National Immunization Schedule
Vaccines given age wise
- Birth
Bacillus Calmette Guerin (BCG), Oral Polio Vaccine (OPV)-0 dose,
Hepatitis B birth dose
- 6 Weeks
OPV-1, Pentavalent-1, Rotavirus Vaccine (RVV)-1, Fractional dose of
Inactivated Polio Vaccine (fIPV)-1, Pneumococcal Conjugate Vaccine
(PCV) -1*
- 10 weeks
OPV-2, Pentavalent-2, RVV-2 - 14 weeks
OPV-3, Pentavalent-3, fIPV-2, RVV-3, PCV-2* - 9-12 months
Measles & Rubella (MR)-1, JE-1** , PCV-Booster* - 16-24 months
MR-2, JE-2**, Diphtheria, Pertussis & Tetanus (DPT)-Booster-1, OPV – Booster - 5-6 years
DPT-Booster-2 - 10 years
Tetanus & adult Diphtheria (Td) - 16 years
Td - Pregnant Mother
Td-1, Td-2 or Td-Booster***
* PCV in selected states/districts: Bihar, Himachal Pradesh, Madhya Pradesh, Uttar Pradesh
(selected districts) and Rajasthan; in Haryana as state initiative
** JE in endemic districts only
*** One dose if previously vaccinated within 3 years
National Immunization Schedule (NIS) for Infants, Children and Pregnant Women (Vaccine-wise)
| Vaccine | When to give | Dose | Route | Site |
| For Pregnant Women | ||||
| Tetanus & adult Diphtheria (Td)- 1 | Early in pregnancy | 0.5 ml | Intra-muscular | Upper Arm |
| Td-2 | 4 weeks after Td-
1 |
0.5 ml | Intra-muscular | Upper Arm |
| Td- Booster | If received 2 TT/Td doses in a pregnancy within
the last 3 years* |
0.5 ml | Intra-muscular | Upper Arm |
| For Infants | ||||
| Bacillus Calmette Guerin (BCG) | At birth or as early as possible
till one year of age |
0.1ml (0.05ml until 1 month age) | Intra-dermal | Left Upper Arm |
| Hepatitis B – Birth dose | At birth or as early as possible
within 24 hours |
0.5 ml | Intra-muscular | Antero-lateral side of mid-
thigh |
| Oral Polio Vaccine (OPV)-0 | At birth or as early as possible within the first 15
days |
2 drops | Oral | Oral |
| OPV 1, 2 & 3 | At 6 weeks, 10
weeks & 14 weeks (OPV can be given till 5 years of age) |
2 drops | Oral | Oral |
| Pentavalent 1, 2 & 3 | At 6 weeks, 10
weeks & 14 weeks (can be given till one year of age) |
0.5 ml | Intra-muscular | Antero-lateral side of mid- thigh |
| Pneumococcal Conjugate Vaccine(PCV) | Two primary doses at 6 and 14 weeks followed
by Booster dose at 9-12 months |
0.5 ml | Intra-muscular | Antero-lateral side of mid- thigh |
| Rotavirus (RVV) | At 6 weeks, 10
weeks & 14 weeks (can be given till one year of age) |
5 drops (liquid vaccine)
2.5 ml (lyophilized vaccine) |
Oral | Oral |
| Inactivated Polio Vaccine (IPV) | Two fractional dose at 6 and 14
weeks of age |
0.1 ml | Intra dermal two fractional dose | Intra-dermal: Right upper arm |
| Measles Rubella (MR) 1st dose | 9 completed months-12 months. (Measles can be
given till 5 years of age) |
0.5 ml | Sub-cutaneous | Right upper Arm |
| Vaccine | When to give | Dose | Route | Site |
| Japanese Encephalitis (JE)
– 1 |
9 completed months-12 months. | 0.5 ml |
Sub-cutaneous (Live attenuated vaccine)
Intramuscular(Killed vaccine) |
Left upper Arm (Live attenuated vaccine)
Anterolateral aspect of mid thigh (Killed vaccine) |
| Vitamin A (1st dose) | At 9 completed months with measles-Rubella | 1 ml
( 1 lakh IU) |
Oral | Oral |
| For Children | ||||
| Diphtheria, Pertussis & Tetanus (DPT) booster-1 | 16-24 months | 0.5 ml | Intra-muscular | Antero-lateral side of mid-thigh |
| MR 2nd dose | 16-24 months | 0.5 ml | Sub-cutaneous | Right upper Arm |
| OPV Booster | 16-24 months | 2 drops | Oral | Oral |
| JE-2 | 16-24 months | 0.5 ml |
Sub-cutaneous (Live attenuated vaccine)
Intramuscular(Killed vaccine) |
Left upper Arm (Live attenuated vaccine)
Anterolateral aspect of mid thigh (Killed vaccine) |
| Vitamin A
(2nd to 9th dose) |
16-18 months. Then one dose every 6 months
up to the age of 5 years. |
2 ml
(2 lakh IU) |
Oral | Oral |
| DPT Booster-2 | 5-6 years | 0.5 ml. | Intra-muscular | Upper Arm |
| Td | 10 years & 16
years |
0.5 ml | Intra-muscular | Upper Arm |
*One dose if previously vaccinated within 3 years
Note:
- JE Vaccine is introduced in select endemic districts after the
- The 2nd to 9th doses of Vitamin A can be administered to children 1-5 years old during biannual rounds, in collaboration with ICDS.
- PCV in selected states/districts: Bihar, Himachal Pradesh, Madhya Pradesh, Rajasthan & Uttar Pradesh (selected districts), and in Haryana as state initiative
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