Child immunization schedule and vaccine-prevented diseases

Learn more about the recommended vaccines and their schedule.

A health worker immunizes an infant against measles
UNICEF/2018/Noorani

Immunization is an important and effective health intervention for children. Over the course of history, it has helped keep millions of children protected against infectious and life-threatening diseases.

Vaccines have been so effective that some diseases that were once feared are now either eradicated or easily manageable. Yet, in the recent past many new diseases are emerging too. This makes immunization of a child even more important.

To have lifelong protection, children need to complete the required doses according to schedule from the time they are born until they are one year old. They also need to complete follow-up doses required at the age of 18 months, during school age, adults and during supplementary or catch-up vaccination campaigns announced by the Ministry of Health.

Childhood vaccines are provided by the Government for free in Puskesmas, Posyandu, and other health facilities. Below is the information you need to know about your child's immunization schedule.

For questions about immunization - including the recommended schedule in your region - please contact health workers at your nearest health centre.

Nationwide immunization schedule
UNICEF/2023

Certain districts have introduced Rota Virus vaccine, an additional Polio injection, and Japanese Encephalitis vaccination. Please contact your local health center for specific details in your region.

VaccineDoseRoute Protects againstSide effects 
AT BIRTH    
Hepatitis B birth doseSingle doseInjectionHepatitis B, liver cancer

Soreness, redness, or swelling in the arm where the shot was given.

(Source: see Pages 60, 61; Table 8 & 9)

1 MONTH    
Bacillus Calmette Guerin (BCG)Single doseInjectionTuberculosis

Soreness or discharge where the injection was given; fever; headache; swollen glands under the armpit in the arm where the injection was given.

(Source: see Page 132, Table 5.1)

Oral Polio Vaccine (OPV)-1First doseOralPolioNo common side effects. (Source: see Page 132, Table 5.1)
2 MONTHS    
DPT-HB-Hib 1First doseInjectionDiphtheria, pertussis (whooping cough), tetanus, hepatitis B, liver cancer, meningitis, pneumonia

Swelling, redness and pain may occur at the site where the injection is given.

Children may develop fever for a short time after immunization.

Symptoms may appear the day after vaccination and last between 1-3 days.

(Source:  see Page 132, Table 5.1)

Oral Polio Vaccine
(OPV)-2
Second doseOralPolio

No common side effects

(Source:  see Page 132, Table 5.1)

Pneumococcal Vaccine - 1First doseInjectionPneumonia, ear infection, sinus infection, meningitis, bacteremia (infection of the blood)Redness, swelling, pain, or tenderness where the shot is given, and fever, nausea, vomiting, loss of appetite, fussiness (irritability), feeling tired, sleeping disturbance. 
3 MONTHS    
DPT-HB-Hib 2Second doseInjectionDiphtheria, pertussis (whooping cough), tetanus, hepatitis B, liver cancer, meningitis, pneumonia

Swelling, redness and pain may occur at the site where the injection is given.

Children may develop fever for a short time after immunization.

Symptoms may appear the day after vaccination and last between 1-3 days.

(Source:  see Page 132, Table 5.1)

Oral Polio Vaccine (OPV)-3Third doseOralPolio

No common side effects.

(Source:  see Page 132, Table 5.1)

Pneumococcal Vaccine - 2Second doseInjectionPneumonia, ear infection, sinus infection, meningitis, bacteremia (infection of the blood)Redness, swelling, pain, or tenderness where the shot is given, and fever, nausea, vomiting, loss of appetite, fussiness (irritability), feeling tired, sleeping disturbance. 
4 MONTHS    
DPT-HB-Hib 3Third doseInjectionDiptheria, pertussis (whooping cough), tetanus, hepatitis B, liver cancer, meningitis, pneumonia

Swelling, redness and pain may occur at the site where the injection is given.

Children may develop fever for a short time after immunization.

Symptoms may appear the day after vaccination and last between 1-3 days.

(Source:  see Page 132, Table 5.1)

Oral Polio Vaccine (OPV)-4Last doseOralPolio

No common side effects.

(Source:  see Page 132, Table 5.1)

Inactivated Polio Vaccine (IPV)-1First
dose
InjectionPolioSoreness, fever
9 MONTHS    
Campak-RubelaFirst dose InjectionMeasles, Rubella

Pain, swelling, redness

(Source: see Pages 60, 61; Table 8 & 9)

Inactivated Polio Vaccine (IPV)-2Second
dose
InjectionPolioSoreness, fever
12 MONTHS    
Pneumococcal Vaccine - 3Last doseInjectionPneumonia, ear infection, sinus infection, meningitis, bacteremia (infection of the blood)Redness, swelling, pain, or tenderness where the shot is given, and fever, nausea, vomiting, loss of appetite, fussiness (irritability), feeling tired, sleeping disturbance. 
18 MONTHS    
Campak-RubelaSecond doseInjectionMeasles, rubella

 Pain, swelling, redness

(Source: see Pages 60, 61; Table 8 & 9)

DPT-HB-Hib 4Last doseInjectionDiptheria, pertussis (whooping cough), tetanus, hepatitis B, liver cancer, meningitis, pneumonia

Swelling, redness and pain may occur at the site where the injection is given.

Children may develop fever for a short time after immunization.

Symptoms may appear the day after vaccination and last between 1-3 days.

(Source:  see Page 132, Table 5.1)

GRADE 1    
Campak-RubelaLast doseInjection Measles, Rubella

 Pain, swelling, redness

(Source: see Pages 60, 61; Table 8 & 9)

DTSingle doseInjection Diptheria, TetanusSoreness or swelling, fever, irritation, tiredness, loss of appetite, vomiting
GRADE 2    
 TdFirst doseInjectionTetanus & adult DiptheriaPain, redness, or swelling where the shot was given, mild fever, headache, feeling tired, nausea, vomiting, diarrhea, stomach ache
GRADE 5    
TdLast doseInjectionTetanus & adult DiptheriaPain, redness, or swelling where the shot was given, mild fever, headache, feeling tired, nausea, vomiting, diarrhea, stomach ache

Vaccines are most effective when they are administered to children at the right age and with the recommended dosage as children are susceptible to certain diseases at certain ages. As an example, polio occurs most frequently in children below the age of 5 years. Because of this, polio vaccines are given to children of those ages to prevent harm caused by the disease. A child who isn't vaccinated or is not vaccinated on time remains unprotected and has increased chances of getting seriously ill.

>> Learn more about 7 consequences and risks of not getting your child routinely vaccinated

>> Learn further about myths and facts about immunization

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