NSW immunisation schedule (children and adults)

Timely vaccination is the best way to protect ourselves from serious vaccine-preventable diseases. So book ahead, make an appointment with your doctor.

Childhood vaccines

Age	Disease	Vaccine	Information
Birth	Hepatitis B	H-B-Vax II (IM) or Engerix B (IM)	Within 7 days of birth (ideally within 24 hours).
6 weeks	Diphtheria, tetanus, pertussis, Haemophilus influenzae type b, hepatitis B, polio	Infanrix Hexa (IM) or Vaxelis (IM)
	Pneumococcal	Prevenar 13 (IM)
	Rotavirus	Rotarix (Oral)	Dose 1 limited to 6-14 weeks of age.
	Meningococcal B (Aboriginal¹ children only)	Bexsero (IM)	Prophylactic paracetamol recommended. Recommended for other children - see the Australia Immunisation Handbook
4 months	Diphtheria, tetanus, pertussis, Haemophilus influenzae type b, hepatitis B, polio	Infanrix Hexa (IM) or Vaxelis (IM)
	Pneumococcal	Prevenar 13 (IM)
	Rotavirus	Rotarix (Oral)	Dose 2 limited to 10-24 weeks
	Meningococcal B (Aboriginal children only)	Bexsero (IM)	Prophylactic paracetamol recommended. Recommended for other children - see the Australia Immunisation Handbook
6 months	Diphtheria, tetanus, pertussis, Haemophilus influenzae type b, hepatitis B, polio	Infanrix Hexa (IM) or Vaxelis (IM)	Children ≥6 months with at risk conditions for invasive pneumococcal disease are recommended to receive an additional dose of Prevenar 13 – see the Australian Immunisation Handbook Aboriginal children ≥6 months with certain at risk conditions may require an additional dose of Bexsero – see the Australian Immunisation Handbook
12 months	Meningococcal ACWY	Nimenrix (IM)
	Pneumococcal	Prevenar 13 (IM)
	Measles, mumps, rubella	MMR II or Priorix (IM or SC)
	Meningococcal B (Aboriginal children only)	Bexsero (IM)	Prophylactic paracetamol recommended. Recommended for other children - see the Australia Immunisation Handbook
18 months	Diphtheria, tetanus, pertussis	Infanrix or Tripacel (IM)
	Measles, mumps, rubella, varicella	Priorix Tetra (IM or SC)
	Haemophilus influenzae type b	ACT-HIB (IM or SC)
4 years	Diphtheria, tetanus, pertussis, polio	Infanrix-IPV (IM) or Quadracel (IM)	Children with at risk conditions for invasive pneumococcal disease are recommended to receive an additional dose of Pneumovax 23 – see the Australian Immunisation Handbook

At risk groups, adolescents and adults

Age/Condition	Disease	Vaccine	Information
All people with asplenia, hyposplenia, complement deficiency and treatment with eculizumab	Meningococcal ACWY	Nimenrix (IM)	See the Australian Immunisation Handbook for required doses and timing. Additional groups are recommended to receive these vaccines but these are not funded.
	Meningococcal B	Bexsero (IM)
>5 years with asplenia or hyposplenia	Haemophilus influenzae type b	ACT-HIB (IM or SC)	If incompletely vaccinated or not vaccinated in childhood.
≥ 18 years	Zoster	Shingrix (IM)	Eligible people ≥ 18 years considered at increased risk of herpes zoster due to an underlying condition and/or immunomodulatory/immunosuppressive treatments - see the Australian Immunisation Handbook
Year 7	Diphtheria, tetanus, pertussis	Boostrix (IM) or Adacel (IM)
Year 7	Human papillomavirus	Gardasil 9 (IM)
Year 10	Meningococcal ACWY	MenQuadfi (IM)
Pregnant	Influenza	Influenza	Any trimester.
	Pertussis	Boostrix or Adacel (IM)	Each pregnancy between 20-32 weeks.
	Respiratory Syncytial Virus (RSV)	ABRYSVO	Pregnancy between 28 – 36 weeks.
Aboriginal people ≥50 years	Pneumococcal	Prevenar 13 (IM) then Pneumovax23 (IM)	Prevenar 13: ≥50 years. Pneumovax 23: 2-12 months later. Pneumovax 23: at least 5 years later (see the Australian Immunisation Handbook)
Aboriginal people ≥50 years	Zoster	Shingrix (IM)	Shingrix: ≥ 50 years.
≥65 years	Zoster	Shingrix (IM)	Shingrix funded for people ≥65 years.
≥70 years	Pneumococcal	Prevenar 13 (IM)	Pneumococcal funded for people ≥70.
People with at risk conditions for invasive pneumococcal disease	See the Australian Immunisation Handbook for conditions recommended to receive Prevenar 13 and Pneumovax 23.

Influenza

Age/At risk condition	Recommendation	Information
All children 6 months <5 years	Annual influenza vaccination	Discuss influenza vaccination with other present family members. Children aged less than 9 years of age who are receiving the influenza vaccine for the first time should receive 2 doses of the vaccine, 4 weeks apart. For vaccine brands and eligibility see Seasonal influenza vaccination.
Aboriginal people ≥6 months
People with at risk conditions ≥6 months
≥65 years
Pregnant women

Notes

The term Aboriginal is inclusive of Aboriginal and Torres Strait Islander people.

Current as at: Tuesday 4 February 2025

Contact page owner: Immunisation