Childhood vaccine schedule 2026, birth to 6 years

This is the routine schedule from the American Academy of Pediatrics (AAP) 2026 table. The schedule on cdc.gov is a different document; see where they differ.

At a glance: vaccines by age

One dot is a shot at one visit. A pill is a range of recommended ages, drawn once.

Birth1m2m4m6m8m9m12m15m18m19-23m2-3y4-6yRSV antibodyHepatitis BRotavirusDTaPHibPneumococcalPolioCOVID-19FluMMRChickenpoxHepatitis AMeningococcal ACWYRSV antibody, 1 dose during RSV season depending on maternal RSV vaccination status, routine for all children, Birth to 6 mosHepatitis B, 1st dose, routine for all children, BirthHepatitis B, 2nd dose, routine for all children, 1 mo to 2 mosMeningococcal ACWY, certain high-risk groups, 1 mo to 4-6 yrsRotavirus, 1st dose, routine for all children, 2 mosDTaP, 1st dose, routine for all children, 2 mosHib, 1st dose, routine for all children, 2 mosPneumococcal conjugate, 1st dose, routine for all children, 2 mosPolio (IPV), 1st dose, routine for all children, 2 mosRotavirus, 2nd dose, routine for all children, 4 mosDTaP, 2nd dose, routine for all children, 4 mosHib, 2nd dose, routine for all children, 4 mosPneumococcal conjugate, 2nd dose, routine for all children, 4 mosPolio (IPV), 2nd dose, routine for all children, 4 mosHepatitis B, 3rd dose, routine for all children, 6 mos to 18 mosRotavirus, routine for all children, 6 mosDTaP, 3rd dose, routine for all children, 6 mosHib, routine for all children, 6 mosPneumococcal conjugate, 3rd dose, routine for all children, 6 mosPolio (IPV), 3rd dose, routine for all children, 6 mos to 18 mosCOVID-19, 1 or more doses of 2026–2027 vaccine, routine for all children, 6 mos to 19-23 mosFlu, 1 or 2 doses annually, routine for all children, 6 mos to 4-6 yrsMMR, certain high-risk groups, 6 mos to 9 mosHepatitis A, certain high-risk groups, 6 mos to 9 mosRSV antibody, 1 dose nirsevimab during RSV season, certain high-risk groups, 8 mos to 18 mosHib, 3rd or 4th dose, routine for all children, 12 mos to 15 mosPneumococcal conjugate, 4th dose, routine for all children, 12 mos to 15 mosMMR, 1st dose, routine for all children, 12 mos to 15 mosChickenpox (varicella), 1st dose, routine for all children, 12 mos to 15 mosHepatitis A, 2-dose series, routine for all children, 12 mos to 19-23 mosDTaP, 4th dose, routine for all children, 15 mos to 18 mosDTaP, 5th dose, routine for all children, 4-6 yrsHib, certain high-risk groups, 4-6 yrsPneumococcal conjugate, certain high-risk groups, 4-6 yrsPolio (IPV), 4th dose, routine for all children, 4-6 yrsCOVID-19, 1 or more doses of 2026–2027 vaccine, certain high-risk groups, 2-3 yrs to 4-6 yrsCOVID-19, 1 or more doses of 2026–2027 vaccine, for those who desire protection, 2-3 yrs to 4-6 yrsMMR, 2nd dose, routine for all children, 4-6 yrsChickenpox (varicella), 2nd dose, routine for all children, 4-6 yrs
one visit window of recommended ages certain high-risk groups for those who desire protection

Visit by visit

A shot that can be given across several visits is listed once, at the first visit where it appears, with its range of recommended ages. Read the dose number in the line.

Birth

  • RSV antibody (nirsevimab or clesrovimab): 1 dose during RSV season depending on maternal RSV vaccination status (recommended ages: birth to 6 months) (see the AAP notes)
  • Hepatitis B: 1st dose

1 month

  • Hepatitis B: 2nd dose (recommended ages: 1 month to 2 months)

Also marked in the AAP table: Meningococcal ACWY (marked for certain high-risk groups or populations).

2 months

  • Rotavirus: 1st dose
  • DTaP (diphtheria, tetanus, whooping cough): 1st dose
  • Hib: 1st dose
  • Pneumococcal conjugate: 1st dose
  • Polio (IPV): 1st dose

4 months

  • Rotavirus: 2nd dose
  • DTaP (diphtheria, tetanus, whooping cough): 2nd dose
  • Hib: 2nd dose
  • Pneumococcal conjugate: 2nd dose
  • Polio (IPV): 2nd dose

6 months

  • Hepatitis B: 3rd dose (recommended ages: 6 months to 18 months)
  • Rotavirus: depends on the brand used; ask your child’s doctor
  • DTaP (diphtheria, tetanus, whooping cough): 3rd dose
  • Hib: depends on the brand used; ask your child’s doctor
  • Pneumococcal conjugate: 3rd dose
  • Polio (IPV): 3rd dose (recommended ages: 6 months to 18 months)
  • COVID-19: 1 or more doses of 2026-2027 vaccine (recommended ages: 6 months to 23 months) (see the AAP notes)
  • Flu (influenza): 1 or 2 doses annually (recommended ages: from 6 months, continuing past 6 years) (see the AAP notes)

Also marked in the AAP table: MMR (measles, mumps, rubella), Hepatitis A (marked for certain high-risk groups or populations).

