51²è¹Ý

Intramuscular injection into deltoid muscle in upper arm or anterolateral aspect of the thigh.Ìý↩

Rotavirus vaccine should only be given after checking for a severe combined immunodeficiency (SCID) screening result.Ìý↩Ìý↩²Ìý↩³Ìý↩⁴

Contains porcine gelatine.Ìý↩Ìý↩²Ìý↩³Ìý↩⁴Ìý↩⁵

See annual flu letterÌý↩

If LAIV (live attenuated influenza vaccine) is contraindicated or otherwise unsuitable use inactivated flu vaccine (check Green Book chapter 19 for details).Ìý↩Ìý↩²

See Green Book HPV chapter 18a for details on immunising immunocompromised young people who will need 3 doses.Ìý↩

See Green Book shingles chapter 28a for details on eligible age groups including severely immunosuppressed individuals from age 50.Ìý↩Ìý↩²Ìý↩³Ìý↩⁴

Take blood for HBsAg at 12 months to exclude infection.Ìý↩

In addition hexavalent vaccine (Infanrix hexa or Vaxelis) is given at 8, 12 and 16 weeks.Ìý↩

Check SCID screening outcome before giving BCG.Ìý↩Ìý↩²

Where the annual incidence of TB is >= 40/100,000 – see tuberculosis by country: rates per 100,000 peopleÌý↩

Ideally before 32 weeks gestation but may still be given after 32 weeks.Ìý↩

Check relevant chapter of the Green Book for specific scheduleÌý↩

If aged 2 years to under 10 years of age and unimmunised or partially immunised against pneumococcal infection, give one PCV13 dose.Ìý↩Ìý↩²Ìý↩³Ìý↩⁴Ìý↩⁵Ìý↩⁶Ìý↩⁷Ìý↩⁸Ìý↩⁹

Consider annual influenza vaccination for household members and those who care for people with these conditions.Ìý↩

To any age in severely immunocompromised.Ìý↩