCV-2* |
| 9-12 months | Measles & Rubella (MR)-1, JE-1** , PCV-Booster* |
| 16-24 months | MR-2, JE-2**, Diphtheria, Pertussis & Tetanus (DPT)-Booster-1, OPV – Booster |
| 5-6 years | DPT-Booster-2 |
| 10 years | Tetanus & adult Diphtheria (Td) |
| 16 years | Td |
| Pregnant Mother | Td-1, Td-2 or Td-Booster*** |
- PCV in selected states/districts: Bihar, Himachal Pradesh, Madhya Pradesh, Uttar Pradesh (selected districts) and Rajasthan; in Haryana as state initiative
** JE in endemic districts only
*** One dose if previously vaccinated within 3 years
National Immunization Schedule (NIS) for Infants, Children and Pregnant Women (Vaccine-wise)
| Vaccine | When to give | Dose | Route | Site |
| For Pregnant Women | ||||
| Tetanus & adult Diphtheria (Td)- 1 | Early in pregnancy | 0.5 ml | Intra-muscular | Upper Arm |
| Td-2 | 4 weeks after Td- 1 | 0.5 ml | Intra-muscular | Upper Arm |
| Td- Booster | If received 2 TT/Td doses in a pregnancy within the last 3 years* | 0.5 ml | Intra-muscular | Upper Arm |
| For Infants | ||||
| Bacillus Calmette Guerin (BCG) | At birth or as early as possible till one year of age | 0.1ml (0.05ml until 1 month age) | Intra-dermal | Left Upper Arm |
| Hepatitis B – Birth dose | At birth or as early as possible within 24 hours | 0.5 ml | Intra-muscular | Antero-lateral side of mid- thigh |
| Oral Polio Vaccine (OPV)-0 | At birth or as early as possible within the first 15 days | 2 drops | Oral | Oral |
| OPV 1, 2 & 3 | At 6 weeks, 10 weeks & 14 weeks (OPV can be given till 5 years of age) | 2 drops | Oral | Oral |
| Pentavalent 1, 2 & 3 | At 6 weeks, 10 weeks & 14 weeks (can be given till one year of age) | 0.5 ml | Intra-muscular | Antero-lateral side of mid- thigh |
| Pneumococcal Conjugate Vaccine(PCV) | Two primary doses at 6 and 14 weeks followed by Booster dose at 9-12 months | 0.5 ml | Intra-muscular | Antero-lateral side of mid- thigh |
| Rotavirus (RVV) | At 6 weeks, 10 weeks & 14 weeks (can be given till one year of age) | 5 drops (liquid vaccine) 2.5 ml (lyophilized vaccine) | Oral | Oral |
| Inactivated Polio Vaccine (IPV) | Two fractional dose at 6 and 14 weeks of age | 0.1 ml | Intra dermal two fractional dose | Intra-dermal: Right upper arm |
| Measles Rubella (MR) 1st dose | 9 completed months-12 months. (Measles can be given till 5 years of age) | 0.5 ml | Sub-cutaneous | Right upper Arm |
| Vaccine | When to give | Dose | Route | Site |
| Japanese Encephalitis (JE) – 1 | 9 completed months-12 months. | 0.5 ml | Sub-cutaneous (Live attenuated vaccine) Intramuscular(Killed vaccine) | Left upper Arm (Live attenuated vaccine) Anterolateral aspect of mid thigh (Killed vaccine) |
| Vitamin A (1st dose) | At 9 completed months with measles-Rubella | 1 ml ( 1 lakh IU) | Oral | Oral |
| For Children | ||||
| Diphtheria, Pertussis & Tetanus (DPT) booster-1 | 16-24 months | 0.5 ml | Intra-muscular | Antero-lateral side of mid-thigh |
| MR 2nd dose | 16-24 months | 0.5 ml | Sub-cutaneous | Right upper Arm |
| OPV Booster | 16-24 months | 2 drops | Oral | Oral |
| JE-2 | 16-24 months | 0.5 ml | Sub-cutaneous (Live attenuated vaccine) Intramuscular(Killed vaccine) | Left upper Arm (Live attenuated vaccine) Anterolateral aspect of mid thigh (Killed vaccine) |
| Vitamin A (2nd to 9th dose) | 16-18 months. Then one dose every 6 months up to the age of 5 years. | 2 ml (2 lakh IU) | Oral | Oral |
| DPT Booster-2 | 5-6 years | 0.5 ml. | Intra-muscular | Upper Arm |
| Td | 10 years & 16 years | 0.5 ml | Intra-muscular | Upper Arm |
*One dose if previously vaccinated within 3 years Note:
- JE Vaccine is introduced in select endemic districts after the campaign.
- The 2nd to 9th doses of Vitamin A can be administered to children 1-5 years old during biannual rounds, in collaboration with ICDS.
- PCV in selected states/districts: Bihar, Himachal Pradesh, Madhya Pradesh, Rajasthan & Uttar Pradesh (selected districts), and in Haryana as state initiative
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