National Immunization Schedule

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The Baby Immunization Schedule/Vaccination Chart in India under the Universal Immunisation Programme (UIP).

Recommended Baby Immunization Schedule
AGE VACCINES
Birth BCG Oral Polio Hepatitis B - - -
6–8 Weeks DTwP/DTaP (1st) HiB (1st) IPV (1st) Pneumococcal (1st) Rotavirus (1st) Hep B
10–12 Weeks DTwP/DTaP (2nd) HiB (2nd) IPV (2nd) Pneumococcal (2nd) Rotavirus (2nd) Hep B (+/-)
14–16 Weeks DTwP/DTaP (3rd) HiB (3rd) IPV (3rd) Pneumococcal (3rd) Rotavirus (3rd) Hep B (+/-)
6 Months Influenza Oral Polio Hepatitis B (+/-) IPV (+/-) if not given at 6 & 14 weeks - -
7 Months Influenza Typhoid Conjugate - (1st) - - - -
9 Months MMR OPV Meningococcal (Consider in high risk) - - -
12 Months Hepatitis A (1st) JE (Endemic areas) PCV Booster (If No JE vaccine) - - -
13 Months JE (Endemic areas) - - - - -
15 Months MMR Varicella - - - -
18 Months DTPw/DTaP Booster IPV OPV PCV booster (If not given at 12 months) - -
21-24 Months Hepatitis A (2nd) - - - - -
2 Years Meningococcal Influenza Booster - - - -
3 Years Typhoid Conjugate - 2nd (Booster) Influenza - - - -
5 Years DTPw/DTaP Polio (IPV/OPV) Influenza - - -
6 - 9 Years Annual Influenza Vaccine - - - - -
10 Years Tdap Influenza Cervical cancer vaccine - - -

Why is a Vaccination Schedule Important?

  • Protects children early: Babies and young children have developing immune systems, making them more vulnerable to infections.
  • Provides timely immunity: Vaccines are scheduled at specific ages for maximum effectiveness and long-term protection.
  • Prevents serious complications: Vaccination can reduce the risk of hospitalisation, disability, and life-threatening illnesses.
  • Helps protect the community: When more children are vaccinated, it also protects those who cannot be vaccinated due to medical reasons.
  • Keeps parents organised: A clear schedule helps parents track upcoming vaccines and avoid missed doses.

Staying up to date with your child’s immunisation schedule is one of the most effective ways to support their long-term health and well-being.

Why Vaccination is Important for Children

Protects Against Serious Diseases

Vaccination helps protect children from dangerous illnesses such as measles, polio, hepatitis, whooping cough, and meningitis. Some of these diseases can lead to severe complications, long-term health problems, or even become life-threatening. Vaccines offer a safe and effective way to reduce these risks and keep children protected from an early age.

Boosts Immunity

Vaccines help the immune system recognise and fight infections more effectively. They prepare the body to defend itself against harmful germs without causing the actual disease. This allows children to build strong immunity as they grow and lowers their chances of falling seriously ill.

Prevents Disease Spread (Herd Immunity)

When a majority of children in a community are vaccinated, it becomes more difficult for infectious diseases to spread from person to person. This helps protect newborns, elderly individuals, and people with weaker immune systems who may be more vulnerable to infections. Community-wide vaccination plays an important role in public health and safety.

Reduces Complications and Hospital Visits

Vaccinated children are less likely to develop severe infections that may require hospitalisation or intensive treatment. Preventing illness also means fewer medical emergencies, fewer missed school days, and less physical and emotional stress for families. Early protection can make a significant difference to a child’s overall health.

Helps Control or Eradicate Diseases

Vaccination has helped reduce the spread of many serious diseases across the world. Some illnesses that once affected millions of children are now rare because of routine immunisation programmes. Continued vaccination helps keep these diseases under control and prevents future outbreaks.

