Pneumococcal Conjugate Vaccine (PCV) Catch-Up Guidance for Children 4 Months through 18 Years of Age 2015

IF current age is

AND # of
previous doses is
0 or unknown

AND

4 - 6 Months

Dose 1 was given before

7 months of age
1
Dose 1 was given at
7 months or older

7-11 Months

Dose 2 was given before

7 months of age
2
Dose 2 was given at
7 months or older

It has been at least

4 weeks since Dose 1
It has not been at least
4 weeks since Dose 1
It has been at least
4 weeks since Dose 2
It has not been at least
4 weeks since Dose 2

THEN

NEXT DOSE

Give Dose 1 today

Give Dose 2 at least

4 weeks after Dose 1

Give Dose 2 today

No Dose today
Give Dose 3 today
No Dose today

Give Dose 3 at least

4 weeks after Dose 2
Give Dose 2 at least
4 weeks after Dose 1
Give Dose 4 (Final Dose) at
12 months of age or older
Give Dose 3 at least
4 weeks after Dose 2
Give Dose 2 at least
4 weeks after Dose 1

Give Dose 1 Today

It has been at least

4 weeks since Dose 1

Give Dose 2 today

It has not been

4 weeks since Dose 1

No Dose today

It has been at least

4 weeks since Dose 1

Give Dose 2 today

It has not been

4 weeks since Dose 1

No Dose today

It has been at least

4 weeks since Dose 2

Give Dose 3 today

Give Dose 4 at least

8 weeks after Dose 3 and at
12 months of age or older (Final Dose)

It has not been

4 weeks since Dose 2

No Dose today

Give Dose 3 at least 4 weeks after Dose 2

No Dose today

Give Dose 3 at least

8 weeks after Dose 2 and at
12 months of age or older (Final Dose)

Reference: Recommended immunization schedule for persons aged 0 through 18 years- United States, 2015.
http://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf

Give Dose 3 at least

8 weeks after Dose 2 and at
12 months of age or older (Final Dose)
Give Dose 2 at least
4 weeks after Dose 1
Give Dose 3 at least
8 weeks after Dose 2 and at
12 months of age or older (Final Dose)
Give Dose 2 at least
4 weeks after Dose 1

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IF current age is

AND # of
previous doses is

AND

AND

THEN

Give Dose 1 today

Dose 1 was given before

12 months of age
1
Dose 1 was given at
12 months of age or older

Both doses were given

before 12 months of age

12-23 months
2

At least one dose was given

at 12 months or older

All doses were given

before 12 months of age
1 or more doses was given
at 12 months of age or older

24-59 months

Dose 1 was given before 24

months of age
Dose was given at
24 months or older

Dose 2 was given before 24

months of age

It has been at least

4 weeks since Dose 1
It has not been
4 weeks since Dose 1
It has been at least
8 weeks since Dose 1
It has not been 8 weeks since
Dose 1
It has been at least
8 weeks since Dose 2
It has not been
8 weeks since Dose 2
It has been at least
8 weeks since Dose 2
It has not been
8 weeks since Dose 2
It has been at least
8 weeks since Dose 3
It has not been
8 weeks since Dose 3

Give Dose 2 today

No dose today
Give Dose 2 today
(Final Dose)

NEXT DOSE DUE

Give Dose 2 at least
8 weeks after Dose 1 (Final Dose)
Give Dose 3 at least
8 weeks after Dose 2 (Final Dose)
Gove Dose 2 at least
4 weeks after Dose 1
No additional doses needed

No dose today

Give Dose 2 at least

8 weeks after dose 1 (Final Dose)

Give Dose 3 today

(Final dose)

No additional doses needed

No dose today
Give Dose 3 today
(Final Dose)

Give Dose 3 at least

8 weeks after Dose 2 (Final Dose)
No additional doses needed

No dose today

Give Dose 3 at least

8 weeks after Dose 2 (Final Dose)

Give Dose 4 today

(Final Dose)

No additional doses needed

No dose today

Gove Dose 4 at least

8 weeks after Dose 3 (Final Dose)

No dose today

No additional doses needed

Give dose 1 today

No additional doses needed

It has been at least 8 weeks

since the first dose
It has not been 8 weeks since
the first dose

Give dose 2 today

(Final Dose)

No additional doses needed

No dose today

Give dose 2 (Final Dose) at least 8 weeks after Dose 1

No dose today

No additional doses needed

It has been at least

8 weeks since Dose 2
It has not been

Give dose 3 today

(Final dose)
No dose today

Reference: Recommended immunization schedule for persons aged 0 through 18 years- United States, 2015.
http://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf

No additional doses needed

Give dose 3 (Final Dose) at least
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8 weeks since Dose 2

Dose 2 was given at

24 months of age or older
All 3 doses were given
before
12 months of age

8 weeks after Dose 2

No dose today

No additional doses needed

Give Dose 4 today

(Final Dose)

No additional doses needed

Reference: Recommended immunization schedule for persons aged 0 through 18 years- United States, 2015.
http://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf

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