National Immunization Schedule in India; 2023
For pregnant women Early in pregnancy
| Vaccine | Dose | Route | Site |
|---|---|---|---|
| Td-1* | 0.5 mL | Intramuscular | Upper arm |
4 weeks after TT-1
| Vaccine | Dose | Route | Site |
|---|---|---|---|
| Td-2 | 0.5 mL | Intramuscular | Upper arm |
*If the pregnant woman has received two Td doses in a pregnancy within last 3 years, only one Td-booster is required during the present pregnancy
For infants At birth
| Vaccine | Dose | Route | Site | Note |
|---|---|---|---|---|
| BCG | 0.1 mL (0.05 mL for <1 month age) | Intradermal | Left upper arm | |
| 0-dose OPV | 2 drops | Oral | This dose is not counted | |
| Hep-B (birth dose) | 0.5 mL | Intramuscular | Anterolateral side of mid-thigh – LEFT | (k/a Birth dose) |
6 weeks
| Vaccine | Dose | Route | Site |
|---|---|---|---|
| Pentavalent-1 | 0.5 mL | Intramuscular | Anterolateral side of mid-thigh – LEFT |
| OPV-1 | 2 drops | Oral | |
| *Rotavirus Vaccine | 5 drops of Rotavac/2.5 ml of Rotasiil | Oral | |
| IPV,-1 | fractional dose (0.1ml) | INTRADERMAL | RIGHT side deltoid area |
| PCV - 1 | 0.5 ml | intramuscular | anterolateral aspect of mid-thigh RIGHT side |
10 weeks
| Vaccine | Dose | Route | Site |
|---|---|---|---|
| Pentavalent -2 | 0.5 mL | Intramuscular | Anterolateral side of mid-thigh – LEFT |
| OPV-2 | 2 drops | Oral | |
| *Rotavirus Vaccine | 5 drops of Rotavac/2.5 ml of Rotasiil | Oral |
14 weeks
| Vaccine | Dose | Route | Site |
|---|---|---|---|
| Pentavalent -3 | 0.5 mL | Intramuscular | Anterolateral side of mid-thigh – LEFT |
| OPV-3 | 2 drops | Oral | |
| IPV - 2 | 0.5 ml, fractional dose (0.1ml) | INTRADERMAL | RIGHT side deltoid area |
| Rotavirus Vaccine | 5 drops of Rotavac/2.5 ml of Rotasiil | Oral | |
| PCV - 2 | 0.5 ml | intramuscular | anterolateral aspect of mid-thigh RIGHT side |
9–12 months
| Vaccine | Dose | Route | Site | Note |
|---|---|---|---|---|
| MR | 0.5 mL | Subcutaneous | Right upper arm | |
| #Japanese Encephalitis (1st Dose) | 0.5 mL | Subcutaneous | Left upper arm | # In select endemic districts |
| PCV - B | 0.5 ml | intramuscular | anterolateral aspect of mid-thigh RIGHT side | |
| IPV, third dose | fractional dose (0.1ml) | INTRADERMAL | RIGHT side deltoid area | |
| Vitamin A first dose | 1 mL (100,000 IU) | Oral |
For children 16–24 months
| Vaccine | Dose | Route | Site | Note |
|---|---|---|---|---|
| DPT booster-1 | 0.5 mL | Intramuscular | Anterolateral side of mid-thigh – LEFT | |
| OPV booster | 2 drops | Oral | ||
| #Japanese encephalitis (second dose) | 0.5 mL | Subcutaneous | Left upper arm | # In select endemic districts |
| MR (second dose)/MMR* | 0.5 mL | Subcutaneous | Right upper arm | |
| Vitamin A-second dose | 2 mL (200,000 IU) | Oral |
#J.E. vaccine Given only in select states, district, and cities that are endemic for the disease
*MMR Presently given in Delhi, Goa, Sikkim, and Puducherry
Every 6 months till 5 years of age
| Vaccine | Dose | Route |
|---|---|---|
| Third to ninth dose of Vitamin A | 2 mL (200,000 IU) | Oral |
The 2nd to 9th doses of Vitamin A can be administered to children 1-5 years old during biannual rounds, in collaboration with ICDS.
5–6 years
| Vaccine | Dose | Route | Site |
|---|---|---|---|
| DPT Booster-2 | 0.5 mL | Intramuscular | Upper arm |
10 years
| Vaccine | Dose | Route | Site |
|---|---|---|---|
| Td | 0.5 mL | Intramuscular | Upper arm |
16 years
| Vaccine | Dose | Route | Site |
|---|---|---|---|
| Td | 0.5 mL | Intramuscular | Upper arm |
Reference:
GOI. Immunization Handbook for Medical Officers. New Delhi: Department of Health and Family Welfare; 2017
GOI, 2023. Official twitter account of Ministry of Health & Family Welfare, Government of India. MINISTRY OF HEALTH@MoHFW_INDIA available at: https://twitter.com/MoHFW_INDIA/status/1611235366903910406 accessed on: 28th January 2023
GOI, 2019. STRENGTHENING Td10 and Td16 Vaccine Implementation, Operational Guidelines and Strategic Plan. Immunization Division, MOHFW, New Delhi.
National Immunization Schedule in India; 2017
Rotavirus vaccine: ROTAVIRUS VACCINE - Rotavac
BACILLE CALMETTE GUERIN (BCG) VACCINE
IPV (INACTIVATED POLIOVIRUS VACCINE)
DT & TT Vaccines: DPT AND TT VACCINES
**Oral Polio Vaccines (OPV)**: Oral Polio Vaccines (OPV)
Measles Containing Vaccines (MCV)
JAPANESE ENCEPHALITIS (JE) VACCINE
Pneumococcal Conjugate Vaccine (PCV)