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
2345681011121315161819-20234567891011121314151618192545606166≥ 67
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
Czechia
acP8
acP
acP
acp
acp
acp9
acp
Denmark
acP
acP
acP
acP
acp10
Estonia
acP
acP
acP
acP
acP
acp
Finland
acP
acP
acP
acP
acp
France
acP11
acP
acP
acP
acp
acp12
Germany
acP
acP
acP
acP
acP
acp
acp
acp13
Greece
acP
acP
acP
acP
acp
acp
acP
acp
acp
acp
acp14
Hungary
acP
acP
acP
acP
acP
acp15
Iceland
acP
acP
acP
acp
acp16
acp17
Ireland
acP
acP
acP
acP
acp18
acp19
Italy
acP
acP
acP
acP
acp
acp20
Latvia
acP
acP
acP
acP
acP21
acp
acp22
Liechtenstein
acP
acP
acP
acP23
acp
acp
acp24
Lithuania
acP
acP
acP
acP
acP
acp
acp25
Luxembourg
acP
acP26
acP
acP
acP
acP27
acp28
Malta
acP
acP
acP
acp
Netherlands
acP
acP
acP
acP
acP
acp29
Norway
acP
acP
acP
acP
acP
acp30
Poland
wcP31
wcP31
wcP31
wcP31
acP
acp
Portugal
acP
acP
acP
acP
acP
acp32
Romania
acP
acP
acP
acP
acp
acp17
Slovakia
acP
acP
acP
acP
acP
Slovenia
acP
acP
acP
acP
acp33
Spain
acP34
acP34
acP34
acp34
acp35
Sweden
acP
acP
acP
acP
acp36

Footnotes:

  1. Minimum interval of 6 month after second dose
  2. dTaP-IPV every 10 years
  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. 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
  9. Pertussis vaccination is recommended for pregnant women from the 27th gestational week. Vaccination is recommended at every pregnancy.
  10. Vaccination during pregnancy. see https://www.ssi.dk/vaccinationer/risikogrupper/gratis-kighostevaccination-til-gravide
  11. or 8 weeks of age
  12. 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.
  13. The next due Td 10-yearly booster dose should be with a Tdacp vaccine. Subsequent booster doses are to be done with Td vaccines.
  14. Td booster every 10 years. One of the booster dose should be with Tdacp or Tdacp-IPV
  15. School-based vaccination in 6th grade (mandatory)
  16. Repeat for pregnant women in second or third trimester of every pregnancy regardless of the time since last vaccination.
  17. Vaccination during pregnancy
  18. Booster dose
  19. Tdap - Vaccination for pregnant women between 16-36 weeks gestation.
  20. Tdap is recommended every 10 years from age 19, and also for pregnant women in the third trimester (ideally 28 weeks)
  21. 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.
  22. Pertussis antigen during pregnancy
  23. 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.
  24. Booster at 25 years (dTap), 45 years (dT) and 65 years (dT), and then every 10 years (dT)
  25. Vaccination during pregnancy (introduced March 2023)
  26. For premature infants (born before 33 weeks) or with a birthweight <1500g, a 3+1 schedule is recommended
  27. Subsequent Tdacp-IPV booster every 10 years
  28. Vaccination for pregnant women between 13-26 weeks gestation - Tdap or TdapIPV vaccine
  29. Recommended for pregnant women from 22 weeks gestation
  30. Revaccination every 10 years. Vaccination during pregnancy. Planned to be funded from Spring 2024. see https://www.fhi.no/va/vaksinasjonsveilederen-for-helsepersonell/vaksinasjon-i-ulike-livsfaser/vaksinasjon-av-gravide-og-ammende/?term=
  31. 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
  32. Tdap vaccination recommended during pregnancy in all ages between 20 to 36 weeks of gestation
  33. Pregnant women: 1 dose Tdap vaccine recommended from the 24th week of pregnancy. see https://nijz.si/nalezljive-bolezni/cepljenje/cepljenje-nosecnic/
  34. 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
  35. Repeat for pregnant women starting from week 27 of the pregnancy (preferably at week 27 or 28).
  36. Given to 8-9 grade students.