Complete immunisation schedules

• Complete routine immunisation schedule for Wales

• Routine childhood immunisation schedule for Wales

The complete routine immunisation schedule for Wales from January 2026

Age due	Diseases protected against	Vaccine	Name	Usual site
Age due 8 weeks old	Diseases protected against Diphtheria, tetanus, pertussis (whooping cough), polio, haemophilus influenzae type b (Hib) and hepatitis B	Vaccine DTaP/IPV/Hib/ HepB (6-in-1)	Name Infanrix hexa® or Vaxelis®	Usual site Thigh
Age due 8 weeks old	Diseases protected against Meningococcal group B (MenB)	Vaccine MenB	Name Bexsero®	Usual site Thigh
Age due 8 weeks old	Diseases protected against Rotavirus gastroenteritis	Vaccine Rotavirus	Name Rotarix®	Usual site By mouth
Age due 12 weeks old	Diseases protected against Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	Vaccine DTaP/IPV/Hib/ HepB	Name Infanrix hexa® or Vaxelis®	Usual site Thigh
Age due 12 weeks old	Diseases protected against Meningococcal group B (MenB)	Vaccine MenB	Name Bexero®	Usual site Thigh
Age due 12 weeks old	Diseases protected against Rotavirus gastroenteritis	Vaccine Rotavirus	Name Rotarix®	Usual site By mouth
Age due 16 weeks old	Diseases protected against Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	Vaccine DTaP/IPV/Hib/ HepB	Name Infanrix hexa®or Vaxelis®	Usual site Thigh
Age due 16 weeks old	Diseases protected against Pneumococcal	Vaccine PCV 13	Name Prevenar 13®1	Usual site Thigh
Age due 12 months old	Diseases protected against Pneumococcal	Vaccine PCV 13	Name Prevenar 13®1	Usual site Upper arm/ thigh
Age due 12 months old	Diseases protected against Meningococcal group B (MenB)	Vaccine Men B	Name Bexero®	Usual site Upper arm/ thigh
Age due 12 months old	Diseases protected against Measles, mumps and rubella	Vaccine MMR	Name ProQuad® or Priorix-Tetra®	Usual site Upper arm/ thigh
Age due 18 months old	Diseases protected against Born before 1 July 2024: No appointment Born on or after 1 July 2024: Measles, mumps and rubella	Vaccine MMR	Name ProQuad® or Priorix-Tetra®	Usual site Upper arm/thigh
Age due 18 months old	Diseases protected against Born before 1 July 2024: No appointment Born on or after 1 July 2024: Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	Vaccine DTaP/IPV/Hib/HepB (6-in-1)	Name Infanrix hexa® or Vaxelis®	Usual site Upper arm/thigh
Age due 22 and 3 years old and all school aged children	Diseases protected against Influenza (annually from September)	Vaccine Live attenuated influenza vaccine	Name Fluenz®3	Usual site Both nostrils
Age due 3 years 4 months old	Diseases protected against Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	Vaccine dTaP/IPV (4-in-1)	Name Boostrix-IPV® or Repevax®	Usual site Upper arm
Age due 3 years 4 months old	Diseases protected against Born before 1 January 2025: Measles, mumps and rubella Born on or after 1 January 2025: No MMRV vaccine	Vaccine MMRV	Name ProQuad® or Priorix-Tetra®	Usual site Upper arm
Age due School year 8 (12 to 13 year olds)	Diseases protected against Cancers and genital warts caused by specific human papillomavirus (HPV) types	Vaccine HPV4 (one dose)	Name Gardasil 9®	Usual site Upper arm
Age due School year 9 (13 and 14 year olds)	Diseases protected against Tetanus, diphtheria and polio	Vaccine Td/IPV (3-in-1) (check MMR status)	Name Revaxis®	Usual site Upper arm
Age due School year 9 (13 and 14 year olds)	Diseases protected against Meningococcal groups A, C, W and Y	Vaccine MenACWY	Name Nimenrix® or MenQuadfi®	Usual site Upper arm
Age due 65 years of age and older	Diseases protected against Influenza (annually)	Vaccine Inactivated influenza vaccine	Name Adjuvanted trivalent influenza vaccine (aTIV)  or Cell-based trivalent influenza vaccine (TIVc)5	Usual site Upper arm
Age due 65 years of age	Diseases protected against Pneumococcal	Vaccine PPV23 or PCV206	Name Pneumovax 23® or Prevenar 20®	Usual site Upper arm
Age due 65 years old and 70 to 79 years old  (plus people from age 18 with severe immunosuppression)7	Diseases protected against Shingles	Vaccine Shingles	Name Shingrix®	Usual site Upper arm
Age due 75 years	Diseases protected against Respiratory Syncytial Virus (RSV)	Vaccine RSV	Name Abrysvo®	Usual site Upper arm

¹ Refer to the Green Book Chapter: Pneumococcal – table 25.3 (external site) for babies with asplenia, splenic dysfunction, complement disorder or severely immunocompromised. 

² Children must be 2 years old by 31 August to receive influenza vaccine in the routine programme in autumn/winter

³ If Fluenz® is unsuitable, use inactivated flu vaccine.

⁴ Check the relevant chapter of the Green Book for individuals requiring a 3-dose schedule. 

⁵ Only use TIVc if no aTIV stock is available or if aTIV is unsuitable. ​​​​​​​

⁶ PCV20 is expected to replace PPV23 in early 2026.

