Hepatitis B: 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
BirthWeeksMonthsWeeksMonthsYears
41623456781011121315161819232710111213141516171819≥ 25
Austria
HepB1
HepB2
HepB3
HepB4
HepB5
Belgium
HepB1
HepB
HepB
HepB
HepB
HepB
HepB6
Bulgaria
HepB7
HepB8
HepB9
HepB9
HepB9
HepB8
HepB10
Croatia
HepB11
HepB
HepB12
HepB
Cyprus
HepB13
HepB
HepB
HepB
Czechia
HepB14
HepB15
HepB
HepB
HepB16
Denmark
HepB17
HepB
HepB
HepB
Estonia
HepB18
HepB
HepB
HepB
HepB
Finland
HepB19
France
HepB20
HepB
HepB
HepB
HepB21
Germany
HepB1
HepB
HepB22
HepB
HepB
HepB
Greece
HepB23
HepB
HepB
HepB
HepB
HepB24
Hungary
HepB25
HepB26
Iceland
HepB
Ireland
HepB27
HepB
HepB
HepB
HepB
Italy
HepB28
HepB
HepB
HepB
Latvia
HepB29
HepB
HepB
HepB
HepB
HepB30
Liechtenstein
HepB31
HepB
HepB
HepB
HepB32
Lithuania
HepB
HepB
HepB
Luxembourg
HepB1
HepB
HepB33
HepB
HepB
HepB34
Malta
HepB35
HepB
HepB
HepB
HepB
Netherlands
HepB36
HepB37
HepB
HepB
HepB
Norway
HepB38
HepB39
HepB
HepB
HepB
Poland
HepB40
HepB
HepB
Portugal
HepB
HepB
HepB
HepB41
Romania
HepB42
HepB
HepB
HepB
Slovakia
HepB43
HepB
HepB
HepB
Slovenia
HepB44
HepB45
HepB45
HepB45
Spain
HepB46
HepB
HepB
HepB
HepB47
HepB48
Sweden
HepB49
HepB50
HepB
HepB
HepB
HepB51

Footnotes:

  1. Babies born to a mother infected with hepatitis B will be offered a dose at birth simultaneously with HB immunoglobulin
  2. Primary immunisation with a hexavalent vaccine as soon as possible after the age of 6 weeks (in any case by 3 months of age)
  3. Second dose of a hexavalent vaccine should be given 2 months after the first dose
  4. The third dose of the hexavalent vaccine should be given 6 months after the second dose, at the age of 10–12 months
  5. After primary immunisation, one booster dose is recommended between the ages of 7 and 15. After that, further booster doses are only recommended for people with specific indications. If primary immunisation was not carried out in infancy, it should be done at the earliest opportunity. Hepatitis B vaccination can be caught up at any age and is recommended up to the age of 60. In special cases, primary immunsiation is also possible after the age of 60. More information: https://www.sozialministerium.gv.at/impfplan (p. 35ff)
  6. Not-reimbursed vaccination of specific risk groups (see detailed information https://www.health.belgium.be/fr/avis-8816-vaccination-de-ladulte-contre-lhepatite-b-fiche)
  7. During the first 24 hours after birth with a monovalent hepatitis B vaccine, regardless of the type of vaccine used to continue the immunization schedule.
  8. When using a monovalent vaccine, doses are administered at 1 and 6 months
  9. When administering a combination vaccine containing a hepatitis B vaccine, doses are given at 2, 3 and 4 months of age.
  10. Combined immunization against hepatitis A and B is indicated for all persons aged 16 and over who do not have immune protection against both diseases. It is recommended to administer it as early as possible, especially in people at risk of infection or severe disease. More information: https://plusmen.bg/bg/optional/hepatitis
  11. Babies born to a mother infected with hepatitis B will be offered a dose immunoglobulins at birth.
  12. The second dose of HepB is given either at four or at six months of age (as part of the hexavalent vaccine). The pentavalent vaccine is administered either at four or at six months of age instead of the hexavalent.
  13. Babies born to a mother infected with hepatitis B will be vaccinated and receive HB immunoglobulins within 24 hours after birth
  14. Babies born to HBsAg-positive mothers will be given a first dose within 24 hours after birth by law
  15. 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
  16. 3 doses. if susceptible and no history of vaccination. mandatory for specific at risk groups
  17. Babies born to a mother infected with hepatitis B will be offered a first vaccine dose at birth simultaneously with HepB immunoglobulin. Following vaccine doses are given at one month, 2 month and 12 month of age.