Supports Healthy Growth

Frequent illnesses can affect a child’s nutrition, energy levels, learning, and development. Vaccination helps children stay healthier, so they can grow, play, learn, and achieve important developmental milestones with fewer interruptions from illness.

Saves Healthcare Costs

Preventing disease through vaccination is often much more affordable than treating serious infections and their complications. Vaccines can help families avoid hospital bills, long-term medication costs, and repeated doctor visits. They also reduce the overall healthcare burden on families and communities.

Protects Future Generations

Vaccinating children today helps create a healthier future for the next generation. Widespread immunisation reduces the circulation of infectious diseases and lowers the risk of outbreaks in the years to come. It is one of the most effective ways to build long-term community protection.

What to Do Before & After Vaccination

Before Vaccination

Check the Baby’s Health

Before vaccination, make sure your baby is generally well and does not have a high fever or severe illness. Mild cold symptoms are usually not a concern, but it is always best to inform your doctor about any recent illness, allergies, or ongoing medications. This helps ensure the vaccination is given safely and at the right time.

Carry Vaccination Records

Always carry your child’s vaccination card or medical records to the appointment. This helps the doctor track previous vaccines, avoid missed or duplicate doses, and update the immunisation schedule accurately. Keeping records organised also makes future appointments easier to manage.

After Vaccination

Mild Fever is Normal

Some children may develop a mild fever, slight swelling at the injection site, fussiness, or tiredness after vaccination. These reactions are usually temporary and show that the body is building protection against the disease. Most symptoms improve within a day or two with rest, fluids, and proper care as advised by your doctor.

When to Consult a Doctor

Contact your doctor if your child develops a very high fever, persistent crying, difficulty breathing, severe swelling, unusual sleepiness, or any reaction that worries you. Although serious vaccine reactions are rare, medical attention may be needed in some situations. Always follow your doctor’s guidance if symptoms seem severe or do not improve.

What to Do If You Miss a Vaccine?

Missing a vaccine dose usually does not mean your child has to restart the entire vaccination schedule. In most cases, the schedule can continue from where it was left off. The important thing is to catch up as early as possible so your child stays protected against preventable diseases.

If you are wondering, “What happens if my child misses a vaccine?” or “Can missed vaccines be given later?” — the answer is yes, many vaccines can still be given safely through a catch-up vaccination schedule recommended by your doctor.

What Should Parents Do Next?

  • Do not panic or delay further: Missing one dose is common and can often be corrected easily.
  • Consult your paediatrician: Your doctor can review your child’s vaccination history and recommend the next appropriate doses.
  • Carry your vaccination records: This helps identify which vaccines were missed and plan the catch-up schedule accurately.
  • Follow the updated schedule carefully: Timely catch-up doses help restore protection and keep your child’s immunisation on track.

Delaying vaccination can leave children vulnerable to infections that can otherwise be prevented. If you think your child has missed a vaccine, speak to your doctor at the earliest to understand the best next steps.

Common Side Effects of Vaccination

Mild fever

A mild fever after vaccination is common and usually short-lived. It is a normal sign that the body is building protection against the disease.

Pain or swelling at the injection site

Some children may experience mild pain, tenderness, or swelling at the injection site. These symptoms typically improve within a day or two.

Redness at the injection site

Mild redness around the injection area can occur after certain vaccines. This is usually temporary and settles on its own without treatment.

Fatigue or irritability

Children may seem more tired, cranky, or irritable than usual after vaccination. These reactions are generally mild and temporary.

Loss of appetite

Some babies and children may eat less than usual for a short period after vaccination. Appetite typically returns to normal within a day or two.

Mild rash (in some vaccines)

Certain vaccines may cause a mild rash a few days after vaccination. This is usually harmless and fades without complications.

Temporary fussiness or sleepiness

It is normal for some children to become fussier or sleep more than usual after receiving a vaccine. Extra rest and comfort can help them feel better.

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Baby Immunization Schedule 2026: Age-Wise Vaccination Chart