| Vaccine type |
Age,
Number of doses |
Route and dose |
Minimum dosing interval (months) |
Notes |
Ìý
(DTPa, dTpa) : 3-dose primary at 2,4,6 months, booster doses at 18 months, 4 years, 12-13 years.ÌýPregnant women - single dose dTpa each pregnancy.Ìý
|
<4 years
4 or 5 doses DTPa
|
IMÌý
0.5 ml |
1,1*,6** |
3 dose primary series then **4th dose at 18 months of age or 6 months after primary course. If 4 doses DTP given before age 18 months, give a 5th dose at 4 years, reflecting the NIP. If the 4th dose is given after the child is 3.5 years the 5th dose isÌýnotÌýrequired, and in this case the next dose is the early adolescent booster. Hexavalent vaccine (DTPa-IPV-Hib-HepB) available all jurisdictions. *Use of hexavalent vaccine in catch-up requires attention to intervals for hepatitis B vaccination (2 months between doses 2 and 3ÌýandÌý4 months between dose 1 and 3). |
4-9 yearsÌý
4 doses DTPa |
IM
0.5 ml |
1,1*,6** |
3 doses for primary series then **4th dose 6 months after primary course. Hexavalent vaccine as above. |
10 years and olderÌý
3 doses (dTpa) |
IMÌý
0.5 ml |
1,1 |
Up to 3 doses of dTpa may be used (previously dTpa, dT, dT). dTpa is available combined with IPV (dTpa-IPV).Ìý
dTpa recommended for pregnant women 20-32 weeks gestation in every pregnancy (can be given any time up to delivery). Tetanus and diphtheria (as dTPa) recommended in adults 50 years and older if last dose more than 10 years ago, dTpa booster recommended in adults 65 years and older if last dose more than 10 years ago. Adults (any age) wanting to reduce their risk of pertussis should have pertussis-containing vaccine. |
(MMR)
(LAV) : 2 doses at 12 months (as MMR) and 18 months (as MMR-V). |
<10 years
2 doses
|
IM or SC*Ìý
0.5 ml |
1 |
2ndÌýdose due at 3.5–4 years if
<3.5 years at first dose.
MMR (*given IM) is now available combined with Varicella Vaccine (VV) as MMR-V (*given SC) – although MMR-V is not recommended as the first dose of MMR containing vaccine in children
<4 years, due to increased risk of fever/febrile convulsions in this setting.
Changes in 2019 lowered the recommended age at which infants can receive MMR in special circumstances - from 9 months to 6 months. Infants 6 months and older can receive MMR as post-exposure prophylaxis, or during outbreaks (or for travel to endemic areas).Ìý |
10 years and older (born 1966/later)Ìý
2 doses |
IM or SC*Ìý
0.5 ml |
1 |
MMR-VÌý(*given SC)Ìýcan be given as the first dose in children 4 years and older (followed by MMR alone), but is not recommended in those aged 14 years and older.Ìý Note: MMR given as part of offshore medical examinations for humanitarian arrivals aged 9 months - 54 years (from 2016). Consider timing in relation to live viral vaccines and TB screening.ÌýWomen of childbearing age who are seronegative for rubella should receive rubella-containing vaccine (MMR contraindicated during pregnancy). |
Inactivated
Vaccine (IPV) : 4 doses at 2,4,6 months and 4 years. |
<4 years
4 doses*Ìý Ìý Ìý Ìý Ìý
4 years and olderÌý
3 dosesÌý |
Varies** 0.5 ml |
1,1, varies*
1,1 |
*4th dose required if aged
<4 years for primary course. If 3rd dose given at <3.5 years give 4th dose at 4 years. Different combination vaccines available, including hexavalent vaccines and dTpa-IPV.
