Immunization schedule comparison

This Immunization table is based on a comparison of the National Immunization Schedule and the one recommended by the Indian Academy of Pediatrics. This table was done during my final year MBBS course. Feel this should help those students who just need a quick comparison between the two.

Age	National Immunization Schedule (NIS)	Indian Academy of Pediatrics (IAP)
Birth	BCG OPV 0 Hep-B 0	BCG OPV 0 Hep-B 1
6 weeks	DPT 1 OPV 1 Hep-B 1	DPT 1 IPV 1 Hep-B 2
		Hib 1 Rotavirus 1 PCV 1
10 weeks	DPT 2 OPV 2 Hep-B 2	DPT 2 IPV 2
		Hib 2 Rotavirus 2 PCV 2
14 weeks	DPT 3 OPV 3 Hep-B 3	DPT 3 IPV 3
		Hib 3 Rotavirus 3 PCV 3
IAP: 6 months		OPV 1 Hep-B 3
9 completed months to 12 months	Measles + Vitamin A (1 lakh IU)	OPV 2 Measles
12 months		Hep-A 1
15 months		MMR 1
		Varicella 1 PCV booster
NIS: 16 to 24 months IAP: 16 to 18 months	DPT B1 OPV B1	DPT B1 IPV B1
		Hib B1
18 months		Hep-A 2
2 years		Typhoid 1
NIS: 5 to 6 years IAP: 4 ½ to  5 years	DT	DPT B2 OPV 3 MMR 2
		Varicella 2 Typhoid 2
NIS: 10 and at 16 years IAP: 10 to 12 years	TT	Tdap/Td HPV

DPT: DTwP/ DTaP (w= whole cell, a = acellular)

NOTE:

·         Egg allergic: Do not give Influenza and Yellow fever

·         BCG: Saline, Catch up may be given up to 5 years

·         Measles: Distilled Water

·         Hepatitis B - Any of the following schedules

o   Birth, 1, & 6 months

o   Birth, 6 and 14 weeks

·         Rotavirus

o   The maximum age for the first dose in the series is 14 weeks, 6 days; and SHOULD end by 8 months, 0 days for the final dose in the series. 

o   Vaccination should not be initiated for infants aged 15 weeks, 0 days or older.

o   S/E: Intussusception

·         Typhoid - Only Vi-PS (polysaccharide) vaccine is recommended

·         Varicella - The risk of breakthrough is lower if given 15 months onwards.

·         Measles

o   Catch up vaccination beyond 12 months should be MMR

o   Measles vaccine can be administered to infants aged 6 through 11 months during outbreaks.  These children should be revaccinated with 2 doses of Measles containing vaccines,  the first at ages 12 through 15 months at least 4 weeks after the previous dose, the second at ages 4 through 6 years

Link for the Comparison

Immunization comparison