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

	Weeks	Months														Years
	6	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	64	65	≥ 66
Austria	D¹		D²					D³											d⁴					d⁵					d⁶

Belgium		D	D	D								D							D									d				d⁷

Bulgaria		D⁸	D	D									D⁹							D						d					d			d¹⁰

Croatia		D		D		D						D								D¹¹				d¹²				d¹³

Cyprus		D		D		D								D				D							d									d¹⁰

Czechia		D¹⁴		D					D										d					d

Denmark			D		D					D									d

Estonia			D	D		D										D				D									d					d¹⁵

Finland			D		D					D								D										d						d¹⁶		d		d¹⁷

France		D		D					D											D					d									d¹⁸		d		d¹⁹

Germany		D		D					D	D									d				d								d	d²⁰

Greece		D		D		D				D		D			D			D			d				d		d					d²¹

Hungary		D	D	D										D						D					d²²

Iceland			D		D					D								d										d²³

Ireland		D		D		D					D							D								d²⁴						d²⁵

Italy		D		D				D											D							d							d²⁶

Latvia		D		D		D				D											D²⁷							d						d²⁸

Liechtenstein		D		D						D								D²⁹				d			d									d³⁰		d³⁰		d³⁰

Lithuania		D		D		D								D						D									d³¹

Luxembourg		D	D³²	D					D										D										d³³

Malta		D	D	D										D														d

Netherlands		D³⁴	D		D					D									D³⁵									D³⁶				d³⁷

Norway			D		D					D											D								d					d³⁸

Poland		D	D		D								D							D								d					d³⁹

Portugal		D		D		D								D					D					d										d⁴⁰		d⁴⁰		d⁴¹

Romania		D		D					D											D								d

Slovakia		D		D				D											D							d									d⁴²

Slovenia			D		D				D													d							d⁴³					d⁴⁴

Spain		D		D					D											D								d	d⁴⁵									d⁴⁶

Sweden			D		D					D									D									d⁴⁷				d⁴⁸

Footnotes:

Primary immunisation with a hexavalent vaccine as soon as possible after the age of 6 weeks (in any case by 3 months of age)
Second dose of a hexavalent vaccine should be given 2 months after the first dose
The third dose of the hexavalent vaccine should be given 6 months after the second dose, at the age of 10–12 months
The first booster dose with a tetravalent dTaP-IPV vaccine recommended at the age of 5 years
The second booster of the tetravalent dTaP-IPV vaccine is recommended 5 years after the first booster, or latest between 13/14 years of age
After 15 years of age, booster vaccinations recommended with a dTaP vaccine every 5 years. If there is no special indication for further polio vaccinations and two or more booster vaccinations against polio (with IPV) have been given after the basic immunisation, only diphtheria-tetanus-pertussis vaccinations are then given.
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.
Routine vaccination against diphtheria, tetanus, pertussis, poliomyelitis, Haemophilus influenzae type B infections, and viral hepatitis type B vaccination begins at 6 weeks of age. Second and third doses are given at week 10 and week 14. For children born to mothers vaccinated during pregnancy against pertussis, mandatory immunization against diphtheria, tetanus, pertussis, poliomyelitis, Haemophilus influenzae type B infections, and viral hepatitis type B is carried out from two months of age. Subsequent immunizations are administered no earlier than 4 weeks after the previous dose, at three and four months of age, respectively. For children born to mothers vaccinated during pregnancy against pertussis, mandatory immunization against diphtheria, tetanus, pertussis, poliomyelitis, Haemophilus influenzae type B infections, and viral hepatitis type B is carried out from two months of age. Subsequent immunizations are administered no earlier than 4 weeks after the previous dose, at three and four months of age, respectively.
Not earlier than 12 months after the 3rd dose
Subsequent Td booster every 10 years
Booster for children in 1st grade with DTaP-IPV or dTap-IPV
dTap booster for children in the 4th grade of primary school
dTap booster 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
Subsequent Td booster for adults every 10 years.
Thereafter Td booster every 10 years. (These polio recommendations are not linked to dT: 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. The first due Td 10-yearly booster dose should be with a Tdacp vaccine. Subsequent booster doses are to be done with Td vaccines.
Booster dose 18- 25 y with Tdap or Tdap-IPV, followed by Td or Tdap every 10 y.
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 d, TT acP
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
This additional vaccination is recommended only for infants at 2 months of age whose mothers were not vaccinated during pregnancy, and in specific circumstances. In all other cases, infants born to mothers vaccinated during pregnancy (at 22 weeks gestation) receive a two-dose primary series at 3 and 5 months of age.
starting cohort 2021
starting cohort 2016
Recommended for pregnant women from the 22nd weeks of pregnancy until delivery (in every pregnancy)
Revaccination every 10 years
Should not be given earlier than 5 years after the previous dose
Adult Td booster at ages 25 and 45. More information available at: https://www.dgs.pt/ficheiros-de-upload-2013/38-tetano-pdf.aspx Tdap vaccination is also recommended during pregnancy between 20 to 36 weeks of gestation. More information available at: https://www.dgs.pt/ficheiros-de-upload-2013/39-tosse-convulsa-pdf.aspx
Adult Td booster at 65 years of age, thereafter every 10 years. More information available at: https://www.dgs.pt/ficheiros-de-upload-2013/38-tetano-pdf.aspx
Subsequent Td boosters every 15 years
From 2023 onward, TT was replaced by dTacp
Td booster every 10 years
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
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)
For adults above 18 years, dT Booster doses are recommended every 20 years (not funded by the National Health system)