12 months

  • Hib: 3rd or 4th dose (recommended ages: 12 months to 15 months) (see the AAP notes)
  • Pneumococcal conjugate: 4th dose (recommended ages: 12 months to 15 months)
  • MMR (measles, mumps, rubella): 1st dose (recommended ages: 12 months to 15 months)
  • Chickenpox (varicella): 1st dose (recommended ages: 12 months to 15 months)
  • Hepatitis A: 2-dose series (recommended ages: 12 months to 23 months) (see the AAP notes)

Also marked in the AAP table: RSV antibody (marked for certain high-risk groups or populations).

15 months

  • DTaP (diphtheria, tetanus, whooping cough): 4th dose (recommended ages: 15 months to 18 months)

18 months

No new shot starts at this visit. A shot listed earlier with a range of recommended ages may still fall inside its range.

4 to 6 years

  • DTaP (diphtheria, tetanus, whooping cough): 5th dose
  • Polio (IPV): 4th dose
  • MMR (measles, mumps, rubella): 2nd dose
  • Chickenpox (varicella): 2nd dose

Also marked in the AAP table: Hib, Pneumococcal conjugate, COVID-19 (marked for certain high-risk groups or populations); COVID-19 (recommended for those who want protection).

AgeVaccines listed
Birth
  • RSV antibody (nirsevimab or clesrovimab): 1 dose during RSV season depending on maternal RSV vaccination status (recommended ages: birth to 6 months) (see the AAP notes)
  • Hepatitis B: 1st dose
1 month
  • Hepatitis B: 2nd dose (recommended ages: 1 month to 2 months)

Also marked in the AAP table: Meningococcal ACWY (marked for certain high-risk groups or populations).
2 months
  • Rotavirus: 1st dose
  • DTaP (diphtheria, tetanus, whooping cough): 1st dose
  • Hib: 1st dose
  • Pneumococcal conjugate: 1st dose
  • Polio (IPV): 1st dose
4 months
  • Rotavirus: 2nd dose
  • DTaP (diphtheria, tetanus, whooping cough): 2nd dose
  • Hib: 2nd dose
  • Pneumococcal conjugate: 2nd dose
  • Polio (IPV): 2nd dose
6 months
  • Hepatitis B: 3rd dose (recommended ages: 6 months to 18 months)
  • Rotavirus: depends on the brand used; ask your child’s doctor
  • DTaP (diphtheria, tetanus, whooping cough): 3rd dose
  • Hib: depends on the brand used; ask your child’s doctor
  • Pneumococcal conjugate: 3rd dose
  • Polio (IPV): 3rd dose (recommended ages: 6 months to 18 months)
  • COVID-19: 1 or more doses of 2026-2027 vaccine (recommended ages: 6 months to 23 months) (see the AAP notes)
  • Flu (influenza): 1 or 2 doses annually (recommended ages: from 6 months, continuing past 6 years) (see the AAP notes)

Also marked in the AAP table: MMR (measles, mumps, rubella), Hepatitis A (marked for certain high-risk groups or populations).
12 months
  • Hib: 3rd or 4th dose (recommended ages: 12 months to 15 months) (see the AAP notes)
  • Pneumococcal conjugate: 4th dose (recommended ages: 12 months to 15 months)
  • MMR (measles, mumps, rubella): 1st dose (recommended ages: 12 months to 15 months)
  • Chickenpox (varicella): 1st dose (recommended ages: 12 months to 15 months)
  • Hepatitis A: 2-dose series (recommended ages: 12 months to 23 months) (see the AAP notes)

Also marked in the AAP table: RSV antibody (marked for certain high-risk groups or populations).
15 months
  • DTaP (diphtheria, tetanus, whooping cough): 4th dose (recommended ages: 15 months to 18 months)
18 months

No new shot starts at this visit. A shot listed earlier with a range of recommended ages may still fall inside its range.
4 to 6 years
  • DTaP (diphtheria, tetanus, whooping cough): 5th dose
  • Polio (IPV): 4th dose
  • MMR (measles, mumps, rubella): 2nd dose
  • Chickenpox (varicella): 2nd dose

Also marked in the AAP table: Hib, Pneumococcal conjugate, COVID-19 (marked for certain high-risk groups or populations); COVID-19 (recommended for those who want protection).

Where the cdc.gov schedule differs

The AAP and CDC schedules are not identical. This page marks two sourced differences. COVID-19: The AAP table marks it routine for all children aged 6 to 23 months; CDC’s page marks it shared clinical decision-making for children who are not moderately or severely immunocompromised. Source: cdc.gov schedule and notes. MenACWY: the minimum age for one brand, MenACWY-TT, for children at high risk (AAP: from 6 weeks; CDC’s page: 2 years and older). Other rows can differ too; see CDC and AAP schedules compared, row by row. Source: AAP schedule, revision log.

Source: AAP Immunization Schedule, 2026 (PDF), Table 1. Everything on this page was checked on or after 11 Nov 2026. Catch-up ranges and high-risk groups are in the AAP table and notes. Your child’s doctor sets the plan for your child. “CDC’s published schedule” means the one cdc.gov shows, dated 2 Jul 2025; a row is flagged only where a dated source names a difference.

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