A lifetime.
Of protection.
Small moments of prevention.
More life ahead.
Find your place on the vaccine timeline. Turn your age and vaccine history into a clearer conversation about what comes next.
Know what to ask.
Bring the records to confirm.
This guide uses your answers to identify vaccines to discuss now, future age milestones, and records that need review. It does not verify immunity, validate past doses, or replace your clinician’s vaccine order.
Protection grows with you.
These routine milestones assume an on-time schedule. Missing doses, travel, pregnancy, and health conditions change what comes next.
A foundation of protection
Hepatitis B at birth; rotavirus, DTaP, Hib, pneumococcal, and polio series in infancy. Flu and COVID-19 review from 6 months. MMR, varicella, and hepatitis A begin at 12 months. Seasonal infant RSV antibody may apply.
Ready for the next chapter
Routine DTaP, polio, MMR, and varicella boosters. Continue yearly seasonal review and any needed catch-up.
Preteen & teen protection
HPV may start at 9. Tdap, HPV, and MenACWY at 11–12. MenACWY booster at 16. Discuss MenB at 16–23, preferably 16–18.
Keep protection current
Review missing childhood series, hepatitis B, Td/Tdap, seasonal vaccines, and risks. HPV catch-up through 26, with individual discussion at 27–45. Pregnancy and immune conditions add specific needs.
Add age-based protection
Shingrix and pneumococcal review from 50. RSV for qualifying increased risk at 50–74. At 65+, review enhanced flu products and the second seasonal COVID-19 dose.
Protect health & independence
A single adult RSV vaccine dose if not previously given. Continue seasonal review, tetanus boosters, and completion of indicated series; previous vaccine records still matter.
Your age. Your history.
Your next step.
Three simple steps to a more informed vaccine conversation.
A clearer next step.
One reference.
Every stage of life.
Routine, seasonal, travel, and specialized U.S. vaccine categories are included below. Not every vaccine belongs on every person’s schedule. RSV antibodies are listed separately because they are not vaccines.
Hepatitis B
routineBirth, 1–2 months, 6–18 months; catch-up through 18; adults 19–59, and 60+ with risk or seeking protection.
Usually a 3-dose childhood series. Adult series may use 2, 3, or 4 doses depending on product and circumstances. The infant final dose must meet minimum age and spacing requirements. Birth weight and maternal hepatitis B status can change immediate newborn care.
Rotavirus
routineInfancy only: 2 and 4 months, with a 6-month dose for some products.
Start no later than 14 weeks 6 days. No dose after 8 months 0 days. Product, actual date of birth, previous doses, severe combined immunodeficiency, and intussusception history matter. This oral live vaccine is not a general catch-up vaccine for older children.
DTaP
routine2, 4, 6, 15–18 months; 4–6 years.
Protects against diphtheria, tetanus, and pertussis in children under 7. Children who start late need an interval-based catch-up plan. Older children use a Tdap/Td pathway rather than routine DTaP.
Hib
routine2, 4, sometimes 6 months; booster at 12–15 months.
Dose count depends on product and age at the start of catch-up. Most healthy children 5+ and adults do not need routine Hib; asplenia or stem-cell transplantation can change this.
Pneumococcal
routine2, 4, 6, 12–15 months; adults 50+; selected younger patients with risk.
Children generally use PCV15 or PCV20. Adults with no previous conjugate vaccine may use PCV20 or PCV21 alone, or PCV15 followed by PPSV23, usually 1 year later. Prior PCV13/PPSV23 history, immune conditions, and age change the plan. PCV21 is not the routine pediatric product.
Polio (IPV)
routine2, 4, 6–18 months; 4–6 years. Catch-up for unvaccinated adults.
An unvaccinated adult usually receives 3 doses: first now, second in 1–2 months, third 6–12 months after dose 2. Fully vaccinated adults with increased exposure risk may need one lifetime IPV booster. Overseas oral-polio records need product/date review.
Influenza (flu)
seasonalEvery season from age 6 months.
Children 6 months through 8 years with fewer than 2 documented previous doses before the season’s cutoff, or unknown history, generally need 2 doses at least 4 weeks apart. Adults 65+ should ask about an enhanced age-appropriate product. Use a pregnancy-appropriate product.
CDC 2026–27 influenza guidance · AAP 2026–27 influenza guidance · AAFP 2026–27 adult respiratory guidance
COVID-19
seasonalReview the current-season vaccine from 6 months; pediatric recommendations differ.
CDC recommends 2026–27 vaccination for adults 18+ and immunocompromised children; other children 6 months–17 years use shared decision-making. AAP recommends vaccination for all 6–23-month-olds and specified groups at 2–18 years, and permits vaccination when desired. AAFP recommends updated vaccination for adults 19+, with a second seasonal dose 6 months later at 65+. Product, prior doses, immune status, FDA labeling, and coverage must be checked.
