Immunization Schedule For Children And Adolescents Aged 18 Years Or Younger Page 4

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Figure 3. Vaccines that might be indicated for children and adolescents aged 18 years or younger based on medical indications
HIV infection
CD4+ count
(cells/μL)
Immunocompromised
<15% of
≥15% of
Kidney failure, end-
CSF leaks/
Asplenia and persistent
Chronic
status (excluding HIV
total CD4
total CD4
stage renal disease, on
Heart disease,
cochlear
complement component
liver
VACCINE 
INDICATION  Pregnancy
infection)
cell count
cell count
hemodialysis
chronic lung disease
implants
deficiencies
disease
Diabetes
Hepatitis B
1
Rotavirus
2
SCID*
Diphtheria, tetanus, & acellular pertussis
3
(DTaP)
4
Haemophilus influenzae type b
5
Pneumococcal conjugate
6
Inactivated poliovirus
7
Influenza
Measles, mumps, rubella
8
9
Varicella
1 0
Hepatitis A
Meningococcal ACWY
1 1
1 2
Tetanus, diphtheria, & acellular pertussis
(Tdap)
Human papillomavirus
1 3
1 1
Meningococcal B
Pneumococcal polysaccharide
5
Vaccination is recommended,
Recommended for persons with
Vaccination according to the
and additional doses may be
an additional risk factor for which
No recommendation
Contraindicated
Precaution for vaccination
routine schedule recommended
necessary based on medical
the vaccine would be indicated
condition. See footnotes.
*Severe Combined Immunodeficiency
NOTE: The above recommendations must be read along with the footnotes of this schedule.

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