Advertisement

Childhood vaccines A to Z

What each vaccine on the childhood schedules is, the diseases it prevents, and why it is given - in plain English.

This glossary covers the vaccines and diseases that appear across the childhood immunisation schedules on this site. Not every vaccine is used in every country - your country's page shows which apply to your child and when. For anything specific to your child, talk to your GP, health visitor or paediatrician.

Advertisement

6-in-1 / hexavalent (DTaP-IPV-Hib-HepB)

Also known as: Infanrix hexa, Vaxelis, Hexyon

One injection that protects against diphtheria, tetanus, whooping cough (pertussis), polio, Haemophilus influenzae type b (Hib) and hepatitis B. It is the backbone of the infant schedule in the UK, Ireland, Australia, Germany and many other countries.

Why it is given: It front-loads protection against the infections most likely to kill or disable a baby in the first year - especially whooping cough and Hib meningitis - while keeping the number of needles to a minimum.

Diphtheria

Also known as: the 'D' in DTaP / DTP / Td

A bacterial infection that produces a toxin, causing a thick grey coating at the back of the throat that can block breathing, and damage to the heart and nerves.

Why it is given: Before vaccination diphtheria was a leading cause of childhood death. It has not disappeared - large outbreaks followed the collapse of vaccination in the former Soviet Union in the 1990s - so protection has to be maintained with boosters.

Tetanus

Also known as: lockjaw, the 'T' in DTaP

Caused by bacteria in soil and dust entering a wound. The toxin causes severe, prolonged muscle spasms, starting with the jaw, and can be fatal.

Why it is given: Tetanus cannot be eliminated because the bacteria live in the environment everywhere. The only protection is individual immunity, kept up with boosters through childhood and every 10 years in adulthood.

Whooping cough (pertussis)

Also known as: the 'aP' in DTaP, the 100-day cough

A bacterial infection causing violent coughing fits that make it hard to breathe, often ending in a 'whoop'. In young babies it can cause pauses in breathing, pneumonia and death, sometimes without an obvious cough.

Why it is given: Young babies are most at risk and cannot be fully protected until they have had two or three doses, so vaccinating in pregnancy and on time in infancy both matter. Immunity fades, which is why boosters are given before school and in the teens.

Polio (poliomyelitis)

Also known as: IPV (injected), OPV (oral drops)

A virus that usually causes a mild illness but in a small number of cases attacks the nervous system, causing permanent paralysis - sometimes of the muscles used to breathe.

Why it is given: Polio has been eliminated from almost the entire world by vaccination but still circulates in a few areas and has been detected in sewage in cities that thought it was gone. High vaccination keeps it out.

Haemophilus influenzae type b (Hib)

Also known as: the 'Hib' in 5-in-1 / 6-in-1

A bacterium (not related to influenza) that was the most common cause of bacterial meningitis in young children before vaccination, and also causes a dangerous throat swelling called epiglottitis.

Why it is given: Hib disease is now rare in countries that vaccinate, but the bacteria still exist. A booster in the second year maintains protection through the highest-risk period.

Hepatitis B

Also known as: HepB

A virus that infects the liver. Caught in infancy it usually becomes a lifelong (chronic) infection that can lead to cirrhosis and liver cancer decades later.

Why it is given: Babies born to infected mothers have a very high chance of chronic infection unless vaccinated at birth. Many countries now vaccinate all infants because chronic hepatitis B is hard to treat and easy to prevent.

Pneumococcal (PCV)

Also known as: Prevenar 13, PCV15, PCV20, Synflorix

Protects against Streptococcus pneumoniae, a common bacterium that causes ear infections, sinusitis and pneumonia, and less often meningitis and bloodstream infection.

Why it is given: Pneumococcal pneumonia is one of the biggest causes of death in children under five worldwide. The vaccine has sharply cut severe disease and also reduces antibiotic-resistant infections.

Rotavirus

Also known as: Rotarix, RotaTeq, given as oral drops

The most common cause of severe diarrhoea and vomiting in babies and toddlers, leading to dehydration that often needs hospital treatment.

Why it is given: Before the vaccine, nearly every child had a rotavirus infection by age five and it was a leading reason for young children being admitted to hospital. The course must be started early (before 15 weeks) for safety reasons.

MMR (measles, mumps, rubella)

Also known as: ROR, MMRV when combined with varicella

A single injection against three viruses. Measles: fever, rash, and in some cases pneumonia, deafness or brain swelling. Mumps: swollen glands, sometimes meningitis or hearing loss. Rubella: mild in children but causes serious birth defects in pregnancy.

Why it is given: Measles is one of the most infectious diseases known - around 95% of a population needs to be immune to stop it spreading. Outbreaks return quickly wherever uptake drops. Two doses give near-complete lifelong protection.

Meningococcal B (MenB)

Also known as: Bexsero, Trumenba

Protects against group B meningococcal bacteria, the most common cause of meningococcal meningitis and sepsis (blood poisoning) in young children in Europe.