CDC 2026–27 COVID-19 guidance · AAP 2026–27 pediatric COVID-19 guidance · AAFP 2026–27 adult respiratory guidance
MMR
routine12–15 months and 4–6 years; adult catch-up if not immune.
Adults usually need 1 dose without evidence of immunity; some need 2, including international travelers, health care personnel, and postsecondary students. Birth before 1957 can count as presumptive immunity in many situations. Travel may require an early infant dose that does not replace the routine series. Live vaccine: do not give during pregnancy; immune status matters.
Varicella (chickenpox)
routine12–15 months and 4–6 years; catch-up if not immune.
Two doses are recommended without evidence of immunity. At 13+, doses are generally 4–8 weeks apart; younger children use different intervals. A clinician can confirm prior disease or other evidence of immunity. Live vaccine: do not give during pregnancy; immune status matters.
Hepatitis A
routineStart at 12–23 months; second dose at least 6 months later. Catch-up through 18.
Adults with risk factors or who request protection may be vaccinated. Common adult indications include travel, chronic liver disease, drug use, homelessness, and sexual exposure risk. Single-antigen products and combination hepatitis A/B products have different schedules.
Tdap / Td
routineTdap at 11–12 years; adult Td or Tdap boosters every 10 years after a complete primary series.
Adults who never received Tdap should receive a dose. An incomplete primary tetanus series needs a 3-dose catch-up plan, not just a 10-year booster. Tdap is recommended during each pregnancy at 27–36 weeks. Wound care may require an earlier booster and sometimes immune globulin; this planner does not manage wounds.
CDC DTaP / Tdap / Td guidance · CDC adult schedule notes · CDC pregnancy vaccine guidance
HPV
routineMay start at 9; routine at 11–12; catch-up through 26; individual discussion at 27–45.
Usually 2 doses 6–12 months apart when started before 15, and 3 doses when started at 15+ or with certain immune conditions. Doses given too close together can change the number needed. Defer during pregnancy. No routine recommendation after 45.
Meningococcal ACWY
routine11–12 years and booster at 16; earlier or additional doses for certain risks.
Risk-based indications include asplenia, complement problems or inhibitor therapy, HIV, certain travel, outbreaks, and some dormitory/military settings. A first dose given at 16+ can change the booster requirement. MenACWY does not replace MenB.
Meningococcal B
riskIndividual discussion at 16–23 (preferred 16–18); from 10 for selected high-risk conditions.
Healthy adolescents choosing vaccination usually receive 2 doses 6 months apart. High-risk or rapid-protection pathways can use 3 doses and may need boosters. Products are not freely interchangeable. MenABCWY combinations may be used when both types are indicated.
Shingles (Shingrix)
routine2 doses at 50+; from 19 with qualifying immune suppression.
Usually dose 2 at 2–6 months after dose 1; a shorter interval may be used for some immunocompromised patients. A delayed second dose does not require restarting. Prior shingles or the older Zostavax vaccine does not replace this series. Consider delaying until after pregnancy.
RSV vaccine — adults / pregnancy
riskOne dose at 75+; at 50–74 with increased risk. Maternal Abrysvo at 32–36 weeks, September–January.
Adult RSV vaccination is not annual. If previously vaccinated, another routine adult dose is not currently recommended. Maternal vaccination uses Abrysvo only; CDC does not currently recommend repeat maternal RSV vaccination in a later pregnancy. A child may instead receive an RSV antibody.
RSV antibody — infants
seasonalFirst RSV season under 8 months; selected high-risk children 8–19 months in their second season.
Nirsevimab or clesrovimab are antibodies, not vaccines. Most infants do not need both maternal vaccination and infant antibody protection. Maternal vaccine timing, infant age, season, and prior antibody matter. AAP expanded some second-season risk criteria for 2026–27; second-season protection uses nirsevimab.
Mpox / monkeypox (JYNNEOS)
riskFor specified exposure or sexual-network risks and certain occupational exposures.
Usually 2 doses 28 days apart. It is not a universal vaccine. A known exposure needs prompt advice; do not wait for this routine planner. Routine extra boosters are not generally recommended for people vaccinated during the outbreak, except selected occupational situations.
Rabies
travelBefore exposure for selected animal work or travel; urgent care after a possible exposure.
Pre-exposure vaccination commonly uses doses on days 0 and 7, with later titer or booster requirements based on risk. A bite, bat exposure, or other possible exposure requires prompt medical/public-health assessment even if previously vaccinated.
Typhoid
travelSelected destinations / exposure; arrange a pre-travel visit.
Injectable and oral products have different minimum ages, timing, contraindications, and repeat-dose schedules. Itinerary and previous product determine what is needed.
Yellow fever
travelSelected destinations and entry requirements.
