How to book in Spain
Vaccinations are free at your local health centre (centro de salud), usually with the paediatric nurse at your child's routine check-ups. Register your child with the public health system (tarjeta sanitaria) and bring the vaccination card to every visit. Each region publishes its own calendar.
Ministerio de Sanidad - calendars by regionTap any milestone to expand it. Each vaccine explains what it is, the diseases it prevents, and why it is given at that age.
2 monthsNewborn4 vaccines
One injection against six diseases. Spain's 2+1 schedule means three doses in total, at 2, 4 and 11 months.
Protects against pneumococcus, a common cause of ear infections, pneumonia and meningitis in young children.
Protects against MenB, the most common cause of meningococcal meningitis and sepsis in babies. Giving it on time at 2 and 4 months matters.
Drops by mouth against rotavirus, a major cause of severe diarrhoea and vomiting in babies. 2 or 3 doses depending on the vaccine used.
4 monthsNewborn5 vaccines
Second six-in-one dose.
Second pneumococcal dose.
Second MenB dose.
Protects against MenC meningitis and sepsis. Several regions now use MenACWY here instead, which also covers groups A, W and Y.
Second rotavirus dose. Regions using a 3-dose vaccine give a third at 6 months.
11 monthsInfant2 vaccines
The booster that completes the six-in-one course. Giving it on time at 11 months is important.
The pneumococcal booster that completes the course.
12 monthsToddler3 vaccines
First measles, mumps and rubella dose.
The MenB booster that completes the course.
MenC booster. Several regions give MenACWY instead.
15 monthsToddler1 vaccine
First chickenpox dose.
3-4 yearsChild1 vaccine
Second doses of MMR and chickenpox, usually given together as one combined MMRV injection.
6 yearsChild1 vaccine
A booster against diphtheria, tetanus, whooping cough and polio for children who had the 2, 4 and 11-month schedule.
12 yearsTeen2 vaccines
Protects teenagers against four groups of meningococcal disease, at the age when carriage starts to rise. Catch-up is offered up to 18.
A single dose for girls and boys protects against the HPV types behind most cervical and several other cancers. Catch-up is offered to those who missed it.
14 yearsTeen1 vaccine
The teenage tetanus and diphtheria booster. Some regions use a version that also covers whooping cough.
Given in addition to the routine schedule, for children who meet certain criteria.
When: Before or during the first RSV season (October to March), within 24-48 hours of birth for babies born in season
Who: All babies born from 1 April to 31 March of the following year, in their first RSV season (under 6 months).
When: Every autumn
Who: Recommended for all children aged 6 to 59 months, and for older children with certain medical conditions.
When: Within 24 hours of birth
Who: Babies of mothers who carry hepatitis B (or were not screened) get a dose at birth with immunoglobulin, then follow a 0, 2, 4 and 11-month schedule.
When: From 12 months
Who: Routine in a few areas such as Ceuta and Melilla, and recommended for all children by Spanish paediatricians (AEP 2026). Otherwise given to children at higher risk, for example families who travel to countries where it is common.
How Spain compares with other countries for each vaccine, and the side effects that are normal.
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About the Spain schedule
Spain's childhood vaccines are free through the national health system (SNS). The Ministry of Health and the 17 autonomous communities agree a common schedule each year through the Consejo Interterritorial; each region then publishes its own calendar based on it, so small differences between regions are normal.
Spain uses a 2+1 schedule for babies: the 6-in-1 and pneumococcal vaccines at 2, 4 and 11 months. MenB and rotavirus are routine for all babies, with MMR and meningococcal vaccines at 12 months and chickenpox at 15 months. Second doses of MMR and chickenpox follow at 3-4 years, a 4-in-1 booster at 6, and MenACWY and a single HPV dose for girls and boys at 12.
Vaccines are given by the paediatric nurse at your local health centre (centro de salud). Keep your child's vaccination card up to date - schools and nurseries may ask for it.
How Spain compares
Spain's routine schedule protects against 16 diseases across 9 vaccination ages, 3 of them in the first year. By age 2 a child has had about 15 vaccine doses, including oral drops against rotavirus.
Less common elsewhere: Spain routinely vaccinates against Meningococcal B, which fewer than half of the other 15 countries on this site include for every child.
Compare Spain with any other country, disease by disease.
Behind schedule or new to Spain? Almost every dose still counts, and your clinic can plan a catch-up - see common questions.
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