USMLE Step 2 CK Pediatrics 2021

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Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger,
Table 1 United States, 2020
These recommendations must be read with the notes that follow. For those who fall behind or start late, provide catch-up vaccination at the earliest opportunity as indicated by the green bars.
To determine minimum intervals between doses, see the catch-up schedule (Table 2). School entry and adolescent vaccine age groups are shaded in gray.

Vaccine Birth 1 mo 2 mos 4 mos 6 mos 9 mos 12 mos 15 mos 18 mos 19–23 mos 2–3 yrs 4–6 yrs 7–10 yrs 11–12 yrs 13–15 yrs 16 yrs 17–18 yrs

Hepatitis B (HepB) 1st dose 2nd dose ---------------------------- 3rd dose ----------------------------

Rotavirus (RV): RV1 (2-dose


1st dose 2nd dose See Notes
series), RV5 (3-dose series)
USMLE Step 2 CK
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Diphtheria, tetanus, acellular


1st dose 2nd dose 3rd dose ----- 4th dose ------ 5th dose
pertussis (DTaP <7 yrs)

Haemophilus influenzae type b 3rd or 4th dose,


1st dose 2nd dose See Notes --
(Hib) See Notes --
Pediatrics

Pneumococcal conjugate
1st dose 2nd dose 3rd dose ----- 4th dose -----
(PCV13)

Inactivated poliovirus
1st dose 2nd dose ---------------------------- 3rd dose ---------------------------- 4th dose
(IPV <18 yrs)

Influenza (IIV) Annual vaccination 1 or 2 doses Annual vaccination 1 dose only


or or

For more details and specific footnotes, go to cdc.gov/vaccines.


Annual vaccination
Influenza (LAIV) Annual vaccination 1 dose only
1 or 2 doses

Measles, mumps, rubella (MMR) See Notes ----- 1st dose ----- 2nd dose

Varicella (VAR) ----- 1st dose ----- 2nd dose

Hepatitis A (HepA) See Notes 2-dose series, See Notes

Tetanus, diphtheria, acellular


Tdap
pertussis (Tdap ≥7 yrs)

Human papillomavirus (HPV) See


* Notes

Meningococcal (MenACWY-D
See Notes 1st dose 2nd dose
≥9 mos, MenACWY-CRM ≥2 mos)

See Notes
Meningococcal B

Pneumococcal polysaccharide
See Notes
(PPSV23)

Range of recommended ages Range of recommended ages Range of recommended ages for Recommended based on shared clinical No recommendation/
 for all children  for catch-up immunization  certain high-risk groups  decision-making or  not applicable
*can be used in this age group

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