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Immunization Schedule for Children
Routine immunization typically begins in infancy at two months of age; but remember, it’s never too late to begin or complete an immunization series. Ask your doctor or call Peel Public Health at 905-799-7700, to discuss immunization needs.
Immunizations for Infants, Toddlers and Preschoolers
Immunizations for School-Aged Children
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Immunizations for Infants, Toddlers and Preschoolers
Required immunizations for daycare or preschool:
Diphtheria, Tetanus, Pertussis, Polio and Haemophilus Influenzae B vaccine (DTaP-IPV-Hib)
The DTaP-IPV-Hib vaccine is given at 2, 4, 6 and 18 months of age. Hib vaccine is not recommended for children 5 years of age or older.
Note: Polio vaccine can be IPV (injectable) or OPV (oral). Children with immunization records from other countries may have OPV recorded.
Measles/Mumps/Rubella (MMR)
The first dose of MMR must be given on or after the first birthday. Children are required to have two doses of MMR vaccine given at least 28 days apart. The second dose of MMR is routinely given in combination with the second recommended dose of varicella* (chicken pox). This vaccine is called MMRV and is given at 4 to 6 years of age (preferably prior to school entry) – see immunizations for school-aged children.
Children may be immunized with MMR and varicella as separate vaccines if there are existing medical reasons or if the child will be travelling outside Canada prior to his/her fourth birthday. Please consult your physician or contact Peel Public Health for more information.
*Please note that the varicella component of the MMRV falls under the recommended vaccines list below.
Recommended immunizations:
Influenza
All individuals, starting at 6 months of age, are eligible to receive this vaccine. Previously unvaccinated children 6 months to less than 9 years of age require two doses of influenza vaccine, given four weeks apart. Children under 9 years of age who have already received one or more doses of influenza vaccine in the past are recommended to receive one dose per season thereafter.
Meningococcal C (Men C)
Children 1 year of age should receive a single dose. Unimmunized persons remain eligible for a single dose of Men C if they were 1 year of age on or after September 2004; or born between 1986 and 1996.
Pneumococcal
The pneumococcal conjugate vaccine is available for infants and children and protects against 13 strains of pneumococcal bacteria. It is routinely given at 2 and 4 months with a booster dose at 12 months of age.
Rotavirus
Rotavirus ORAL vaccine is offered for infants 6-24 weeks of age. It is routinely given at 2 and 4 months of age. The first dose can be given as early as 6 weeks and as late as 20 weeks of age. Both doses must be completed by 24 weeks of age. A minimum of 4 weeks is required between doses.
Varicella (Chickenpox)
Varicella vaccine can be given as early as 12 months. Children born on or after January 1, 2000 can receive the recommended two doses for free. The second dose of varicella is routinely given as the combined MMRV vaccine at 4 to 6 years of age (preferably prior to school entry) – see immunizations for school-aged children.
Immunizations for School-Aged Children
Required immunizations:
Diptheria, Tetanus, Pertussis and Polio (DTaP-IPV)
The DTaP-IPV vaccine is routinely given at 4 to 6 years of age (4 to 6 year booster).
Note: Polio vaccine can be IPV (injectable) or OPV (oral). Children with immunization records from other countries may have OPV recorded.
Measles/Mumps/Rubella and Varicella (MMRV) Vaccine
Children are required to have two doses of MMR given at least 28 days apart. The second dose of MMR is routinely given in combination with the second recommended dose of varicella* (chicken pox). This combined vaccine is called MMRV and is given at 4 to 6 years of age (preferably prior to school entry).
Children 7 to 11 years of age who have not received any doses of MMR or varicella may receive two doses of MMRV.
*Please note that the varicella component of MMRV falls under the recommended vaccines list below.
Tetanus, Diphtheria and Acellular Pertussis (Tdap)
Students are required to have their adolescent tetanus and diphtheria booster given 10 years after the 4 to 6 year booster. It is recommended that all adolescents 14 to 16 years of age receive their adolescent booster as a single dose of Tdap, which includes additional protection against acellular pertussis.
Tdap plus IPV should be given separately to children 7 years of age and older who missed their 4 to 6 year booster dose of DTaP-IPV.
Recommended immunizations:
Hepatitis B (Hep B)
Hep B vaccine is offered in a two-dose schedule to students in grade 7 at school-based immunization clinics.
Human Papillomavirus (HPV)
HPV vaccine is offered in a three-dose schedule to female students in grade 8 at school-based immunization clinics.
Influenza
All individuals, starting at 6 months of age, are eligible to receive this vaccine. Previously unvaccinated children 6 months to less than 9 years of age require two doses of influenza vaccine, given four weeks apart. Children under 9 years of age who have already received one or more doses of influenza vaccine in the past are recommended to receive one dose per season thereafter.
Meningogcoccal ACYW-135 (Men ACYW-135)
Men ACYW-135 vaccine is offered to students in grade 7 at school-based immunization clinics. Only one dose is needed.
Varicella (Chickenpox)
Children born on or after January 1, 2000 can receive the recommended two doses for free. The second dose of varicella is routinely given as the combined MMRV vaccine at 4 to 6 years of age (preferably prior to school entry). Children who have already received two doses of the MMR vaccine and one dose of the varicella vaccine can receive a second dose of varicella.
Revised: Tuesday December 06 2011
