This document provides immunization recommendations for children ages 7 through 18. It recommends vaccines to protect against 15 different diseases such as tetanus, diphtheria, pertussis, polio, measles, mumps, rubella, hepatitis A, hepatitis B, influenza, pneumococcal disease, human papillomavirus, meningococcal disease, and varicella. The recommendations include which vaccines children should receive at ages 7-10, 11-12, and 13-18, with footnotes providing additional details on timing, doses, and catch-up vaccination for children who missed previous doses.