Vaccine Scheduler

Diphtheria: 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

	Months														Years
	2	3	4	5	6	8	10	11	12	13	15	16	18	19-20	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	25	30	45	60	61	64	65	≥ 66
Austria		D	D					D¹												d									d²								d³

Belgium	D	D	D								D							D									d				d⁴

Bulgaria	D	D	D									D⁵							D						d					d			d⁶

Croatia	D		D		D						D								D								d⁷

Cyprus	D		D		D								D				D							d									d⁶

Czechia		D⁸	D					D										d					d

Denmark		D		D					D									D

Estonia		D	D		D										D				D									d					d⁶

Finland		D		D					D								D										d						d⁹		d				d¹⁰

France	D		D					D											D					d									d¹¹		d				d¹²

Germany	D	D	D					D	D									d				d									d¹³

Greece	D		D		D				D		D			D			D			d				d		d						d¹⁴

Hungary	D	D	D										D						D					d¹⁵

Iceland		D		D					D								d										d¹⁶

Ireland	D		D		D												D								d¹⁷						d¹⁸

Italy	D		D				D											D							d							d¹⁹

Latvia	D		D		D				D											D²⁰							d						d²¹

Liechtenstein	D		D						D								D²²				d			d									d²³		d²³				d²³

Lithuania	D		D		D								D						D									d²⁴

Luxembourg	D	D²⁵	D					D										D										d²⁶

Malta	D	D	D										D														d

Netherlands	D	D		D					D								D					D									d²⁷

Norway		D		D					D											D								d					d²⁸

Poland	D	D		D								D							D								d					d²⁹

Portugal	D		D		D								D					D					d										d³⁰

Romania	D		D					D											D								d

Slovakia	D		D				D											D							d									d³¹

Slovenia		D		D				D													d							d³²					d³³

Spain	D		D					D											D								d	d³⁴											d³⁵

Sweden		D		D					D									D									d³⁶

Footnotes:

Minimum interval of 6 month after second dose
dTaP-IPV every 10 years
dTaP every 5 years
One dose of dTTaP every 10 years for adults after receiving the childhood immunisation schedule. Vaccination of expectant mothers during every pregnancy with a pertussis-containing vaccine in week 24 to week 32 of pregnancy. dTTaP boosters are funded for all pregnant women nationally. However, these booster doses are only offered for free in other adults in Flanders region.
Not earlier than 12 months after the 3rd dose
Subsequent Td booster every 10 years
Given to students in grade 8
The first dose of hexavalent vaccine is given from the end of the 2nd month of life, at intervals of two months between the first and the second dose, and the third dose given between the eleventh and thirteenth months of the child's age
Thereafter Td booster every 10 years with or without vaccination against poliomyelitis (IPV) in case of travel to endemic areas and when previous IPV dose was given more than 5 years before
Then every 10 years.
dTacp-IPV or dTT-IPV if last dTacp-IPV received in the previous 5 years
dTT-IPV every 10 years from 65 years of age
Booster doses every 10 years. catch-up for those unvaccinated
Td booster every 10 years. One of the booster dose should be with Tdacp or Tdacp-IPV
School-based vaccination in 6th grade (mandatory)
Td vaccine to be repeated every 10 years in case of wound injury or travel to diphtheria endemic countries. The use of a dTap vaccine is recommended to increase immunity against pertussis in the community.
Booster dose
Tdap - Vaccination for pregnant women between 16-36 weeks gestation.
Tdap is recommended every 10 years from age 19, and also for pregnant women in the third trimester (ideally 28 weeks)
Six-year-old children may be vaccinated with vaccinations for 7-year-old children, if the child is beginning to study in an educational institution.
Subsequent Td boosters every 10 years. For some risk-groups boosters are more frequently recommended.
A lower dose of diphtheria toxoid (d) and whooping cough (ap) can also be used (dTap) The pertussis booster provided between the ages of 4 and 7 years should be administered no later than school entry.
Booster at 25 years (dTap), 45 years (dT) and 65 years (dT), and then every 10 years (dT)
Subsequent booster doses every 5-10 years
For premature infants (born before 33 weeks) or with a birthweight <1500g, a 3+1 schedule is recommended
Subsequent Tdacp-IPV booster every 10 years
Recommended for pregnant women from 22 weeks gestation
Revaccination every 10 years
Should not be given earlier than 5 years after the previous dose
Adult Td booster at ages 25, 45 and 65, thereafter every 10 years. Tdap vaccination recommended during pregnancy between 20 to 36 weeks of gestation
Subsequent Td boosters every 15 years
From 2023 onward, TT was replaced by dTacp
Td booster every 10 years
Repeat for pregnant women starting from week 27 of the pregnancy (preferably at week 27 or 28)
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
Given to 8-9 grade students. For adults above 18 years, dT Booster doses are recommended every 20 years (not funded by the National Health system)