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National Immunization Schedule
Age Vaccines given
Birth
Bacillus Calmette Guerin (BCG), Oral Polio Vaccine (OPV)-0 dose,
Hepatitis B birth dose
6 Weeks
OPV-1, Pentavalent-1, Rotavirus Vaccine (RVV)-1, Fractional dose of
Inactivated Polio Vaccine (fIPV)-1, Pneumococcal Conjugate Vaccine
(PCV) -1*
10 weeks OPV-2, Pentavalent-2, RVV-2
14 weeks OPV-3, Pentavalent-3, fIPV-2, RVV-3, PCV-2*
9-12 months Measles & Rubella (MR)-1, JE-1** , PCV-Booster*
16-24
months
MR-2, JE-2**, Diphtheria, Pertussis & Tetanus (DPT)-Booster-1, OPV –
Booster
5-6 years DPT-Booster-2
10 years Tetanus & adult Diphtheria (Td)
16 years Td
Pregnant
Mother
Td-1, Td-2 or Td-Booster***
* PCV in selected states/districts: Bihar, Himachal Pradesh, Madhya Pradesh, Uttar Pradesh
(selected districts) and Rajasthan; in Haryana as state initiative
** JE in endemic districts only
*** One dose if previously vaccinated within 3 years
National Immunization Schedule (NIS) for Infants, Children and Pregnant
Women (Vaccine-wise)
Vaccine When to give Dose Route Site
For Pregnant Women
Tetanus & adult
Diphtheria (Td)-
1
Early in
pregnancy
0.5 ml Intra-muscular Upper Arm
Td-2 4 weeks after Td-
1
0.5 ml Intra-muscular Upper Arm
Td- Booster If received 2
TT/Td doses in a
pregnancy within
the last 3 years*
0.5 ml Intra-muscular Upper Arm
For Infants
Bacillus Calmette
Guerin (BCG)
At birth or as
early as possible
till one year of
age
0.1ml
(0.05ml until
1 month age)
Intra-dermal Left Upper Arm
Hepatitis B -
Birth dose
At birth or as
early as possible
within 24 hours
0.5 ml Intra-muscular Antero-lateral
side of mid-
thigh
Oral Polio
Vaccine (OPV)-0
At birth or as
early as possible
within the first 15
days
2 drops Oral Oral
OPV 1, 2 & 3 At 6 weeks, 10
weeks & 14
weeks
(OPV can be
given till 5 years
of age)
2 drops Oral Oral
Pentavalent
1, 2 & 3
At 6 weeks, 10
weeks & 14
weeks
(can be given till
one year of age)
0.5 ml Intra-muscular Antero-lateral
side of mid-
thigh
Pneumococcal
Conjugate
Vaccine(PCV)
Two primary
doses at 6 and 14
weeks followed
by Booster dose
at 9-12 months
0.5 ml Intra-muscular Antero-lateral
side of mid-
thigh
Rotavirus (RVV) At 6 weeks, 10
weeks & 14
weeks
(can be given till
one year of age)
5 drops
(liquid
vaccine)
2.5 ml
(lyophilized
vaccine)
Oral Oral
Inactivated Polio
Vaccine (IPV)
Two fractional
dose at 6 and 14
weeks of age
0.1 ml Intra dermal two
fractional dose
Intra-dermal:
Right upper arm
Measles Rubella
(MR) 1st
dose
9 completed
months-12
months.
(Measles can be
given till 5 years
of age)
0.5 ml Sub-cutaneous Right upper Arm
Vaccine When to give Dose Route Site
Japanese
Encephalitis (JE)
- 1
9 completed
months-12
months.
0.5 ml
Sub-cutaneous (Live
attenuated vaccine)
Intramuscular(Killed
vaccine)
Left upper Arm
(Live attenuated
vaccine)
Anterolateral
aspect of mid
thigh (Killed
vaccine)
Vitamin A
(1st
dose)
At 9 completed
months with
measles-Rubella
1 ml
( 1 lakh IU)
Oral Oral
For Children
Diphtheria,
Pertussis &
Tetanus (DPT)
booster-1
16-24 months 0.5 ml Intra-muscular Antero-lateral
side of mid-thigh
MR 2nd
dose 16-24 months 0.5 ml Sub-cutaneous Right upper Arm
OPV Booster 16-24 months 2 drops Oral Oral
JE-2 16-24 months 0.5 ml
Sub-cutaneous (Live
attenuated vaccine)
Intramuscular(Killed
vaccine)
Left upper Arm
(Live attenuated
vaccine)
Anterolateral
aspect of mid
thigh (Killed
vaccine)
Vitamin A
(2nd to 9th dose)
16-18 months.
Then one dose
every 6 months
up to the age of 5
years.
2 ml
(2 lakh IU)
Oral Oral
DPT Booster-2 5-6 years 0.5 ml. Intra-muscular Upper Arm
Td 10 years & 16
years
0.5 ml Intra-muscular Upper Arm
*One dose if previously vaccinated within 3 years
Note:
 JE Vaccine is introduced in select endemic districts after the campaign.
 The 2nd
to 9th
doses of Vitamin A can be administered to children 1-5 years old during
biannual rounds, in collaboration with ICDS.
