Recommended Immunization Schedule for Infants, Children and Adults

April 17, 2012 - Temporary

NOTE: (Click on links to open Fact Sheets)

Vaccine	Age
Vaccine	2 months	4 months	6 months	12 months	18 months	4-6 years	Grade 4	Grade 6	14-16 years	All adults	65 years
Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b (DTaP-IPV-Hib)	♦	♦	♦		♦
Pneumococcal Conjugate 13 valent (Pneu-C-13)	♦	♦	♦		♦
Measles, Mumps, Rubella, Varicella (Chickenpox) (MMRV) Ŧ				♦
Measles, Mumps, Rubella (MMR)						♦
Meningococcal C Conjugate (Men-C-C)				♦			♦*
Tetanus, Diphtheria, Pertussis, Polio (Tdap-IPV)						♦
Hepatitis B (HB)							♦ ♦ ♦
Human Papillomavirus (HPV)								♦ ♦ ♦ Girls only
Tetanus, Diphtheria, Pertussis (Tdap)									♦
Tetanus, Diphtheria (Td)										♦ Every 10 years
Pneumococcal Polysaccharide (Pneu-P-23)											♦
Influenza (Flu)	The seasonal influenza program may vary each year. Click here for current information on the seasonal influenza vaccine.

♦ = A single dose given with one needle.
Ŧ = Varicella and MMR can be given as two separate vaccines.
* = All children in Grade 4 are offered a single dose until 2017, at which point this Grade 4 Program will be discontinued.

A different schedule may be needed for high risk individuals, or if one or more doses of a vaccine are missed.
For more information about immunization talk to your health care provider.

Recommended Immunization Schedules for Individuals NOT Previously Immunized

The following schedules do not address all possible scenarios. Catch up schedules for partially immunized individuals must be created in accordance with the current Canadian Immunization Guide (www.phac-aspc.gc.ca/publicat/cig-gci/index-eng.php) and the Eligibility Criteria for Publicly-Funded Vaccines (www.gov.mb.ca/health/publichealth/cdc/vaccineeligibility.html). Review of relevant product monographs is strongly recommended.

Children < 7 Years of Age NOT Immunized in Early Infancy - April 17, 2012 - Temporary

Vaccine	Timing
Vaccine	First Visit	2 Months Later	2 Months Later	6-12 Months Later	4-6 Years of Age
DTaP-IPV-HIB	♦	♦	♦	♦
Tdap-IPV					(♦)
Pneu-C-13 (< 5 yrs)	♦	(♦)	(♦)
MMR	♦	♦
Var	♦
Men-C-C	♦

Children ≥ 7 Years of Age and < 18 Years of Age NOT Immunized in Early Childhood

Vaccine	Timing
Vaccine	First Visit	2 Months Later	6-12 Months Later	4-6 Years of Age
IPV	♦	♦	♦
MMR	♦	♦
Var	♦
Men-C-C	(♦)
HB	(♦)	(♦)	(♦)
Tdap	♦	♦	♦	♦

Adults ≥ 18 Years of Age NOT Immunized in Childhood

Vaccine	Timing
Vaccine	First Visit	2 Months Later	6-12 Months Later	4-6 Years of Age
MMR	(♦)	(♦)
Tdap	♦
Td		♦	♦	♦
Pneu-P-23	(♦)
Flu	(♦)

( ) Brackets indicate that these doses may not be required.

Manitoba Health