**IPV in combination vaccines given IM, IPV alone given SC. Note: OPV and IPV are considered interchangeable.Ìý Note: Polio vaccination (IPV or OPV) also given as part of offshore medical examinations for humanitarian arrivals (from 2016). Also consider OPV in relation to other live vaccines or TB screening. |
: 4 doses at birth, 2,4,6 months. |
<11 years
3 doses
|
IMÌý
0.5 ml |
1,2** |
Combination vaccines are available, *minimal intervals: 1 month between dose 1 and 2; 2 months between doses 2 and 3 andÌý4 months between dose 1 and 3. |
11-15 years
2 doses (adult formulation) |
IMÌý
1 ml |
4 |
Alternate regimen is 3 doses paediatric formulation (0.5 ml) as above. |
16 years and olderÌý
3 doses* |
IMÌý
varies** |
1,2** |
*Age 16–19 years 3 doses paediatric formulation (0.5 ml), 20 years and older 3 doses adult formulation (1 ml).ÌýDosing intervals as above. |
Meninogoccal ACWY : single dose at 12 months, also funded for single dose at 14-16 years (year 10 equivalent). Meningococcal B : funded for risk groups only. |
MenACWY Ìý Ìý ÌýÌý Any*Ìý
1 or 2 doses**Ìý |
IMÌý
0.5 ml ÌýÌý |
Ìý(2)** |
*MenACWY givenÌýat age 12 months, and year 10 equivalent (14-16 years). Disease has bimodal peaks in incidence (<5 years and 15–24 years). Catch-up dosing reflects routine dosing for age. MenACWY also recommended for any person who wants to reduce their risk of meningococcal disease. Consider providing MenACWY if previous vaccination was MenC.Ìý** age 2 years and older one doseÌýNimenrix/Menveo/Menquadfi, . Additional doses MenACWY recommended in Ìý²¹²Ô»å conditions increasing risk of meningococcal disease. |
|
MenB - not included in catch-up
|
IMÌý Ìý Ìý 0.5 ml |
Ìý 2 or 6* |
MenB recommended for <2 years of age, adolescents 15-19 years and any person from 6 weeks of age who wants to reduce their risk of meningococcal disease. *Bexsero = 2 doses, 8 weeks apart (12 months and older) (*3 doses in infants 6 weeks - 11 months see ); or Trumenba = 2 doses, 6 months apart (10 years and older). No preference for type if age 10 years and older, vaccines are not interchangeable.ÌýAdditional
doses MenB vaccine recommended in Ìý²¹²Ô»å conditions increasing risk of meningococcal disease.Ìý |
influenzae
type b (Hib) : 4 doses at 2,4,6,18 months. |
2-17 monthsÌý
1-3 doses then booster*Ìý
18-59 monthsÌý
1 doseÌý |
IMÌý
0.5 ml |
1 or 2*Ìý
varies*Ìý2 Ìý |
Required in children
<5 years of age. Not required 5 years and older, unless special circumstances, including
,ÌýÌýbut may be given as part of combination vaccines. Children
<10 years generally receive multiple doses of Hib through the use of combination vaccines (e.g. hexavalent).Ìý
Refer to – <7 months – 3 doses then booster at 18 months, 7–11 months 2 doses then booster at 18 months, 12–17 months 1 dose then booster at 18 months or 2 months after last dose (whichever is later). If a child has received PRP-OMP Hib vaccine for the first 2 doses, they do not require 3rd dose, but should still have a booster at 18 months. |
|
: Children - 20vPCV - 3 doses at 2,4,12 months, then single dose at 70 years and older. Additional dosing for specified medical risk conditions. : Adults - either 13vPCV, 15vPCV or 20vPCV, currently under review. Additional doses of 23vPPV for specified medical risk conditions |
<12 months
3 doses* Ìý Ìý Ìý Ìý Ìý ÌýÌý
12–59 monthsÌý
1 dose 70 years Ìý Ìý Ìý Ìý Ìý Ìý Ìý 1 dose |
IM Ìý ÌýÌý 0.5 ml |
VariesÌý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý
– –
Ìý
|
Required in all children
<5 years of age, and 5 years and older if . If , give booster dose at 12 months. Children who started the recommended schedule with other PCV (7,10,13,15 valent) can complete with 20vPCV. Also recommended for adults 70 years and older. Catch-up for children with medical risk factors:
– 4 doses 20vPCV, Ìý- 2 doses, - single dose 20vPCV. , children should receive their last dose age 12 months and older, and minimum 2 months after previous PCV. Ìý(previously vaccinated for pneumococcal disease) are recommended to have a single dose of 20vPCV (minimum 2 months after previous PCV andÌý12 months after 23vPPV). Otherwise, dosing interval is 1 month for <12 months age or 2 months for 12 months of age and older.Ìý
People with require extra doses of pneumococcal vaccine, not given during pregnancy. For adults 18 years and older with medical risk factors: dosing is 1 dose of (any) conjugate vaccine, then 1 dose 23vPPV minimum 2 months later and 2nd dose of 23vPPV after 5 years. |
(VV)
(LAV) : single dose at 18 months. |
18 months –
13 yearsÌý
1 doseÌý
14 years and older*Ìý
2 doses |
SCÌý
0.5 ml |
– Ìý
1Ìý |
All children
<14 years should have at least one dose of VV (and preferably two doses of VV), usually given as either VV or MMR-V. Prior varicella infection isÌýnotÌýa contraindication. If varicella containing vaccine is given
<12 months of age, the dose should be repeated at 18 months.ÌýMMR-V not recommended as the first dose of MMR containing vaccine in children <4 years, due to risk of fever/febrile convulsions, and is not recommended age 14 years and older.
*VV recommended in non-immune adolescents/adults 14 yearsÌý²¹²Ô»å older (no clinical history and negative serology). People 14 years and older with a reliable history of varicella should be considered immune; check serology if no clinical history of varicella infection. |
Ìý(LAV) : 2 doses 65 years and older, also funded 18 years and older with moderate/severe immunocompromise. |
50 years and older* 2 doses** |
SCÌý
0.5 ml |
Varies with immune status |
*Recommended all people 50 years and older, funded age 65 years and older and 18 years and older if special risk. Shingrix registered age 18 years and older, **2 doses, 2-6 months apart immunocompetent, 1-2 months immunocompromised. Exclude , and check
. |
(HPV) : single dose at 12-13 years. |
9-25 years (suggestÌý12-25y) Ìý 1 dose* |
IMÌý
0.5 ml |
|
*Changed to single dose regimen Feb 2023 for immune competent people aged 9-25 years (reducing lower age and raising upper age for catch-up from 19 years), included at 12-13 years in NIP. Also recommended in (any age - consider past/future exposure, funded to 25y), not recommended adults 26 years and older otherwise. Recommended for immunocompromised (suggest 9 years and older) - 3-dose schedule, 0,2,6 months (also noting licensing below).Ìý See .