 PCV in selected states/districts: Bihar, Himachal Pradesh, Madhya Pradesh, Rajasthan &
Uttar Pradesh (selected districts), and in Haryana as state initiative

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National_ Immunization_Schedule (1).pdf

  • 1. National Immunization Schedule Age Vaccines given Birth Bacillus Calmette Guerin (BCG), Oral Polio Vaccine (OPV)-0 dose, Hepatitis B birth dose 6 Weeks OPV-1, Pentavalent-1, Rotavirus Vaccine (RVV)-1, Fractional dose of Inactivated Polio Vaccine (fIPV)-1, Pneumococcal Conjugate Vaccine (PCV) -1* 10 weeks OPV-2, Pentavalent-2, RVV-2 14 weeks OPV-3, Pentavalent-3, fIPV-2, RVV-3, PCV-2* 9-12 months Measles & Rubella (MR)-1, JE-1** , PCV-Booster* 16-24 months MR-2, JE-2**, Diphtheria, Pertussis & Tetanus (DPT)-Booster-1, OPV – Booster 5-6 years DPT-Booster-2 10 years Tetanus & adult Diphtheria (Td) 16 years Td Pregnant Mother Td-1, Td-2 or Td-Booster*** * PCV in selected states/districts: Bihar, Himachal Pradesh, Madhya Pradesh, Uttar Pradesh (selected districts) and Rajasthan; in Haryana as state initiative ** JE in endemic districts only *** One dose if previously vaccinated within 3 years
  • 2. National Immunization Schedule (NIS) for Infants, Children and Pregnant Women (Vaccine-wise) Vaccine When to give Dose Route Site For Pregnant Women Tetanus & adult Diphtheria (Td)- 1 Early in pregnancy 0.5 ml Intra-muscular Upper Arm Td-2 4 weeks after Td- 1 0.5 ml Intra-muscular Upper Arm Td- Booster If received 2 TT/Td doses in a pregnancy within the last 3 years* 0.5 ml Intra-muscular Upper Arm For Infants Bacillus Calmette Guerin (BCG) At birth or as early as possible till one year of age 0.1ml (0.05ml until 1 month age) Intra-dermal Left Upper Arm Hepatitis B - Birth dose At birth or as early as possible within 24 hours 0.5 ml Intra-muscular Antero-lateral side of mid- thigh Oral Polio Vaccine (OPV)-0 At birth or as early as possible within the first 15 days 2 drops Oral Oral OPV 1, 2 & 3 At 6 weeks, 10 weeks & 14 weeks (OPV can be given till 5 years of age) 2 drops Oral Oral Pentavalent 1, 2 & 3 At 6 weeks, 10 weeks & 14 weeks (can be given till one year of age) 0.5 ml Intra-muscular Antero-lateral side of mid- thigh Pneumococcal Conjugate Vaccine(PCV) Two primary doses at 6 and 14 weeks followed by Booster dose at 9-12 months 0.5 ml Intra-muscular Antero-lateral side of mid- thigh Rotavirus (RVV) At 6 weeks, 10 weeks & 14 weeks (can be given till one year of age) 5 drops (liquid vaccine) 2.5 ml (lyophilized vaccine) Oral Oral Inactivated Polio Vaccine (IPV) Two fractional dose at 6 and 14 weeks of age 0.1 ml Intra dermal two fractional dose Intra-dermal: Right upper arm Measles Rubella (MR) 1st dose 9 completed months-12 months. (Measles can be given till 5 years of age) 0.5 ml Sub-cutaneous Right upper Arm
  • 3. Vaccine When to give Dose Route Site Japanese Encephalitis (JE) - 1 9 completed months-12 months. 0.5 ml Sub-cutaneous (Live attenuated vaccine) Intramuscular(Killed vaccine) Left upper Arm (Live attenuated vaccine) Anterolateral aspect of mid thigh (Killed vaccine) Vitamin A (1st dose) At 9 completed months with measles-Rubella 1 ml ( 1 lakh IU) Oral Oral For Children Diphtheria, Pertussis & Tetanus (DPT) booster-1 16-24 months 0.5 ml Intra-muscular Antero-lateral side of mid-thigh MR 2nd dose 16-24 months 0.5 ml Sub-cutaneous Right upper Arm OPV Booster 16-24 months 2 drops Oral Oral JE-2 16-24 months 0.5 ml Sub-cutaneous (Live attenuated vaccine) Intramuscular(Killed vaccine) Left upper Arm (Live attenuated vaccine) Anterolateral aspect of mid thigh (Killed vaccine) Vitamin A (2nd to 9th dose) 16-18 months. Then one dose every 6 months up to the age of 5 years. 2 ml (2 lakh IU) Oral Oral DPT Booster-2 5-6 years 0.5 ml. Intra-muscular Upper Arm Td 10 years & 16 years 0.5 ml Intra-muscular Upper Arm *One dose if previously vaccinated within 3 years Note:  JE Vaccine is introduced in select endemic districts after the campaign.  The 2nd to 9th doses of Vitamin A can be administered to children 1-5 years old during biannual rounds, in collaboration with ICDS.  PCV in selected states/districts: Bihar, Himachal Pradesh, Madhya Pradesh, Rajasthan & Uttar Pradesh (selected districts), and in Haryana as state initiative