A designated yellow-fever vaccination center reviews destination, age, immune status, pregnancy, and documentation requirements. Live vaccine; a dose is not automatically appropriate for every traveler.
Japanese encephalitis
travelSelected travel or residence in risk areas.
Need depends on location, season, duration, and outdoor exposure. A product-specific series is required; allow time before departure.
Cholera
travelSelected travel to areas of active cholera transmission.
Not routine for most travelers. Review age, destination, outbreak information, and timing with a travel clinician.
Tick-borne encephalitis
travelSelected travel with tick exposure in endemic parts of Europe or Asia.
This vaccine does not prevent Lyme disease. A multi-dose series and possible later booster depend on ongoing risk.
Chikungunya
travelSelected outbreak travel or extended residence in higher-risk areas.
CDC lists VIMKUNYA for eligible travelers 12+. Do not rely on older advice about IXCHIQ; its U.S. license was suspended and subsequently withdrawn. Use current CDC destination guidance.
Dengue
specialNarrow indication for certain 9–16-year-old residents of endemic U.S. areas with confirmed previous infection.
Not a routine travel vaccine. Eligibility requires laboratory evidence and local program review. Product supply/availability must be verified before planning any dose.
Other specialized vaccines
specialOccupational, military, laboratory, outbreak, or public-health programs.
Anthrax, smallpox/orthopoxvirus, Ebola, and adenovirus vaccines have specialized indications. BCG is not routinely recommended in the United States. A specialty or public-health team determines product, access, and schedule; these are not automatically recommended by age.
CDC current schedules · CDC travel vaccines · CDC vaccine information statements
Better records.
Better recommendations.
Late does not mean start over.
Many vaccine series can be continued after a delay. Exact previous dates and product names help your clinician work out which doses count and what remains.
Some situations need prompt care.
A possible rabies exposure, a significant wound, or a known vaccine-preventable infection exposure needs timely medical advice. This routine planner does not assess post-exposure treatment.
One visit can cover several needs.
Many vaccines can be given at the same visit. Live vaccine spacing, immune medicines, pregnancy, and recent blood products can affect timing. Your clinician reviews these before giving a dose.
Know what stands behind the guide.
This is an independently written NEWG education tool, not a CDC, AAP, or AAFP calculator or endorsement. Age-based rules use the organizations’ published guidance, and respiratory results use the available 2026–27 updates. Pediatric COVID-19 results surface AAP/AAFP recommendations with the CDC difference stated, rather than averaging the recommendations.
CDC identifies its currently operative schedule on its schedule website; that schedule’s publication year is not necessarily the present calendar year. AAP and AAFP have separate 2026 schedules. Clinical recommendations, FDA-approved uses, product availability, insurance coverage, and school requirements are different questions. This planner does not certify school or workplace compliance.
Limits: The tool does not validate individual dose intervals, calculate a full pediatric catch-up regimen, determine laboratory immunity, or assess every contraindication. It uses simplified risk flags; complex, travel, transplant, post-exposure, and mixed-product series require a clinician. Dates use calendar months for routine intervals and are displayed only when the needed history is supplied. It switches to review-only language for actionable recommendations when the assessment date is more than 90 days after review or before the review date.
Original guidance and patient information
- CDC current schedules
- AAFP 2026 schedules & updates
- AAP 2026 schedule
- CDC child schedule notes
- CDC catch-up schedule
- CDC adult schedule notes
- CDC 2026–27 influenza guidance
- AAP 2026–27 influenza guidance
- AAFP 2026–27 adult respiratory guidance
- CDC 2026–27 COVID-19 guidance
- AAP 2026–27 pediatric COVID-19 guidance
- CDC adult RSV guidance
- CDC infant RSV antibody guidance
- AAP 2026–27 RSV guidance
- CDC pregnancy vaccine guidance
- CDC maternal RSV guidance
- CDC hepatitis B vaccination
- CDC hepatitis A vaccination
- CDC DTaP / Tdap / Td guidance
- CDC rotavirus guidance
- CDC Hib guidance
- CDC pneumococcal guidance
- CDC polio guidance
- CDC measles / MMR guidance
- CDC varicella guidance
- CDC HPV guidance
- CDC meningococcal guidance
- CDC shingles guidance
- CDC mpox / monkeypox vaccine guidance
- CDC travel vaccines
- CDC travel vaccine timing
- CDC chikungunya vaccine guidance
- CDC rabies pre-exposure guidance
- CDC dengue vaccine guidance
- CDC vaccine information statements
Where to next?
Prepare for the journey.
Choose destinations and dates. Review the vaccines, medicines, and timing to discuss before you leave.
Ready for what’s ahead.
Travel preparation: CDC travel vaccines · CDC last-minute travelers · Find a travel clinic · Yellow fever vaccination centers
