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
MonthsYears
2345681011121315161819-20234567891011121314151617181920254560≥ 61
Austria
acP
acP
acP1
acP
acp2
acp3
Belgium
acP
acP
acP
acP
acP
acp
acp4
Bulgaria
acP
acP
acP
acP5
acP
acp
Croatia
acP
acP
acP
acP
acP6
acp7
Cyprus
acP
acP
acP
acP
acP
acp
acp8
Czechia
acP9
acP
acP
acp
acp
acp10
Denmark
acP
acP
acP
acP
acp11
Estonia
acP
acP
acP
acP
acP
acp
Finland
acP
acP
acP
acP
acp
acp
France
acP12
acP
acP
acP
acp
acp13
Germany
acP
acP
acP
acP
acP
acp
acp
acp14
Greece
acP
acP
acP
acP
acp
acp
acP
acp
acp
acp
acp15
Hungary
acP
acP
acP
acP
acP
acp16
acp17
Iceland
acP
acP
acP
acp
acp18
acp19
Ireland
acP
acP
acP
acP
acp20
acp21
Italy
acP
acP
acP
acP
acp
acp22
Latvia
acP
acP
acP
acP
acP23
acp
acp24
Liechtenstein
acP
acP
acP
acP25
acp
acp
acp26
Lithuania
acP
acP
acP
acP
acP
acp
acp27
Luxembourg
acP
acP28
acP
acP
acP
acP29
acp30
Malta
acP
acP
acP
acp
Netherlands
acP31
acP
acP
acP
acP
acp32
Norway
acP
acP
acP
acP
acP
acp33
Poland
wcP34
wcP34
wcP34
wcP34
acP
acp
acp35
Portugal
acP
acP
acP
acP
acP
acp36
Romania
acP
acP
acP
acP
acp
acp19
Slovakia
acP
acP
acP
acP
acP
Slovenia
acP
acP
acP
acP
acp37
acp38
Spain
acP39
acP39
acP39
acp40
acp41
Sweden
acP
acP
acP
acP
acp42
acp43

Footnotes:

  1. Minimum interval of 6 month after second dose
  2. dTaP-IPV every 10 years. Vaccination of pregnant women recommended but not funded, preferably in the 3rd trimester (27th-36th week of pregnancy), independent from the interval to the last vaccination against pertussis.
  3. dTaP every 5 years
  4. 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.
  5. Not earlier than 12 months after the 3rd dose
  6. DTaP or dTap.
  7. Temporary recommendation in response to the current pertusiss epidemic, Tdacp vaccination of all pregnant women in the second and third trimester and also vaccination of all close contacts of the newborn („cooconing“).
  8. Vaccination offered to pregnant women (one dose in each pregnancy). More information available at: NATIONAL VACCINATION PROGRAM FOR ADULTS AND RISK GROUPS 15 2 2024.pdf (moh.gov.cy)
  9. 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
  10. One booster dose in adulthood is recommended, 10 to 15 years after the last dose. Pertussis vaccination is also recommended for pregnant women from the 27th gestational week. Vaccination is recommended at every pregnancy.
  11. Vaccination during pregnancy. see https://www.ssi.dk/vaccinationer/risikogrupper/gratis-kighostevaccination-til-gravide
  12. or 8 weeks of age
  13. 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. Vaccination offered to pregnant women from 2nd trimester and preferably between 20 and 36 weeks of pregnancy. More information available at: calendrier_vaccinal_maj-juin23.pdf (sante.gouv.fr)
  14. 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
  15. Td booster every 10 years. One of the booster dose should be with Tdacp or Tdacp-IPV. A single dose of Tdacp or Tdacp-IPV vaccine should be administered in each pregnancy, preferably from 27 to 36 weeks of gestation, as well as to unvaccinated women who have recently given birth, regardless of the interval between previous Tdacp vaccination.
  16. School-based vaccination in 6th grade (mandatory)
  17. Vaccination offered to pregnant women between 16 and 32 weeks of pregnancy. More information available at: Vacsatc - Vaccine safety | Professional sites | Vaccination methodology letter 2023
  18. Repeat for pregnant women in second or third trimester of every pregnancy regardless of the time since last vaccination.
  19. Vaccination during pregnancy
  20. Booster dose
  21. Tdap - Vaccination for pregnant women between 16-36 weeks gestation.
  22. Tdap is recommended every 10 years from age 19, and also for pregnant women in the third trimester (ideally 28 weeks)
  23. 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.
  24. Pertussis antigen during pregnancy
  25. 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.
  26. Booster at 25 years (dTap), 45 years (dT) and 65 years (dT), and then every 10 years (dT)
  27. Vaccination during pregnancy (introduced March 2023)
  28. For premature infants (born before 33 weeks) or with a birthweight <1500g, a 3+1 schedule is recommended
  29. One booster dose of Tdacp-IPV in this age group.
  30. One booster dose every 10 years. Vaccination for pregnant women between 13-26 weeks gestation - Tdap or TdapIPV vaccine
  31. In the Netherlands, two primary doses (at 3 and 5 months) are provided for infants born from mothers who were vaccinated during pregnancy (at 22 weeks gestation). An additional vaccination is given at 2 months if the mother is not vaccinated during pregnancy.
  32. Recommended for pregnant women from 22 weeks gestation
  33. Revaccination every 10 years. Recommendation for vaccination during pregnancy in week 24, but catch-up vaccination can be accommodated until birth. More information available at: https://www.fhi.no/va/kikhostevaksine-til-gravide/ and https://www.fhi.no/contentassets/944632814cbc4260bac97a49924b7884/vedlegg/infoark-engelsk-kikhostevaksine-gravide.pdf
  34. 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
  35. One booster doses every 10 years is recommended.Vaccination offered to pregnant women between 27 and 36 weeks of pregnancy and ideally between 28 and 32 weeks of pregnancy. More information available at: Kalendarz szczepien 2023 Kobiet w ciazy (pzh.gov.pl) and https://szczepienia.pzh.gov.pl/kalendarz-szczepien-doroslych/
  36. Tdap vaccination recommended during pregnancy in all ages between 20 to 36 weeks of gestation
  37. From 2023 onwards, TT was replaced by dTacp
  38. Pregnant women: 1 dose Tdap vaccine recommended from the 24th week of pregnancy. see https://nijz.si/nalezljive-bolezni/cepljenje/cepljenje-nosecnic/
  39. For more detail on review and recommendation for pertussis vaccination in Spain, please refer to https://www.sanidad.gob.es/areas/promocionPrevencion/vacunaciones/comoTrabajamos/difteria-tetanos-tosferina.htm
  40. For more detail on review and recommendation for pertussis vaccination in Spain, please refer to https://www.sanidad.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/comoTrabajamos/docs/TosFerina.pdf
  41. Repeat for pregnant women starting from week 27 of the pregnancy (preferably at week 27 or 28).
  42. Given to 8-9 grade students.
  43. Vaccination offered to pregnant women after 16 weeks of pregnancy. More information available at: https://www.folkhalsomyndigheten.se/smittskydd-beredskap/vaccinationer/vaccinationer-till-vuxna/