Vaccination Schedule for Infants: Timing and Recommendations - Pediatrics

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Vaccination


Hello, doctor.
My baby is currently five months old.
I want to space out the vaccinations, so I plan to administer the DTaP (diphtheria, tetanus, and pertussis) and Hib (Haemophilus influenzae type b) vaccines at two and four months, and the PCV13 (pneumococcal conjugate vaccine) and oral rotavirus vaccine at three, five, and seven months.
However, I noticed that the guidelines state that the PCV13 and oral rotavirus vaccines should be completed by six months (except for the fourth dose of PCV13, which can be given after one year).
Can I give my baby the third doses of PCV13 and oral rotavirus vaccine at seven months old? Is this vaccination schedule acceptable? Thank you, doctor, for taking the time to respond.

Xiao Xiao, 20~29 year old female. Ask Date: 2008/09/20

Dr. Xiao Kaiwen reply Pediatrics


The oral rotavirus vaccine is not recommended for use due to insufficient safety data for infants older than eight months.
It is still acceptable to use at seven months of age, but it is advised to complete the vaccination by six months of age, as infants are more likely to be exposed to infections after six months due to increased interaction with the environment and longer exploration time on the ground.
There is no strict requirement for completing the primary series (the first three doses) of the seven-valent pneumococcal vaccine within six months; however, it is best to adhere to the schedule to avoid delays in vaccination that could lead to insufficient protection against infections.
In fact, the seven-valent pneumococcal vaccine and the oral rotavirus vaccine can be administered without a one-month interval; a two-week interval is sufficient.

Reply Date: 2008/09/20

More Info


When it comes to vaccination schedules for infants, it's crucial to adhere to the recommended timelines to ensure optimal protection against various diseases. In your case, your baby is currently five months old, and you are considering adjusting the vaccination schedule to space out the vaccines.
The standard vaccination schedule for infants typically includes several key vaccines during the first year of life. For instance, the hexavalent vaccine (which includes protection against diseases like Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b, and Hepatitis B) is usually administered at 2, 4, and 6 months of age. The seven-valent pneumococcal conjugate vaccine (PCV7) is also given at 2, 4, and 6 months, with a booster dose at 12-15 months. The oral rotavirus vaccine is typically administered at 2 and 4 months, with a third dose potentially needed depending on the specific vaccine used.

From your description, it seems you are planning to administer the hexavalent vaccine at 2 and 4 months, followed by the PCV7 and oral rotavirus vaccines at 3, 5, and 7 months. While it is understandable to want to space out vaccinations, it is important to follow the recommended schedule as closely as possible. The reason for this is that vaccines are designed to be given at specific intervals to ensure that the immune system can respond effectively and develop adequate immunity.

Regarding your specific question about administering the third doses of the PCV7 and oral rotavirus vaccines at seven months, it is generally recommended to complete the series by six months for optimal effectiveness. Delaying these vaccines until the seventh month could potentially leave your child vulnerable to infections that these vaccines are designed to prevent.
If you are concerned about the timing, it is best to consult with your pediatrician. They can provide personalized advice based on your child's health status and any other factors that may be relevant. Your pediatrician may also suggest alternative schedules if necessary, but they will prioritize ensuring that your child receives the full protection offered by these vaccines.

In addition to the timing of vaccinations, it's also important to monitor your child's health and development. After vaccinations, some infants may experience mild side effects such as fever, irritability, or soreness at the injection site. These reactions are typically short-lived and resolve on their own. However, if you notice any unusual symptoms or if your child seems excessively lethargic or unwell, it is important to seek medical advice.

In summary, while it is understandable to want to space out vaccinations, it is crucial to adhere to the recommended schedule to ensure your child receives the full benefit of the vaccines. Consult with your pediatrician for the best course of action tailored to your child's needs. Vaccination is a key component of preventive healthcare, and staying on schedule helps protect your child from serious illnesses.

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