How to book in Brazil
Free vaccines are given at any SUS health post (Unidade Basica de Saude / posto de saude). Take the child's caderneta de vacinacao. No appointment is usually needed. Private clinics also offer the full schedule plus extra vaccines.
Ministerio da Saude - encontre uma unidade de saudeTap any milestone to expand it. Each vaccine explains what it is, the diseases it prevents, and why it is given at that age.
BirthNewborn2 vaccines
Given in the maternity ward. Protects babies against the most dangerous forms of TB, which is still common in Brazil.
Given in the first 12-24 hours to prevent mother-to-baby transmission.
2 monthsNewborn4 vaccines
One injection against five diseases.
The first polio doses are the injected type.
Protects against pneumococcus, a leading cause of childhood pneumonia.
Oral drops against severe infant diarrhoea. First dose by 3 months and 15 days.
3 monthsNewborn1 vaccine
Protects against group C meningococcal meningitis and sepsis.
4 monthsNewborn4 vaccines
Second penta dose.
Second polio dose.
Second pneumococcal dose.
Final rotavirus dose, by 7 months and 29 days.
5 monthsNewborn1 vaccine
Second meningococcal C dose.
6 monthsInfant3 vaccines
Third penta dose, completing the primary course.
Third polio dose.
Given in the annual campanha de vacinacao. Two doses the first year, then yearly.
9 monthsInfant1 vaccine
Routine in Brazil because yellow fever circulates in forest areas and has caused urban outbreaks. A serious mosquito-borne disease affecting the liver and kidneys.
12 monthsToddler3 vaccines
First measles, mumps and rubella dose. Brazil lost and then regained its measles-elimination status, so keeping coverage high matters.
The pneumococcal booster.
The meningococcal C booster.
15 monthsToddler4 vaccines
First DTP booster.
First polio booster, given as drops.
One dose against hepatitis A, a liver infection spread through contaminated food and water.
The second measles dose combined with chickenpox cover.
4 yearsChild4 vaccines
The second DTP booster.
Polio booster.
The second chickenpox dose.
The single lifelong yellow fever booster.
9 to 14 yearsChild2 vaccines
Brazil now uses a single dose for children aged 9-14, delivered largely through schools. Prevents the infections that cause almost all cervical cancer.
A teenage meningococcal dose for ages 11-14.
Given in addition to the routine schedule, for children who meet certain criteria.
When: From 20 weeks of each pregnancy
Who: Given to the mother to protect newborns from whooping cough before their own vaccines begin.
When: Age 10-14 years
Who: Two doses, offered free through SUS in municipalities with high dengue transmission. Being expanded gradually.
When: From 6 months
Who: Part of the routine childhood calendar for children aged 6 months to under 5 years, per current guidance.
How Brazil compares with other countries for each vaccine, and the side effects that are normal.
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About the Brazil schedule
Brazil's Programa Nacional de Imunizacoes (PNI) is one of the largest public vaccination programmes in the world. Vaccines are free at SUS health posts (postos de saude / UBS) and are recorded in the child's caderneta de vacinacao.
The schedule starts at birth with BCG and hepatitis B, continues at 2, 4 and 6 months, then at 9 and 12 months and 15 months, with boosters at 4 years and in adolescence. Yellow fever vaccine is part of the routine schedule because the disease is present in much of the country.
How Brazil compares
Brazil's routine schedule protects against 19 diseases across 11 vaccination ages, 7 of them in the first year. By age 2 a child has had about 23 vaccine doses, including oral drops against rotavirus and polio.
Less common elsewhere: Brazil routinely vaccinates against Flu, Tuberculosis (BCG), Hepatitis A and Yellow fever, which fewer than half of the other 13 countries on this site include for every child.
Compare Brazil with any other country, disease by disease.
Behind schedule or new to Brazil? Almost every dose still counts, and your clinic can plan a catch-up - see common questions.