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Child Immunisation Schedule

Click here to view the website of the National Immunisation Service.

Age	Vaccine	Remarks
At 2 months of age	Diphtheria/Tetanus/Pertussis Polio Haemophilus influenzae B meningitis	Tetanus and Diphtheria (inactivated toxoids) Pertussis (killed bacteria) Polio (live virus - oral vaccine) HiB (polysaccharide molecule linked to a carrier protein)
At 3 months of age	Diphtheria/Tetanus/Pertussis Polio Haemophilus influenzae B meningitis	Tetanus and Diphtheria (inactivated toxoids) Pertussis (killed bacteria) Polio (live virus - oral vaccine) HiB (polysaccharide molecule linked to a carrier protein)
At 4 months of age	Diphtheria/Tetanus/Pertussis Polio Haemophilus influenzae B meningitis	Tetanus and Diphtheria (inactivated toxoids) Pertussis (killed bacteria) Polio (live virus - oral vaccine) HiB (polysaccharide molecule linked to a carrier protein)
At 15 months of age	Measles/Mumps/Rubella (MMR) Hepatitis B	MMR (live virus vaccine) Hepatitis B (Inactivated viral antigen vaccine)
At 16 months of age	Hepatitis B (2nd dose)	Hepatitis B (Inactivated viral antigen vaccine)
At 21 months of age	Hepatitis B (3rd dose)	Hepatitis B (Inactivated viral antigen vaccine)
During the 4th year	Diphtheria/Tetanus Polio	Tetanus and Diphtheria (inactivated toxoids) Polio (live virus - oral vaccine)
At 7 years	Measles/Mumps/Rubella (MMR)	MMR (live virus vaccine)
At 9 years (Year 5 Primary School)	Hepatitis B	Hepatitis B (Inactivated viral antigen vaccine)
At 12-14years	BCG	Attenuated bacteria
Booster dose at 16 years	Diphtheria/Tetanus Polio	Tetanus and Diphtheria (inactivated toxoids) Polio (live virus - oral vaccine)

Contraindications:

Permanent contraindications:

Severe allergy to a vaccine component or an anaphylactic reaction to a previous dose of the vaccine
Pertussis vaccine encephalopathy (If the pertussis vaccination is contraindicated, then the child can be administered the paediatric diphtheria-tetanus toxid (DT) vaccine.

Temporary (generally) contraindications:

Severe acute illness (ex.: pneumonia)
Immunosuppression (ex.: therapy with high-dose corticosteroid drugs, malignancy, immune deficiency disease)
Pregnancy (live-virus vaccines due to the theoretical risk that could damage the fetus. Women should not become pregnant before 3 months of receiving MMR or rubella vaccine)
Recent receipt of blood products (this can interfere with development of an immune response to a live-virus vaccine).

Patients suffering from HIV infection who are not severely immunosuppressed should receive:

MMR vaccine
Varicella vaccine

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Copyright 2004, Disease Surveillance Unit, Public Health Department, Ministry of Health, Government of Malta

Contact Us. This site was last updated on 19 November, 2007. Developed by Dr Marius Grima MD.

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