Vaccine Schedule: After 2 Years of Age
Starting school (4 to 6 years)
Children of this age typically get a series of booster doses of vaccines between 4 and 6 years of age, including:
Children should also get any doses of vaccines they may have missed earlier in life.
Get tips for making vaccine visits more comfortable for your 4- to 6-year-old.
Adolescents and teens (11 to 18 years)
Adolescents are recommended to get the following vaccines:
A booster dose of meningococcus vaccine may also be needed at high school graduation or the start of college.
Adolescent and teen years are another good time to make sure vaccines are up to date.
- Learn more about adolescent and teen vaccine needs in this booklet.
- Get tips for making vaccine visits more comfortable for this age group.
Adults (19 years and older)
Some vaccines are recommended at specific ages. For example, shingles and pneumococcal vaccines are recommended beginning at 50 years of age. RSV vaccine is recommended for all adults beginning at 75 years of age.
Adults may also need vaccines because of health conditions, for jobs, or when traveling. For example, some adults 50 to 74 years of age are recommended to get the RSV vaccine if they have certain health conditions. Likewise, some vaccines are recommended during pregnancy.
- Learn more about adult vaccine needs with this booklet.
- Learn more about vaccines recommended during pregnancy with this Q&A.
- Learn more about why and when vaccines are recommended during pregnancy with this infographic.
Notes on flu, COVID-19 and hep B vaccines
Influenza vaccine
The influenza vaccine is recommended each year for almost all people 6 months of age and older.
COVID-19 vaccine
The COVID-19 vaccine is recommended for most people starting at 6 months of age, particularly if they have not previously been vaccinated or if they have health conditions that increase their risk.
Hepatitis B vaccine
The hepatitis B vaccine is recommended for all adults up to 60 years of age if they have not previously received it. It is also recommended for those older than 60 who are considered to be high risk or who simply wish to be immune to this infection.
Reviewed by Paul A. Offit, MD, on Nov. 10, 2025