From Feb 2023 - 9-valent HPV funded 9-25 years inclusive. HPV vaccines not recommended during pregnancy, can be given during breastfeeding. Licensed for females age 9–45 years and males 9–26 years. |
(seasonal and annual) : annual dose 6 months - <5 years, 2 doses in 1st year of administration age 6 months - 9 years. Annual dose 65 years and older, medical risk factors (all ages) and occupational groups. Also funded forÌý pregnant women. |
<9 years
1 or 2 doses*
9 years and older 1 dose
|
IM (dose varies) |
1 Ìý
– |
Recommended annually for all people 6 months and older, including pregnant women. Victorian funding reflects NIP.
Dose and formulation vary with age and formulation – 0.5 ml age 6 months and older (Flucelvax Quad, FluQuadri, Influvac tetra, Vaxigrip Tetra), 0.5 ml 5 years and older (previous and also Afluria Quad). Different formulations funded for adults 60 years and older (Fluzone high dose quadrivalent 60y+ and Fluad Quad 0.5 ml 65y+). *If aged
<9 years at the time of first administration – 2 doses minimum 1 month apart. Check Ìý²¹²Ô»å
. |
Ìý(RSV) : pregnant women, 28-36 weeks | Pregnant women Adults 60 years and older* | ÌýIM | Ìý1 | Single dose recommended for all pregnant women (28-36 weeks gestation) to protect their infants (only Abrysvo registered for this use). See for recommendations on use of monoclonal antibodies in infants. Single dose recommended for all people 75 years and older, and people 60 years and older with medical risk factors for severe RSV. Consider in adults 60-74 years. |
: not included
6 months - 4 years: (3mcg dose) either JN.1 yellow cap or Omicron XBB.1.5 maroon capÌý 5 -11 years (10mcg dose) either JN.1 or Omicron XBB.1.5 - both light blue capÌý 12 years and olderÌý(30mcg dose) either JN.1 grey cap or Omicron XBB.1.5 dark grey cap.Ìý
|
6 months - 4 years with risk factors* 5-17 years with risk factors**
18 years and older - see notes |
IM (dose varies) |
8 weeks
|
*6 months - 4 yearsÌýgeneral - not recommended;Ìý consider 2 or 3 doses;Ìý consider 2 doses.ÌýNo booster doses. **5-17 yearsÌýgeneral -Ìýnot recommended;ÌýÌýconsider 1-2 doses, consider boosters every 12 months; Ìýconsider 1-2 doses, consider boosters every 12 months.Ìý
18-64 yearsÌý1 dose primary course, consider booster every 12 months, vaccine can be given during pregnancy or breastfeeding, unvaccinated pregnant women recommended to have a primary dose;Ìý* 2 primary doses, consider 3rd dose, recommend booster every 12 months, consider every 6 months; 1 dose primary, consider booster every 12 monthsÌý 65-74 years 1 dose primary course, recommend booster every 12 months, consider every 6 months; Ìý- 2 primary doses, consider 3rd dose, recommend booster every 12 months, consider every 6 months;ÌýÌý- 1 dose primary course, recommend booster every 12 months, consider every 6 months 75 years and olderÌý1 dose primary course, recommend booster every 6 months;ÌýÌý- 2 primary doses, consider 3rd dose, recommend booster every 6 months;ÌýÌý-Ìý1 dose primary course, recommend booster every 6 months |
(LAV) : 2 doses at 2 and 4 months |
<6 months,
2 doses*
|
OralÌý Ìý Ìý Ìý1.5 ml |
1 |
Not usually given
as catch-up due to strict age restrictions. Rotarix (1.5 ml): 1st dose must be given
<15 weeks, 2nd dose must be given <25 weeks. Ìý |
(BCG)
(LAV) Ìý: not included. |
<5 years with risk factor*,
1 doseÌýÌý
|
ID,Ìý
varies** |
Ìý – |
Recommended:Ìý i) children
<5 years travelling to high prevalence countries (>40 cases per 100,000 population per year - see ) based on individual risk assessment. BCG should be given at least 3 months prior to travel (also consider cumulative travel); ii) neonates with family history of leprosy. Ìý
Consider: children <5 years in households with immigrants/unscreened visitors from high prevalence countries. Only give if no record/scar, no immunosuppression,Ìýno evidence TB infection (requires TST if previous travel, usually no TST if age
<2 years and no travel) and no other contraindications. **Dose is 0.05ml age <12 months, 0.1ml 12 months and older. Only available through RCH and Monash currently. |