Vaccine Scheduler

Italy: Recommended vaccinations

	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

	Birth	Weeks	Months										Years
	Birth	6	2	3	4	5	6	8	10	12	15	18	2	5	6	12	18	19	64	65	≥ 66
Coronavirus disease (COVID-19)¹														COVID-19²

rotavirus infection		ROTA³

diphtheria			D		D				D					D		d		d⁴
tetanus			TT		TT				TT					TT		TT		TT⁴
pertussis			acP		acP				acP					acP		acp		acp⁴
poliomyelitis			IPV		IPV				IPV					IPV		IPV
Haemophilus influenzae type b infection			Hib		Hib				Hib
hepatitis B	HepB⁵		HepB		HepB				HepB

pneumococcal disease			PCV		PCV				PCV											PCV13+PPSV23⁶

meningococcal disease				MenB⁷		MenB⁷				MCV4	MenB⁷		MenB⁷			MCV4⁸

measles										MEAS				MEAS
mumps										MUMPS				MUMPS
rubella										RUBE				RUBE

varicella										VAR				VAR

human papillomavirus infection																HPV (F/M)⁹

influenza							IIV3¹⁰													IIV3

herpes zoster																				ZOS¹¹

hepatitis A											HepA¹²					HepA¹³

Version:

Footnotes:

http://www.salute.gov.it/portale/documentazione/p6_2_2_1.jsp?lingua=italiano&id=2986
http://www.salute.gov.it/portale/documentazione/p6_2_2_1.jsp?lingua=italiano&id=2986 https://www.salute.gov.it/portale/nuovocoronavirus/dettaglioContenutiNuovoCoronavirus.jsp?lingua=italiano&id=5452&area=nuovoCoronavirus&menu=vuoto
Two or three doses depending on the vaccine used (3rd dose only for pentavalent rotavirus vaccines)
Tdap is recommended every 10 years from age 19, and also for pregnant women in the third trimester (ideally 28 weeks)
Babies born to a mother infected with hepatitis B will be offered a first vaccine dose within 12-24 hours after birth and simultaneously with HB immunoglobulin. The following and second vaccine dose is given 4 weeks apart from the first. Starting from the third dose, which is given from 61 days of life onwards, the vaccination calendar schedule including the combined hexavalent vaccine should be used.
one dose of PCV13 at 65 years and one dose PPSV after at least 8 weeks
Please refer to local recommendations for age of administration. MenB should not to be co-administered with other vaccinations.
Meningococcal ACWY, one dose for adolescents age 12-18
9-valent. Gender-neutral (boys and girls) vaccine offered (since 2017). Two-dose or three-dose schedule depending on age. Catch-up available with all doses of the cycle free of charge for women up to 26 years of age and for men up to and including 18 years of age, if they have not been previously vaccinated or have not completed the vaccination cycle.
For individuals at increased risk. More information available at: http://www.salute.gov.it/imgs/C_17_pubblicazioni_2571_allegato.pdf
1 or 2 doses depending on the vaccine used
Recommended in highly endemic areas
Recommended in highly endemic areas

More information available at:
https://www.salute.gov.it/portale/vaccinazioni/dettaglioContenutiVaccinazioni.jsp?lingua=italiano&id=4829&area=vaccinazioni&menu=vuoto http://www.trovanorme.salute.gov.it/norme/renderNormsanPdf?anno=2017&codLeg=60282&parte=1%20&serie=null

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MAJOR HISTORICAL CHANGES

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2017 Aug 19: NEW LAW ON MANDATORY VACCINATION FOR THOSE UP TO 16 YEARS OF AGE. FOR MORE INFORMATION ON MANDATORY ANTIGENS AND DETAILED PLAN OF IMPLEMENTATION ACCORDING TO BIRTH COHORT PLEASE REFER TO http://www.trovanorme.salute.gov.it/norme/renderNormsanPdf?anno=2017&codLeg=60282&parte=1%20&serie=null

Mandatory vaccines:
- Diphtheria, tetanus, pertussis, poliomyelitis, haemophilus influenzae and hepatitis B: mandatory at 3 months, 5 months, 11 months and 6 years in individuals born from 2001. Second booster dose of diphtheria, tetanus, pertussis and poliomyelitis mandatory at 12-18 years for individuals born from 2001.
- Varicella: mandatory in the second year of life and at 6 years in individuals born from 2017.
- Measles, mumps and rubella: mandatory in the second year of life and at 6 years in individuals born from 2001.

2017: Publication of the National Vaccination Plan 2017-2019
http://www.salute.gov.it/imgs/C_17_pubblicazioni_2571_allegato.pdf

2005: Introduction of Pn7v, MenC and Var (dose given at 1-2 years) into national childhood vaccination schedule for selected groups only.

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Measles, mumps and rubella:
1972: Rubella vaccine recommended for girls aged 11-12 years.
1976: Measles vaccines became available in Italy.
1979: Measles vaccine recommended in children 15 months of age
1990: Combined measles-mumps-rubella (MMR) vaccine introduced into the national vaccination schedule. Vaccination recommended at the age of 15 months.
1999: Recommended age for first dose of MMR lowered to 12-15 months. Second dose of MMR introduced at 5-6 or 11-12 years.
2003: National Plan for the Elimination of measles and congenital rubella implemented.

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Poliomyelitis
2005: Polio immunization schedule has been changed in July 2005 (Ministerial Decree 15 July 2005) with shift of the fourth dose of IPV from age 3 years to 5-6 years.
2002: Polio immunization schedule has been changed in August 2002 (Ministerial Decree 18 June 2002) with elimination of OPV and use of IPV for all the doses of the vaccination cycle.

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Hepatitis B
1991: HBV mandatory vaccination among newborns and adolescents.
2003: adolescents’ catch-up vaccination ended with the completion of the last birth cohorts(born in 1991 and not vaccinated during the first year of age)

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Date of last update: 15 February 2024

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