Spain: Recommended vaccinations
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  General recommendation
  Recommendation for specific groups only
  Catch-up (e.g. if previous doses missed)
 		 Vaccination not funded by the National Health system
 		 Mandatory vaccination
BirthWeeksMonthsYears
62461112153-456121314151819455960646569≥ 70
Coronavirus disease (COVID-19)1
COVID-194
COVID-19
RSV
RSV5
rotavirus infection
ROTA6
diphtheria
D
D
D
D
d
d7
d8
tetanus
TT
TT
TT
TT
TT
TT7
TT8
pertussis
acP9
acP9
acP9
acP10
acp11
poliomyelitis
IPV
IPV
IPV
IPV
Haemophilus influenzae type b infection
Hib
Hib
Hib
hepatitis B
HepB12
HepB
HepB
HepB
HepB13
HepB14
pneumococcal disease2
PCV15
PCV15
PCV15
PCV16
PCV
meningococcal disease3
MenB17
MenB - MenC17
MenB - MenC17
MCV418
MCV419
measles
MEAS
MEAS
MEAS20
mumps
MUMPS
MUMPS
MUMPS20
rubella
RUBE
RUBE
RUBE20
varicella
VAR
VAR
VAR21
human papillomavirus infection
HPV (F/M)22
HPV (F/M)22
HPV (F/M)23
influenza
LAIV/IIV3/cIIV3
LAIV/IIV3/cIIV324
IIV3/aIIV3/cIIV3/TIV-HD
herpes zoster
ZOS25
ZOS26

Version:


Footnotes:

  1. 2025-2026 recommendations available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/gripe_covid19/docs/recomendacionesVacunacionCovid19_2025_2006.pdf
  2. In individuals under 18 years of age with certain risk conditions, additional doses may be indicated. Further information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_GRinfantil.pdf
  3. MenB/MCV4 may be indicated in populations with certain risk conditions. Additional information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_GRadultos.pdf and https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_GRinfantil.pdf
  4. Vaccination is recommended to specific medical risk groups. One dose is also recommended to all pregnant women in any trimester of pregnancy. More information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/gripe_covid19/docs/recomendacionesVacunacionCovid19_2025_2006.pdf
  5. Vaccination recommeded to specific risk groups. More information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_GRadultos.pdf and https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/VRS/poblacionAdulta/docs/VRS_adulto_Actualizacion.pdf
  6. Additional information can be found at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/comoTrabajamos/docs/Rotavirus_Recomendaciones2024.pdf
  7. Repeat for pregnant women starting at week 27 of pregnancy (preferably at week 27 or 28). Catch-up vaccination is also offered to susceptible individuals in this age group. Additional information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_Todalavida.pdf
  8. One dose at around 65 years of age if primary course completed. For additional information on catch-up vaccinations prior to 65 years of age, refer to specific recommendations available at https://www.sanidad.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/comoTrabajamos/difteria-tetanos-tosferina.htm
  9. For more detail on review and recommendation for pertussis vaccination in Spain, please refer to https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/comoTrabajamos/difteria-tetanos-tosferina.htm
  10. For more detail on review and recommendation for pertussis vaccination in Spain, please refer to https://www.sanidad.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/comoTrabajamos/docs/TosFerina.pdf
  11. Repeat for pregnant women starting at week 27 of pregnancy (preferably at week 27 or 28). Additional information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_Todalavida.pdf
  12. Babies born to a mother infected with hepatitis B will be offered a first dose at birth, 2, 4 and 11 months of age and HB immunoglobulin at birth (first 24 hours of life). Additional information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_Todalavida.pdf
  13. Recommended for previously unvaccinated individuals up to 18 years of age (three doses at 0, 1 and 6 months). Additional information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_Todalavida.pdf
  14. Vaccination is recommended for people over 18 years of age with certain risk conditions. More information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_GRadultos.pdf
  15. More information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_Todalavida.pdf
  16. PCV or sequential schedule (PCV+PPSV) varies by region. More information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_GRadultos.pdf
  17. Additional information available at https://www.sanidad.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/comoTrabajamos/enf-meningococica.htm
  18. One dose at 12 years to individuals who have not received any doses of MCV4 since 10 years of age. Additional information available at https://www.sanidad.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/comoTrabajamos/enf-meningococica.htm
  19. The catch-up vaccination programme for individuals aged 13 to 18 years will be introduced gradually (more information available at: https://www.sanidad.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/programasDeVacunacion/adolescentes-meningo/home.htm
  20. Two doses at 4 or more weeks interval recommended in individuals born in Spain since 1978 with no documented history of vaccination. Additional information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/comoTrabajamos/docs/evaluacionImpacto_2EstudioSeroprevalenciaSarampion.pdf
  21. Two doses recommended at 4+ week-interval (preferably 8 weeks) to individuals with no documented history of disease and no documented prior vaccination (in the case of adults, vaccination is recommended if IgG serology for varicella is negative).
  22. More information: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/comoTrabajamos/docs/VPH_recomendaciones_vacunacion_estrategia1dosis.pdf
  23. Recommended vaccination for people with certain risk conditions up to age 45, with one or two doses depending on age. More information available at: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/calendario/docs/CalendarioVacunacion_GRadultos.pdf
  24. One dose for all pregnant women in any trimester of pregnancy and women during the postpartum period (up to 6 months after delivery and who have not been vaccinated during pregnancy). Vaccination is also recommended to specific medical risk groups. More information: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/gripe_covid19/docs/recomendacionesVacunacionGripe_2025_2026.pdf
  25. Recommended for adults with certain risk conditions. Two doses with a minimal interval of 2 months between doses. Vaccination with the inactivated herpes zoster subunit vaccine. Additional information available: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/programasDeVacunacion/docs/HerpesZoster_RecomendacionesVacunacion.pdf
  26. Two doses with a minimal interval of 2 months between doses. Vaccination with the inactivated herpes zoster subunit vaccine. Additional information available: https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/programasDeVacunacion/docs/HerpesZoster_RecomendacionesVacunacion.pdf


More information available at:
https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/home.htm


Updated version including the new vaccination schedule dated December 2019


Updated version including the new vaccination schedule dated 1 jan. 2017 (modification of the primary infant and school-age immunisation schedule) applicable in all regions in Spain

For specific recommendations, please refer to:
https://www.mscbs.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/docs/CalendarioVacunacion_Todalavida.pdf

Date of last update: 9 February 2026.