There is no contraindication to simultaneous administration of any vaccine (except cholera and

yellow fever)

TIMING OF LIVE AND INACTIVATED VACCINES NOT ADMINISTERED SIMULTANEOUSLY

Combination Minimum Interval

2 live injected vaccines 4 weeks

cholera and yellow fever 3 weeks

all others None

VACCINE NAME ROUTE SCHEDULE

1. TETANUS-DIPTHERIA TOXOID IM 3 doses; 0, 1,6-12 months; Booster every 10 years
2. HEPATITIS B IM 3 doses; 0,1,6 months; alternate: 4 doses 0,1,2,12 months
3. VARICELLA <13 years - 1dose; >13 years - 2 doses 0,1 month
Live attenuated vaccine
Subcutaneous
4. MMR 2 doses 0, 1 month
Live attenuated vaccine/
IM / Subcutaneous
5. PNEUMOCOCCAL VACCINE IM Single dose ; Revaccination may be given after 5 years
6. INFLUENZA VACCINE Given once every year preferably from February to June
IM
VACCINE TYPE/ TARGET INDIVIDUALS SCHEDULE PRECAUTIONS/ CONTRA-
ROUTE INDICATIONS

TYPHOID • Food handlers such Oral: for primary and Oral:

Oral: enteric- as dietary personnel booster, 1 capsule each
coated capsule, cooks, waiters, on day 0, day 2, day 4, 1 • Moderate or severe illness
live attenuated servers, dieticians, hr before a meal, with
• With vomiting or diarrhea
Ty21 nutritionists lukewarm or cold liquid
drink
• After alcohol intake
IntramuscularV • Microbiology lab
capsular technician Intramuscular:
• Antibiotic intake
polysaccharide
Ty 2 • Persons with for primary and booster
• Immunocompromised
intimate exposure to single 0.5 ml IM dose on
a documented S. the deltoid Parenteral:
Typhi carrier or
patient Booster every 2-3 • If with bleeding disorder
months
• Previous anaphylactic
reaction to vaccines or its
compromise