Older children and teens need vaccines too!

PURPOSE

Guide for parents and caregivers to ensure their teen is up-to-date on recommended childhood vaccines.

Recommended Immunizations for Children 7–18 Years Old, United States, 2025

Download the Schedule

For Other Groups

Talk to your child’s health care provider for more guidance if:

  1. Your child has any medical condition that puts them at higher risk for infection or is pregnant.
  2. Your child misses any vaccine recommended for their age or for babies and young children.
Older children and teens need vaccines
Older children and teens need vaccines

What diseases do these vaccines protect against?

Vaccine-Preventable DiseaseDisease ComplicationsNumber of Vaccine Doses

HPV (Human papillomavirus)
Contagious viral infection spread by close skin-to-skin touching, including during sex

Genital warts and many types of cancers later in life, including cancers of the cervix, vagina, penis, anus, and throat2 or 3 doses

Tetanus (Lockjaw)*
Infection caused by bacterial spores found in soil and dust everywhere; spores enter the body through wounds or broken skin

Seizures, broken bones, difficulty breathing, death
1 dose at age 11-12 years
Additional doses if missed childhood doses

1 dose for dirty wounds

Diphtheria*
Contagious bacterial infection of the nose, throat, and sometimes lungs; spread through air and direct contact

Swelling of the heart muscle, heart failure, coma, paralysis, death
1 dose at age 11-12 years

Additional doses if missed childhood doses

Pertussis (Whooping Cough)*
Contagious bacterial infection of the lungs and airway; spread through air and direct contact

Infection of the lungs (pneumonia), death; especially dangerous for babies
1 dose at age 11-12 years
Additional doses if missed childhood doses

1 dose every pregnancy

Meningococcal**
Contagious bacterial infection of the lining of the brain and spinal cord or the bloodstream; spread through air and direct contact

Loss of arm or leg, deafness, seizures, death
2 doses

Additional doses may be needed depending on medical condition or vaccine used.

Influenza (Flu)
Contagious viral infection of the nose, throat, and sometimes lungs; spread through air and direct contact

Infection of the lungs (pneumonia), sinus and ear infections, worsening of underlying heart or lung conditions, death
1 dose each year

2 doses in some children aged 6 months through 8 years

COVID-19
Contagious viral infection of the nose, throat, or lungs; may feel like a cold or flu. Spread through air and direct contact

Infection of the lungs (pneumonia); blood clots; liver, heart or kidney damage; long COVID; death1 or more doses of the current COVID-19 vaccine depending on health status. For more information: www.cdc.gov/covidschedule

Mpox
Contagious viral infection spread through close, often skin-to-skin contact, including sex; causes a painful rash, fever, headache, tiredness, cough, runny nose, sore throat, swollen lymph nodes

Infected sores, brain swelling, infection of the lungs (pneumonia), eye infection, blindness, death2 doses

Dengue
Viral infection spread by bite from infected mosquito; causes, fever, headache, pain behind the eyes, rash, joint pain, body ache, nausea, loss of appetite, feeling tired, abdominal pain

Severe bleeding, seizures, shock, damage to the liver, heart, and lungs, death3 doses

*Tdap protects against tetanus, diphtheria, and pertussis

**Healthy adolescents: Meningococcal ACWY vaccine (2 doses); Meningococcal B vaccine (2 doses if needed).

This easy-to-read schedule is recommended by the Advisory Committee on Immunization Practices (ACIP) and approved by the Centers for Disease Control and Prevention (CDC), American Academy of Pediatrics (AAP), and American Academy of Family Physicians (AAFP).

 

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