Why it is given: Meningococcal disease can go from first symptoms to life-threatening in hours and can leave survivors with amputations, deafness or brain injury. Group B was the last common group without a vaccine until recently.

Meningococcal ACWY (MenACWY)

Also known as: Nimenrix, Menveo, MenQuadfi

Protects against four groups (A, C, W and Y) of meningococcal bacteria.

Why it is given: Rates of meningococcal disease rise again in the late teens, particularly among students in shared accommodation. Group W disease increased in several countries, prompting a switch from MenC-only to the broader ACWY vaccine for adolescents.

Meningococcal C (MenC)

Also known as: part of Hib/MenC in some schedules

Protects specifically against group C meningococcal disease.

Why it is given: Introduced after group C outbreaks; now often folded into a combined Hib/MenC toddler booster or replaced by the broader MenACWY vaccine.

Varicella (chickenpox)

Also known as: Varivax, Varilrix

Prevents chickenpox: an itchy blistering rash with fever. Usually mild, but can cause serious skin infection, pneumonia, or inflammation of the brain, and is dangerous for newborns and people with weak immune systems.

Why it is given: Routine in the US, Germany, Australia and elsewhere to prevent the complications and hospital admissions, and to protect vulnerable contacts. Some countries instead offer it only to susceptible teenagers and at-risk groups.

HPV (human papillomavirus)

Also known as: Gardasil 9, Cervarix

Protects against the types of HPV that cause almost all cervical cancer, most anal cancer, and a large share of mouth, throat, penile and vulval cancers, plus genital warts.

Why it is given: Given in the pre-teen years because it works best before any exposure to the virus. Countries with high uptake are on course to eliminate cervical cancer. Many now use a single dose for this age group.

Hepatitis A

Also known as: Havrix, Vaqta

A liver infection spread through contaminated food and water, causing weeks of jaundice, nausea and fatigue. Rarely fatal but very unpleasant and disruptive.

Why it is given: Routine in the US, parts of Canada, Brazil and countries where the virus is common. Two doses give long-lasting protection.

BCG (tuberculosis)

Also known as: Bacille Calmette-Guerin

Given as a single injection, usually into the upper arm, leaving a small scar. It does not prevent all TB but strongly protects babies and young children against the most severe forms - TB meningitis and disseminated (miliary) TB.

Why it is given: Used routinely in countries where TB is common (South Africa, India, Brazil, Russia and others) and offered selectively elsewhere to babies with a higher chance of exposure.

Influenza (flu)

Also known as: nasal spray or injection

Protects against seasonal flu, which in young children can cause high fever, pneumonia, and occasionally inflammation of the brain, and leads to many hospital admissions each winter.

Why it is given: Offered yearly to healthy children in the UK, Ireland, US, Australia (under 5), Brazil and others because young children are both high-risk and major spreaders. A new version is needed each year as the virus changes.

Japanese encephalitis (JE)

Also known as: part of India's UIP in endemic districts

A mosquito-borne virus that infects the brain. Most infections cause no symptoms, but severe cases have a high rate of death or lasting disability.

Why it is given: Given routinely in parts of Asia where the virus circulates (rice-farming areas with pigs and water birds), and to travellers spending time in those areas.

Yellow fever

Also known as: part of Brazil's routine schedule

A mosquito-borne virus causing fever and, in severe cases, jaundice, bleeding and organ failure. One dose gives lifelong protection.

Why it is given: Routine for children in parts of South America and Africa where the virus circulates, and required for travel to and from many of those countries under International Health Regulations.

RSV protection (nirsevimab / maternal vaccine)

Also known as: Beyfortus, Abrysvo

Not a traditional childhood vaccine: either a single long-acting antibody injection (nirsevimab) given to babies, or a vaccine given to the mother in pregnancy, to protect against respiratory syncytial virus.

Why it is given: RSV is the leading cause of bronchiolitis and infant hospital admission in the first year of life. Protection is newly available and being added to schedules in the UK, US and elsewhere.
Advertisement

How to think about the schedule as a whole

Read down a schedule and a pattern emerges. The first year front-loads protection against the infections most dangerous to babies - whooping cough, Hib, pneumococcus, meningococcus, rotavirus - with several closely spaced doses because one dose is not enough to build full immunity. The second year adds the live vaccines that work best slightly later (measles-mumps-rubella, chickenpox) and a round of boosters. The pre-school visit tops up the diphtheria-tetanus-whooping cough-polio group before children mix in larger numbers. The teenage visits refresh tetanus and diphtheria for adult life, broaden meningococcal cover for the higher-risk late teens, and add HPV before any exposure.

Every dose and every interval in that pattern is chosen for the specific biology of the vaccine involved, which is why the schedules look intricate rather than uniform.

Advertisement
Share this page
We use cookies for basic analytics and, in future, advertising, to keep this site free. See our privacy & cookie policy.