Vaccine Scheduler

Pertussis: 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	10	11	12	13	14	15	16	18	19	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	25	45	60	61	64	65	≥ 66
Austria		acP	acP		acP		acP¹		acP											acP			acP²						acp²							acp³

Belgium	acP	acP	acP								acP							acP									acp				acp⁴

Bulgaria	acP	acP	acP									acP⁵							acP						acp

Croatia	acP		acP		acP						acP							acP	acP⁶

Cyprus	acP		acP		acP						acP						acP

Czech Republic		acP⁷		acP			acP											acP					acP								acp⁸								acp

Denmark		acP		acP				acP										acP

Estonia		acP	acP		acP										acP				acP									acp

Finland		acP		acP				acP									acP										acp

France	acP⁹		acP				acP												acP					acp									acp¹⁰

Germany	acP	acP	acP				acP				acP							acp				acp									acp¹¹

Greece	acP		acP		acP			acP			acp			acp			acP			acp				acp		acp						acp¹²

Hungary	acP	acP	acP										acP						acP					acp¹³

Iceland		acP		acP				acP									acp										acp¹⁴

Ireland	acP		acP		acP												acP								acp¹⁵			acp¹⁶

Italy		acP		acP			acP												acP						acp							acp¹⁷

Latvia	acP		acP		acP			acP												acP¹⁸

Liechtenstein	acP		acP					acP									acP¹⁹				acp			acp									acp²⁰

Lithuania	acP		acP		acP								acP						acP									acp

Luxembourg	acP	acP	acP						acP									acP										acP²¹

Malta	acP	acP	acP										acp

Netherlands	acP²²	acP		acP			acP										acP											acp²³

Norway		acP		acP				acP												acP								acP

Poland	wcP²⁴		wcP²⁴	wcP²⁴								wcP²⁴							acP								acp

Portugal	acP		acP		acP								acP					acP										acp²⁵

Romania	acP		acP				acP												acP

Slovakia	acP		acP			acP												acP							acP

Slovenia		acP		acP			acP														acP								acp²⁶

Spain	acP²⁷		acP²⁷				acP²⁷												acp²⁷									acp²⁸

Sweden		acP		acP				acP										acP									acp²⁹

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
Not earlier than 12 months after the 3rd dose
Catch-up at grade 1
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
A single dose of Tdap is also recommended to be given in pregnancy, ideally in the third trimester, between pregnancy weeks 28 and 36. In women who did not receive Tdap in pregnancy, a single dose of Tdap is recommended to be given immediately after delivery to minimise the risk of infection transmission to the neonate. see full recommendation at http://www.szu.cz/uploads/Epidemiologie/Pertuse/CR_Pertussis_Recommendation_for_pregnant_women.pdf
or 8 weeks of age
For those who did not receive a dose of pertussis containing vaccine during the past 5 years, a booster with a quadrivalent vaccine (dTacp-IPV) is recommended at the time of the Td-IPV booster at 25 years. For those aged 25 years and above that did not receive a booster dose, catch-up with a dTacp-IPV vaccine can be proposed until 39 years of age. Recommendation to have an interval of 10 years in adults between a documented pertussis and pertussis re-vaccination.
The next due Td 10-yearly booster dose should be with a Tdacp vaccine. Subsequent booster doses are to be done with Td vaccines.
Td booster every 10 years. One of the booster dose should be with Tdacp or Tdacp-IPV
School-based vaccination in 6th grade
Repeat for pregnant women in second or third trimester of every pregnancy. Repeat every 10 years for others at risk.
Booster dose
Tdacp - Vaccination for pregnant women between 27-36 weeks gestation (introduced in September 2013). If the recipient does not have a medical card, they must pay administration cost of the vaccination out-of-pocket.
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.
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 Tdacp-IPV booster every 10 years
Recommended only in specific circumstances, for example: infants born to a mother not vaccinated against pertussis during pregnancy or infants born to a mother infected with Hepatitis B
Recommended for pregnant women from 22 weeks gestation
An acellular pertussis component (aP) combination vaccine should be used for children with contraindications to vaccination with the whole cell pertussis vaccine and in children born before 37th week of pregnancy or born with birth weight less than 2500 g
Tdap vaccination recommended during pregnancy in all ages between 20 to 36 weeks of gestation
Pregnant women: 1 dose Tdap vaccine recommended from the 24th week of pregnancy
For more detail on review and recommendation for pertussis vaccination in Spain, please refer to http://msc.es/profesionales/saludPublica/prevPromocion/vacunaciones/docs/TosFerina.pdf
Repeat for pregnant women starting from week 27 of the pregnancy (preferably at week 27 or 28).
Given to 8-9 grade students.