Catch-Up Guidance for Children

4 Months through 6 Years of Age

Diphtheria-, Tetanus-, and Pertussis-Containing Vaccines: DTaP1
The table below provides guidance for children whose vaccinations have been delayed. Start with the
child’s age and information on previous doses (previous doses must be documented and must meet
minimum age requirements and minimum intervals between doses). Use this table in conjunction with
table 2 of the Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger,
found at www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html.

AND # of
IF current
previous doses AND THEN Next dose due2
age is
of DTaP or DT is

Unknown or 0
 Give Dose 1
(DTaP) today
Give Dose 2 (DTaP) at least
4 weeks after Dose 1
It has been at least Give Dose 2 (DTaP) Give Dose 3 (DTaP) at least
4 weeks since Dose 1 today 4 weeks after Dose 2
1
4 months It has not been at least Give Dose 2 (DTaP) at least
No dose today
through 4 weeks since Dose 1 4 weeks after Dose 1
11 months
Give Dose 4 (DTaP) at least
It has been at least Give Dose 3 (DTaP)
6 calendar months after Dose 3 and
4 weeks since Dose 2 today
2 at 15 months of age or older3,4
It has not been at least Give Dose 3 (DTaP) at least
No dose today
4 weeks since Dose 2 4 weeks after Dose 2

Unknown or 0
 Give Dose 1 (DTaP)
today
Give Dose 2 (DTaP) at least
4 weeks after Dose 1
It has been at least Give Dose 2 (DTaP) Give Dose 3 (DTaP) at least
4 weeks since Dose 1 today 4 weeks after Dose 2
1
It has not been at Give Dose 2 (DTaP) at least
No dose today
4 weeks since Dose 1 4 weeks after Dose 1
It has been at least Give Dose 3 (DTaP) Give Dose 4 (DTaP) at least
4 weeks since Dose 2 today 6 calendar months after Dose 34
2
1 through It has not been at least Give Dose 3 (DTaP) at least
No dose today
3 years 4 weeks since Dose 2 4 weeks after Dose 2
If 12 through 14
Give Dose 4 (DTaP) at
months of age,
It has been at least 15 through 18 months of age4
no dose today2
6 calendar months
since Dose 3 If 15 months of age Give Dose 5 (DTaP) at least
3 or older, give Dose 4 6 months after Dose 4 and at
(DTaP) today4 4 through 6 years of age4,5
It has not been at least
Give Dose 4 (DTaP) at least
6 calendar months No dose today
6 months after Dose 34
since Dose 3
1
Vaccine information: DTaP–Administer to children 6 weeks through 6 years of age without a contraindication or precaution to
diphtheria, tetanus, or pertussis vaccine. DTaP products include Daptacel, Infanrix, Pediarix, Pentacel, Vaxelis, Kinrix, and Quadracel.
Use the correct product based on the approved age indications. DT–Administer to children 6 weeks through 6 years of age with a
contraindication to pertussis vaccine.
2
Next dose due is not the fnal dose in the series unless explicitly stated.
3
Dose 4 may be administered as early as age 12 months, provided at least 6 months have elapsed since Dose 3.
4
Vaxelis should not be used for either Dose 4 or Dose 5.
5
Dose 5 is not necessary if Dose 4 was administered at age 4 years or older and
at least 6 months afer Dose 3.
Reference: Recommended Child and Adolescent Immunization Schedule for
Ages 18 Years or Younger—United States, 2024. www.cdc.gov/vaccines/
schedules/downloads/child/0-18yrs-child-combined-schedule.pdf

Revised December 2023 1 CS346231-A

Catch-Up Guidance for Children
4 Months through 6 Years of Age
Diphtheria-, Tetanus-, and Pertussis-Containing Vaccines: DTaP1

AND # of
IF current previous
AND AND THEN Next dose due2
age is doses of DTaP
or DT is1
Unknown
or 0   Give Dose 1
(DTaP) today
Give Dose 2 (DTaP) at least
4 weeks after Dose 1
It has been at least
4 weeks since Dose 1  Give Dose 2
(DTaP) today
Give Dose 3 (DTaP) at least
4 weeks after Dose 2
1 It has not been at
least 4 weeks
since Dose 1
 No dose today
Give Dose 2 (DTaP) at least
4 weeks after Dose 1

It has been at least

4 weeks since Dose 2  Give Dose 3
(DTaP) today
Give Dose 4 (DTaP) at least
6 calendar months after Dose 34
2 It has not been at
least 4 weeks since
Dose 2
 No dose today
Give Dose 3 (DTaP) at least
4 weeks after Dose 2

It has been at least

4 through
6 years
6 calendar months
since Dose 3
 Give Dose 4
(DTaP) today4
Give Tdap at
11 to 12 years of age
3
It has not been at
least 6 calendar
months since Dose 3
 No dose today
Give Dose 4 (DTaP) at least
6 calendar months after Dose 34

It has not been

Give Dose 5 (DTaP) at least
at least
No dose today 6 calendar months after
All doses were 6 months since
Dose 44,5
given prior to the Dose 4
4th birthday It has been at
4 Give Dose 5
least 6 months
(DTaP) today4,5
since Dose 4 Give Tdap at
At least one dose was 11 to 12 years of age
given at/after the
4th birthday
 No dose today

1
Vaccine information: DTaP–Administer to children 6 weeks through 6 years of age without a contraindication or precaution to
diphtheria, tetanus, or pertussis vaccine. DTaP products include Daptacel, Infanrix, Pediarix, Pentacel, Vaxelis, Kinrix, and Quadracel.
Use the correct product based on the approved age indications. DT–Administer to children 6 weeks through 6 years of age with a
contraindication to pertussis vaccine.
2
Next dose due is not the fnal dose in the series unless explicitly stated.
3
Dose 4 may be administered as early as age 12 months, provided at least 6 months have elapsed since Dose 3.
4
Vaxelis should not be used for either Dose 4 or Dose 5.
5
Dose 5 is not necessary if Dose 4 was administered at age 4 years or older and at least 6 months afer Dose 3.
Reference: Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger—United States, 2024.
www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf

Revised December 2023 2