Selective immunisation programmes

Target group	Age and schedule	Disease	Vaccines
Target group Babies born to hepatitis B infected mothers	Age and schedule At birth and 1 month old1	Disease Hepatitis B	Vaccines Hepatitis B vaccines (Engerix B® / HBvaxPRO®)
Target group Infants in areas of the country with TB incidence >= 40/100,000	Age and schedule From birth	Disease Tuberculosis	Vaccines BCG®
Target group Infants with a parent or grandparent born in a high incidence country2	Age and schedule From birth	Disease Tuberculosis	Vaccines BCG®
Target group People in a risk group for influenza3	Age and schedule From 6 months to 64 years	Disease Influenza	Vaccines Age-appropriate flu vaccine3
Target group Pregnant women	Age and schedule From 16 weeks of pregnancy	Disease Pertussis	Vaccines Tdap (ADACEL®)  If ADACEL® is unavailable or contraindicated, administer dTaP/IPV (Boostrix-IPV® or Repevax®)
Target group Pregnant women	Age and schedule From 28 weeks of pregnancy	Disease Respiratory syncytial virus (RSV)	Vaccines Abrysvo®
Target group Pregnant women	Age and schedule At any stage in pregnancy during the flu season	Disease Influenza	Vaccines Recommended inactivated flu vaccine3
Target group Gay, bisexual and other men who have sex with men	Age and schedule 45 years of age and under4	Disease HPV4	Vaccines Gardasil 9®
Target group People at increased risk of mpox	Age and schedule Based on risk	Disease Mpox	Vaccines Imvanex®
Target group People at increased risk of gonorrhoea	Age and schedule Based on risk	Disease Gonorrhoea	Vaccines Bexsero®

¹ In addition to hexavalent vaccine (Infanrix hexa or Vaxelis) given at 8, 12, 16 weeks and 18 months. Take blood for HBsAg to exclude infection at 12 to 18 months.

² Where the annual incidence of TB is >= 40/100,000 see the WHO country profile (external site).

³ Refer to annual flu Welsh Health Circular (external site) for eligibility criteria and vaccine recommendations

⁴ Check the Green Book Chapter: HPV (external site) for individuals requiring a 1, 2 or 3 dose schedule. 

⁵A sexual health clinician will assess individuals attending the sexual health clinic and advise vaccination if required

Additional vaccines for individuals with underlying medical conditions¹

Medical condition	Diseases protected against	Vaccines required2
Medical condition Asplenia, splenic dysfunction or complement disorder (Including people with coeliac disease who have splenic dysfunction, and all haemoglobinopathies such as homozygous sickle cell disease)	Diseases protected against Meningococcal groups A, B, C, W and Y Pneumococcal Influenza	Vaccines required2 MenACWY MenB PCV13® or PCV20 (up to two years of age)3  PPV23 or PCV20 (from two years of age)4 Annual flu vaccine5
Medical condition Cochlear implants, cerebrospinal fluid leaks	Diseases protected against Pneumococcal	Vaccines required2 PPV23 or PCV20 (from two years of age)4
Medical condition Chronic respiratory and heart conditions (such as moderate  to severe asthma, chronic pulmonary disease, and heart failure)	Diseases protected against Pneumococcal Influenza	Vaccines required2 PPV23 or PCV20 (from two years of age)4  Annual flu vaccine5
Medical condition Chronic neurological conditions (such as Parkinson’s or motor neurone disease, or learning disability)	Diseases protected against Pneumococcal (only if the individual is also at increased risk of aspiration) Influenza	Vaccines required2 PPV23 (from two years of age)4  Annual flu vaccine5
Medical condition Diabetes	Diseases protected against Pneumococcal Influenza	Vaccines required2 PPV23 or PCV20 (from two years of age)4  Annual flu vaccine5
Medical condition Chronic kidney disease (CKD) (including haemodialysis)	Diseases protected against Pneumococcal (stage 4 and 5 CKD) Influenza (stage 3, 4 and 5 CKD) Hepatitis B (stage 4 and 5 CKD)	Vaccines required2 PPV23 or PCV20 (from two years of age)4 Annual flu vaccine5 Hepatitis B
Medical condition Chronic liver conditions	Diseases protected against Pneumococcal Influenza Hepatitis A & B	Vaccines required2 PPV23 or PCV20 (from two years of age)4 Annual flu vaccine5 Hepatitis A & Hepatitis B
Medical condition Haemophilia	Diseases protected against Hepatitis A & B	Vaccines required2 Hepatitis A & B
Medical condition Immunosuppression due to disease or treatment	Diseases protected against Pneumococcal Influenza Shingles	Vaccines required2 PCV13 or PCV20 (up to two years of age)3 PPV23 or PCV20 (from two years of age)4 Annual flu vaccine5 Shingrix (aged 18 years and over)

¹ The list is not exhaustive. Other vaccines may be recommended for certain individuals. 

² Check relevant chapter of the Green Book (external site) for specific schedule and for further detail.

³ See table 25.3 – Summary of vaccine doses for at-risk patients in the Green Book, Chapter 25 about pneumococcal on the UK Government website (external site) for further information.

⁴ Refer to the Green Book Chapter: Pneumococcal (external site) for detailed guidance on vaccine recommendations for this clinical risk group. PCV20 is expected to replace PPV23 in late 2025 or early 2026.​​​​​​​

⁵ From six months of age.​​​​​​​

⁶  Consider annual influenza vaccination for household members and those who care for people with these conditions.