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National Immunization Schedule

The National Immunization Schedule outlines the recommended vaccines for infants, children, and pregnant women in India. It recommends vaccines at birth, 6 weeks, 10 weeks, 14 weeks, 9-12 months, 16-24 months, 5-6 years, 10 years, and 16 years. Vaccines include BCG, hepatitis B, rotavirus, polio, pentavalent, pneumococcal, measles-rubella, JE, DPT, TT/Td, and vitamin A. The schedule varies slightly by state for rotavirus and pneumococcal vaccines.

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0% found this document useful (0 votes)
778 views3 pages

National Immunization Schedule

The National Immunization Schedule outlines the recommended vaccines for infants, children, and pregnant women in India. It recommends vaccines at birth, 6 weeks, 10 weeks, 14 weeks, 9-12 months, 16-24 months, 5-6 years, 10 years, and 16 years. Vaccines include BCG, hepatitis B, rotavirus, polio, pentavalent, pneumococcal, measles-rubella, JE, DPT, TT/Td, and vitamin A. The schedule varies slightly by state for rotavirus and pneumococcal vaccines.

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National Immunization Schedule

Age Vaccines given


Bacillus Calmette Guerin (BCG), Oral Polio Vaccine (OPV)-0 dose, Hepatitis B
Birth
birth dose
OPV-1, Pentavalent-1, Rotavirus Vaccine (RVV)-1***, Fractional dose of
6 Weeks 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 Toxoid (TT)/Tetanus & adult Diphtheria (Td)
16 years TT/Td
Pregnant Mother TT/Td1, 2 or TT/Td Booster**
1. * JE in 231 endemic districts
2. ** One dose if previously vaccinated within 3 years
3. ***Rotavirus vaccine and PCV in selected states/districts as per details below:
 Rotavirus: Andhra Pradesh, Assam, Haryana, Himachal Pradesh, Jharkhand, Madhya
Pradesh, Odisha, Rajasthan, Tamil Nadu, Tripura & Uttar Pradesh.
 PCV: Bihar, Himachal Pradesh, Madhya Pradesh, Uttar Pradesh (12 districts) & Rajasthan (9
districts).

*****
National Immunization Schedule (NIS) for Infants, Children and Pregnant
Women (Vaccine-wise)

Vaccine When to give Dose Route Site


For Pregnant Women
Tetanus Toxoid Early in pregnancy 0.5 ml Intra-muscular Upper Arm
(TT)/Tetanus &
adult
Diphtheria
(Td)-1
TT/Td-2 4 weeks after TT-1 0.5 ml Intra-muscular Upper Arm
TT/Td- Booster If received 2 TT doses in a 0.5 ml Intra-muscular Upper Arm
pregnancy within the last 3 years*
For Infants
Bacillus At birth or as early as possible till 0.1ml Intra-dermal Left Upper Arm
Calmette one year of age (0.05ml
Guerin (BCG) until 1
month age)
Hepatitis B - At birth or as early as possible 0.5 ml Intra-muscular Antero-lateral
Birth dose within 24 hours side of mid-
thigh
Oral Polio At birth or as early as possible 2 drops Oral Oral
Vaccine (OPV)- within the first 15 days
0
OPV 1, 2 & 3 At 6 weeks, 10 weeks & 14 weeks 2 drops Oral Oral
(OPV can be given till 5 years of
age)
Pentavalent At 6 weeks, 10 weeks & 14 weeks 0.5 ml Intra-muscular Antero-lateral
1, 2 & 3 (can be given till one year of age) side of mid-
thigh
Pneumococcal Two primary doses at 6 and 14 0.5 ml Intra-muscular Antero-lateral
Conjugate weeks followed by Booster dose at side of mid-
Vaccine(PCV)^ 9-12 months. thigh
Rotavirus At 6 weeks, 10 weeks & 14 weeks 3 Oral Oral
(RVV)^ (can be given till one year of age)
Inactivated Two fractional dose at 6 and 14 0.1 ml ID Intra dermal Intra-dermal:
Polio Vaccine weeks of age two fractional Right upper arm
(IPV) dose
Measles Rubella 9 completed months-12 months. 0.5 ml Sub-cutaneous Right upper
^(MR) 1st dose (Measles can be given till 5 years Arm
of age)
Japanese 9 completed months-12 months. 0.5 ml Sub-cutaneous Left upper Arm
Encephalitis
(JE) - 1**
Vitamin A At 9 completed months with 1 ml Oral Oral
(1st dose) measles-Rubella ( 1 lakh
IU)

For Children
Diphtheria, 16-24 months 0.5 ml Intra-muscular Antero-lateral
Pertussis & side of mid-
Vaccine When to give Dose Route Site
Tetanus (DPT) thigh
booster-1

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 Left Upper Arm
Vitamin A*** 16-18 months. Then one dose 2 ml Oral Oral
(2nd to 9th every 6 months up to the age of 5 (2 lakh IU)
dose) years.
DPT Booster-2 5-6 years 0.5 ml. Intra-muscular Upper Arm
TT/Td 10 years & 16 years 0.5 ml Intra-muscular Upper Arm

*One dose if previously vaccinated within 3 years


**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.
^Rotavirus vaccine and PCV in selected states/districts as per details below:
 Rotavirus: Andhra Pradesh, Assam, Haryana, Himachal Pradesh, Jharkhand, Madhya Pradesh, Odisha,
Rajasthan, Tamil Nadu, Tripura & Uttar Pradesh.
 PCV: Bihar, Himachal Pradesh, Madhya Pradesh, Uttar Pradesh (12 districts) & Rajasthan (9 districts).

****

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