Guide

Catching up on vaccines at 6 years

A 6-year-old with no prior vaccines needs about 16 doses over as few as 8 visits (16 visits at one dose per visit), against 26 doses on the on-time schedule.

By IN2Labs Last reviewed Sources: CDC Editorial policy

Key takeaways

  • Of the 26 on-time doses in these 8 vaccines, 16 are still needed at 6 years: DTaP 4 instead of 5, IPV 3 instead of 4, Hib 0 instead of 4 and PCV 0 instead of 4.
  • From 6 years, 3 doses per visit takes 8 visits over 9 months, ending at 6 years 9 months; one dose per visit takes 16 visits over 15 months.
  • Rotavirus is no longer possible: the final dose is due before 8 months and this child is 5 years 4 months past it.
  • By 6 years, an on-time child would already have had 26 of these routine doses; this plan counts none of them as given.

Doses needed at 6 years, vaccine by vaccine

Doses each vaccine needs for a 6-year-old with no prior doses
VaccineOn timeIf started nowPlanner minimumWhy
HepB (Hepatitis B)333No reduction. Gaps of 4 weeks and 8 weeks between doses.
DTaP (Diphtheria, Tetanus & Pertussis)5444-dose delayed path (4th dose at age ≥4 replaces doses 4 & 5).
IPV (Polio (Inactivated))4333-dose delayed path (3rd dose at age ≥4 is the final dose).
Hib (Haemophilus influenzae type b)4Not needed0 (not needed)Healthy children no longer need it from age 5; this child is 12 months past that.
PCV (Pneumococcal Conjugate)4Not needed0 (not needed)Healthy children no longer need it from age 5; this child is 12 months past that.
MMR (Measles, Mumps & Rubella)222No reduction. Second dose at least 4 weeks after the first.
VAR (Varicella (Chickenpox))222No reduction. Second dose at least 3 months after the first.
HepA (Hepatitis A)222No reduction. The two doses are at least 6 months apart.

"If started now" and "Planner minimum" agree at 6 years. A range such as 4–5 means the lower number applies when the final dose is given at age 4 or later.

Visits and finish age

Starting at 6 years, three doses per visit needs 8 visits fewer than one at a time and ends 6 months sooner. The required gaps set the floor: the earliest plan ends 9 months after the first visit, at 6 years 9 months.

Visits and finish age by pace for a 6-year-old
PaceVisitsDoses placedLast visit at
1 dose per visit, 1 month apart16167 years 3 months
3 doses per visit, 1 month apart8166 years 9 months
Planner preset: one vaccine per visit, 2 months apart16168 years 6 months

Pace figures come from the same engine as the planner, with a healthy child, the planner's default vaccines and no prior doses.

Rules that apply at 6 years

  • Rotavirus (RV) is not possible: its final dose must come before 8 months, which this child passed 5 years 4 months ago.
  • At 6 years, Hib and PCV are dropped: healthy children no longer need either from age 5, which takes 8 doses off the on-time total.
  • At 6 years DTaP is 4 doses and polio 3: the last dose goes at age 4 or later and at least 6 months after the one before, and a 6-year-old is already at or past that age, so only the gap matters.
  • At 6 years, hepatitis A needs 6 months between its two doses, the longest fixed wait in the plan, so it often sets the finish.

Questions parents ask at this age

How many vaccines does a 6-year-old need to catch up?

At 6 years the plan is 16 doses (HepB 3, DTaP 4, IPV 3, Hib 0, PCV 0, MMR 2, VAR 2, HepA 2) out of 26 on the on-time series, of which an on-time child has had 26 by now.

How many visits will a 6-year-old need?

From 6 years: as few as 8 with up to 3 doses per visit (finishing at 6 years 9 months), 16 with one dose per visit and 1 month between (7 years 3 months), or 16 on the planner's one-vaccine-per-visit preset with 2 months between (8 years 6 months).

Is there a deadline for DTaP at 6 years?

Yes. DTaP is not given from age 7, which is 12 months away; after that the CDC uses Tdap instead. At 3 doses per visit the plan ends at 6 years 9 months.

How many polio doses does a 6-year-old need?

3 instead of 4. The final dose is allowed when it falls at age 4 or later and 6 months after the previous one; at 6 years that is already true, so the series needs only 3 doses.

Build the plan for 6 years

Enter the birth date and any doses already given; the planner counts them and spaces the rest.

Open the planner in catch-up mode One vaccine per visit Up to 4 per visit

Sources

Primary sources only. Links open the publisher's own page.

  1. CDC Catch-up Immunization Schedule (Table 2) (opens in a new tab)
  2. CDC Child and Adolescent Schedule Notes (opens in a new tab)
  3. CDC Child and Adolescent Immunization Schedule by Age (opens in a new tab)
  4. CDC IPV (polio) catch-up job aid (opens in a new tab)