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Vaccination Schedule Update from Medscape

Childhood and Adolescent Immunization Schedules Revised
Laurie Barclay, MD

December 31, 2008 — The 2009 recommended childhood and adolescent immunization schedules have been approved by the American Academy of Pediatrics, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention, and the American Academy of Family Physicians. The updated recommendations are published in the January issue of Pediatrics.

"There are 3 schedules: 1 for children 0 through 6 years of age, 1 for people 7 through 18 years of age, and a catch-up immunization schedule for children and adolescents who start late or fall behind," write Joseph A. Bocchini, Jr, MD, chairperson of the Committee on Infectious Diseases, 2008 to 2009, and colleagues. "These schedules reflect current recommendations for use of vaccines licensed by the US Food and Drug Administration."

Changes from last year's schedule include the following:

Children 6 months through 18 years of age should have annual influenza vaccine administration. All eligible close contacts of children 0 through 59 months of age should also receive influenza vaccine, as should contacts of children 5 through 18 years of age who have an underlying medical condition predisposing them to complications of influenza.
The US Food and Drug Administration has licensed a second oral rotavirus vaccine and has harmonized the dosing schedules for the 2 licensed rotavirus vaccines. The first dose of either vaccine should be administered at 6 weeks through 14 weeks 6 days of age, and the final dose by 8 months 0 days of age. Immunization should not be started for infants 15 weeks 0 days of age or older.
To give additional information and to clarify recommendations given in the schedules, most of the footnotes for the individual vaccines have been revised.
The Vaccine Adverse Event Reporting System should be notified of clinically significant adverse events following immunization (online at or by telephone at 800-822-7967).

Statements from the Advisory Committee on Immunization Practices containing detailed recommendations for individual vaccines and for vaccinating children with high-risk conditions are posted online at or at Red Book Online (

New vaccine releases, vaccine supplies, interim recommendations related to vaccine shortages, and recommendations regarding specific vaccines are described online at and

Pediatrics. 2009;123;189–190.
Tags: fda, immunology, parenting, vaccines

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