NEW Immunization Schedule – Learn About Changes & Updates by Scheduling a MOBI/TIES Training

Please consider scheduling a Maximizing Office Based Immunization (MOBI) or Teen Immunization Education Sessions (TIES) training for a complete list of vaccine schedule updates for 2023. To schedule your free training, please contact Lory Sheeran Winland, MPA at

A brief listing of the major changes:

  • COVID-19 vaccines have been added to the routine immunization schedule.  Hyperlinks with the latest guidance are provided for the current COVID-19 vaccination schedule, including booster dose recommendations.
  • The new 15-valent pneumococcal conjugate vaccine (PCV15) has been added. PCV15 can be used interchangeably with PCV13 in both healthy children and those with any risk for invasive pneumococcal disease.
  • Catch-Up Immunization Schedule: The fourth dose of PCV13 or PCV15 is only necessary for children aged 12-59 months regardless of risk, or aged 60-71 months with any risk, who received 3 doses before age 12 months.
  • A newly licensed MMR vaccine has been added.
  • A personal or family history of seizure of any etiology is a precaution for using MMRV.
  • Consideration for additional doses of MMR vaccine in a mumps outbreak is discussed.
  • New hepatitis B vaccines have been added for those aged 18 years and older. These new hepatitis B vaccines are not recommended during pregnancy.
  • Live attenuated influenza vaccine should not be administered to close contacts of immunosuppressed persons who require a protected environment.
  • Clarified that the newly licensed MenACWY-CRM one-vial (all liquid) formulation should not be administered before age 10 years.
  • The “Special Situations” section was updated to include the recommendations for situations when the second or third dose of MenB-FHbp is administered earlier or later than the recommended minimum interval.
  • A new “Special Situations” section was created to describe the use of IPV in persons aged 18 years who are at increased risk for exposure to poliovirus.
  • HPV vaccine is not recommended during pregnancy.
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