Germany: 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
WeeksMonthsYears
62346111213141516245-691415-1617185960≥ 61
Coronavirus disease (COVID-19)1
COVID-195
rotavirus infection
ROTA
ROTA
ROTA6
diphtheria
D
D
D
D
D
d
d
d7
tetanus
TT
TT
TT
TT
TT
TT
TT
TT7
pertussis
acP
acP
acP
acP
acP
acp
acp
acp8
poliomyelitis
IPV
IPV9
IPV
IPV
IPV
IPV
IPV10
Haemophilus influenzae type b infection
Hib
Hib9
Hib
Hib
Hib11
hepatitis B
HepB
HepB9
HepB
HepB
HepB
pneumococcal disease2
PCV13 or PCV 15
PCV13 or PCV 15
PCV13 or PCV 15
PCV13/15+PPSV2312
PCV2013
PCV2014
meningococcal disease
MenC
MenC
measles3
MEAS15
MEAS
MEAS
MEAS
MEAS16
mumps
MUMPS17
MUMPS
MUMPS
MUMPS
rubella
RUBE17
RUBE
RUBE
RUBE
varicella
VAR
VAR
VAR
VAR
human papillomavirus infection
HPV (F/M)18
HPV (F)19
influenza4
IIV420
herpes zoster
ZOS21

Version:


Footnotes:

  1. https://www.rki.de/DE/Content/Infekt/Impfen/ImpfungenAZ/COVID-19/Impfempfehlung-Zusfassung.html
  2. Premature infants receive an additional vaccine dose at the age of 3 months; in total they receive 4 doses
  3. For more information on specific population groups where measles vaccination is mandatory please refer to https://www.masernschutz.de/themen/rechtliche-aspekte.html
  4. TIV may also be replaced by QIV (quadrivalent) or aTIV (adjuvanted TIV) vaccine
  5. For a full description of currently applicable COVID-19 recommendations, please refer to https://www.rki.de/DE/Content/Infekt/Impfen/ImpfungenAZ/COVID-19/Impfempfehlung-Zusfassung.html
  6. 3rd dose only for pentavalent rotavirus vaccines
  7. Booster doses every 10 years. catch-up for those unvaccinated
  8. The next due Td 10-yearly booster dose should be with a Tdacp vaccine. Subsequent booster doses are to be done with Td vaccines. Vaccination offered to pregnant women at the beginning of 3rd trimester. If there is an increased probability of premature birth, vaccination should be brought forward to the 2nd trimester. More information available at: RKI - Vaccinations A - Z - Scientific justification for recommending pertussis vaccination with a Tdap combination vaccine in pregnancy
  9. optional dosis if monovalent and other combination vaccines are used
  10. catch-up for those unvaccinated
  11. number of doses necessary varies according to age
  12. see https://www.rki.de/DE/Content/Infekt/EpidBull/Archiv/2023/Ausgaben/20_23.pdf?__blob=publicationFile for detail on targeted groups
  13. see recommendation details for at-risk groups where vaccination is recommended https://www.rki.de/DE/Content/Infekt/EpidBull/Archiv/2023/Ausgaben/39_23.pdf?__blob=publicationFile
  14. change of recommendations in Sept 2023 moving away from PPSV23. For individuals previously vaccinated with PPSV23, a dose of PCV20 is recommended in an interval of at least 6 years after PPSV23 dose. for more details refer to https://www.rki.de/DE/Content/Infekt/EpidBull/Archiv/2023/Ausgaben/39_23.pdf?__blob=publicationFile for more information
  15. Vaccination from 9 months in specific circumstances. In this case, the second dose should be given as early as possible in the second year of life. The 'Measles Protection Act’ was approved in Germany and became effective on March 1st, 2020. It mandates measles vaccination for all children at one year and older that attend a childcare facility.
  16. one dose of measles for those aged 18 years and older and born after 1970 with no vaccination or uncertain vaccination history or only one vaccination during childhood
  17. Vaccination from 9 months in specific circumstances. In this case, the second dose should be given as early as possible in the second year of life.
  18. Gender-neutral (boys and girls) vaccination offered since 2018. Two-dose schedule at 0 and 6 months (if the interval between doses is <6 months, a third dose is recommended). 2, 4 or 9-valent.
  19. Girls-only catch-up vaccination offered to girls aged 14-17 or 15-17 years depending on the vaccines used. Three-dose schedule.
  20. Annual vaccination
  21. 2 doses with a minimal and maximum interval of 2 to 6 months respectively between doses. Vaccination with the inactivated herpes zoster subunit vaccine. see recommendation background paper: https://link.springer.com/article/10.1007/s00103-019-02882-5


More information available at:
https://www.rki.de/DE/Content/Kommissionen/STIKO/Empfehlungen/Impfempfehlungen_node.html




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01 March 2021: new measles mandatory vaccination requirements for specific population groups
https://www.masernschutz.de/themen/rechtliche-aspekte.html


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22 August 2019: Launch of the 2019/2020 vaccination schedule

change include updated recommendation for Herpes-Zoster with an inactivated vaccine. see for more info: https://www.rki.de/DE/Content/Infekt/EpidBull/Archiv/2018/Ausgaben/50_18.pdf%3F__blob%3DpublicationFile

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31 August 2017: Publication of the 2017/2018 vaccination schedule
Changes include:
- A decision NOT to implement routine ZOSTER vaccination (immunisation is to be decided on a case-by-case basis)
- A revised policy for FLU vaccination of children aged 2-17 years
- For TETANUS post-exposure prophylaxis - ONLY recommended if a last dose was given more than 10 years ago. This applies to limited, clean wounds
- For HepA/HepB vaccination ; revision of the groups where vaccination is recommended

For more information, please refer to https://www.rki.de/DE/Content/Infekt/EpidBull/Archiv/2017/Ausgaben/35_17.pdf?__blob=publicationFile
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The German immunisation calendars in 16 foreign languages can be found here:
http://www.rki.de/DE/Content/Infekt/Impfen/Materialien/Impfkalender_mehrsprachig_Uebersicht_tab.html?nn=2709264

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Recommendation for children with underlying medical conditions:
Vaccination recommendations for children with underlying medical conditions or specific health risks currently exist for the following diseases: Haemophilus influenzae type b, hepatitis A and B, influenza, meningococcal infections (groups A, C, W135, Y), and pneumococcal diseases. Specifics of those recommendations can be found in English at: www.stiko.de/en


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Sept. 2023:
Pneumococcal vaccination: recommendation change for adults. see for more details: https://www.rki.de/DE/Content/Infekt/EpidBull/Archiv/2023/Ausgaben/39_23.pdf?__blob=publicationFile


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Date of last update: 12 April 2024