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PEDIATRICS Vol. 113 No. 1 January 2004, pp. 142-143

POLICY STATEMENT

Recommended Childhood and Adolescent Immunization Schedule—United States, January–June 2004

Committee on Infectious Diseases

Abbreviations: ACIP, Advisory Committee on Immunization Practices • VAERS, Vaccine Adverse Event Reporting System

The annual recommended childhood and adolescent immunization schedule of the American Academy of Pediatrics, the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention, and the American Academy of Family Physicians is issued for January to June 2004. A mid-year schedule will be released with any significant new recommendations.

In October 2003, the ACIP recommended universal influenza immunization of all children 6 through 23 months of age and routine influenza immunization of all household contact and out-of-home caregivers of children younger than 24 months. This change by the ACIP from encouraging immunization to recommending immunization currently is under consideration by the Centers for Disease Control and Prevention, American Academy of Family Physicians, and American Academy of Pediatrics for the 2004–2005 influenza season.

Changes in the 2004 schedule include specification of the following minimum ages for the final dose in the vaccine series: 1) diphtheria and tetanus toxoids and acellular pertussis (DTaP), 4 years of age; 2) Haemophilus influenzae type b (Hib) conjugate vaccine, 12 months of age; 3) pneumococcal conjugate vaccine, 12 months of age; and 4) hepatitis B (third or fourth dose), 24 weeks of age. The diphtheria and tetanus toxoids (Td) booster is now recommended to be given at 11 to 12 years of age as opposed to 11 to 18 years of age.

Live-attenuated influenza vaccine is an acceptable alternative to the intramuscular trivalent inactivated influenza vaccine for healthy persons 5 to 49 years old. Children 8 years of age who are receiving influenza vaccine for the first time should receive 2 doses separated by at least 6 weeks.

Clinically significant adverse events that follow immunization should be reported to the Vaccine Adverse Event Reporting System (VAERS). Guidance about how to obtain and complete a VAERS form can be obtained on the Internet at http://www.vaers.org or by calling 1-800-822-7967. Information on new vaccine releases, vaccine supplies, and statements on specific vaccines can be found at http://www.aap.org and http://www.cdc.gov/nip. Vaccine updates are available in the Red Book¹ or online at http://www.aapredbook.org.

	Committee on Infectious Diseases, 2003–2004

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 
Margaret B. Rennels, MD, Chairperson

Carol J. Baker, MD

Robert S. Baltimore, MD

Joseph A. Bocchini, Jr, MD

Penelope H. Dennehy, MD

Robert W. Frenck, Jr, MD

Caroline B. Hall, MD

Sarah S. Long, MD

Julia A. McMillan, MD

H. Cody Meissner, MD

Keith R. Powell, MD

Lorry G. Rubin, MD

Thomas N. Saari, MD

	Liaisons

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 
Jack Swanson, MD

Pediatric Practice Action Group

Joanne Embree, MD

Canadian Paediatric Society

Marc A. Fischer, MD

Centers for Disease Control and Prevention

Richard Clover, MD

American Academy of Family Physicians

Bruce Gellin, MD

Centers for Disease Control and Prevention

Mamodikoe Makhene, MD

National Institutes of Health

Walter A. Orenstein, MD

Centers for Disease Control and Prevention

Douglas R. Pratt

Food and Drug Administration

Jeffrey R. Starke, MD

American Thoracic Society

	Ex Officio

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 
Larry K. Pickering, MD

Red Book Editor

	Consultant

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 
Edgar O. Ledbetter, MD

	Staff

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 
Martha Cook, MS

	REFERENCES

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 

1. American Academy of Pediatrics, Committee on Infectious Diseases. In Pickering LK, Ed. Red Book: 2003 Report of the Committee on Infectious Diseases. 26th Ed. Elk Grove Village, IL: American Academy of Pediatrics; 2003. Available at: http://www.aapredbook.org

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PEDIATRICS (ISSN 1098-4275). ©2004 by the American Academy of Pediatrics

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The following policy statement is a revision:

Recommended Childhood and Adolescent Immunization Schedule--United States, July-December 2004

Pediatrics 113: 1448-1448. [Full Text]

The following policy statement has been revised:

Recommended Childhood and Adolescent Immunization Schedule--United States, 2003

Pediatrics 111: 212-216. [Full Text]

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This Article Extract Full Text (PDF) Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My File Cabinet Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Search for Related Content PubMed PubMed Citation Related Collections Infectious Disease & Immunity Related AAP Red Book topics: Pertussis (Whooping Cough) Influenza Hepatitis B Haemophilus influenzae Infections Diphtheria Tetanus (Lockjaw) Social Bookmarking                         What's this?