  18. Within 12 hours after birth, recommended for babies born from HepB positive or untested mother.
  19. Risk-groups only.
  20. Babies born to a mother infected with hepatitis B will be offered a first dose at birth simultaneously with HB immunoglobulin, one month of age and 6 month of age. Four doses scheme (0-1-2-6 months) for premature <32 weeks or less than 2 kg. This intervention shall be evaluated at 9 month of age through HBs Ag and anti-HBs antibodies testing, preferably one to four month after the last vaccine dose.
  21. Three doses in a 0, 1, 6 month schedule. From 11 to 15 years, 2 doses in a 0, 6 schedule
  22. Optional dose if monovalent and other combination vaccines are used
  23. Babies born to a mother infected with hepatitis B (or with unknown status) will be offered a first vaccine dose at birth simultaneously with HB immunoglobulin.
  24. Three doses, high risk groups
  25. Babies born to a mother infected with hepatitis B or unknown immune status will be offered a first vaccine dose within 12 hours after birth and simultaneously with HB immunoglobulin in case of HbsAg positive mother. Following vaccine doses are given 1 month later and the third dose, 6 months after first dose.
  26. School-based vaccination in 7th grade (mandatory)
  27. All babies born to these mothers should receive hepatitis B vaccine at 0, 2, 4 and 6 months and also HBIG as soon as possible ideally within 24 hours of birth, but no later than 7 days
  28. 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.
  29. Babies born to a mother infected with hepatitis B or unknown immune status will be offered a first dose within 12 hours after birth. Vaccine administered according to indications.
  30. If no previous vaccination. Three doses recommended.
  31. Babies born of HBsAg positive mothers: 1st dose of monovalent vaccine and HB immunoglobulins administered at birth. Monovalent vaccine to be used also for the 2nd dose at 1 month of age, hexavalent combination vaccine can be used for the 3rd and 4th doses at 2 and 12 months of age
  32. For individuals who have not been vaccinated previously. Can be given at the same time as vaccination against HPV.
  33. For premature infants (born before 33 weeks) or with a birthweight <1500g, a 3+1 schedule is recommended
  34. Catch-up if no history of vaccination
  35. Babies born to a mother infected with hepatitis B will be offered a first dose at birth
  36. Offered to infants born to a mother infected with hepatitis B
  37. 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.
  38. Babies of mothers with hepatitis B. Birth dose and HB immunoglobulin should be given within 24 hours of birth.
  39. Babies of mothers with hepatitis B. Second vaccine dose is given at age 4 weeks. These infants thereafter follow the national vaccination programme.
  40. Administration within 24 hours after birth or before the child is discharged from the hospital.
  41. Vaccination of high-risk groups or in special circumstances. More information available at: https://www.dgs.pt/ficheiros-de-upload-2013/28-hepatite-b-pdf.aspx
  42. Within 24 hours after birth. In the event that the vaccine against Hepatitis B is not available, a different schedule applies for babies born of HBsAG positive mothers. More information available at: http://www.cnscbt.ro/index.php/calendarul-national-de-vaccinare
  43. Free of charge for newborns of HBsAg positive mothers.
  44. Babies born to a mother infected with hepatitis B: first dose within 12 hours from birth, then at one month of age, three months of age, five months of age and 11-18 months of age
  45. Introduced in 2020 for babies born from October 2019 as 6-valent vaccine.
  46. 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
  47. 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
  48. 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
  49. Babies born to a mother infected with hepatitis B will be offered a dose at birth.
  50. Babies born to a mother infected with hepatitis B are recommended a dose at birth and at 1 month of age, before continuing with the standard recommended schedule (with doses at 3, 5 and 12 months of age). More information: https://www.folkhalsomyndigheten.se/publikationer-och-material/publikationsarkiv/r/rekommendationer-om-vaccination-mot-hepatit-b-/?pub=56936
  51. Vaccination against hepatitis B is recommended for children up to 18 years belonging to certain risk groups. For more information, please visit: https://www.folkhalsomyndigheten.se/publikationer-och-material/publikationsarkiv/r/rekommendationer-om-vaccination-mot-hepatit-b-/