National Immunization Schedule
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National Immunization Schedule India 2025 2026 vaccines
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https://nhm.gov.in/New_Updates_2018/NHM_Components/Immunizat…
Here is a complete overview of the National Immunization Schedule (NIS) of India under the Universal Immunization Programme (UIP), sourced from the NHM official NIS document and Park's Textbook of Preventive and Social Medicine.
National Immunization Schedule (NIS) - India
For Infants (0-1 year)
| Age | Vaccines | Dose | Route | Site |
|---|---|---|---|---|
| Birth | BCG | 0.1 ml (0.05 ml up to 1 month) | Intradermal | Left upper arm |
| OPV-0 | 2 drops | Oral | Oral | |
| Hepatitis B (birth dose) | 0.5 ml | Intramuscular | Anterolateral mid-thigh | |
| 6 Weeks | OPV-1 | 2 drops | Oral | Oral |
| Pentavalent-1 (DPT + Hep B + Hib) | 0.5 ml | Intramuscular | Anterolateral mid-thigh | |
| Rotavirus Vaccine (RVV)-1 | 5 drops / 2.5 ml | Oral | Oral | |
| fIPV-1 (Fractional IPV) | 0.1 ml | Intradermal | Right upper arm | |
| PCV-1* | 0.5 ml | Intramuscular | Anterolateral mid-thigh | |
| 10 Weeks | OPV-2 | 2 drops | Oral | Oral |
| Pentavalent-2 | 0.5 ml | Intramuscular | Anterolateral mid-thigh | |
| RVV-2 | 5 drops | Oral | Oral | |
| 14 Weeks | OPV-3 | 2 drops | Oral | Oral |
| Pentavalent-3 | 0.5 ml | Intramuscular | Anterolateral mid-thigh | |
| fIPV-2 | 0.1 ml | Intradermal | Right upper arm | |
| RVV-3 | 5 drops | Oral | Oral | |
| PCV-2* | 0.5 ml | Intramuscular | Anterolateral mid-thigh | |
| 9-12 Months | MR-1 (Measles-Rubella) | 0.5 ml | Subcutaneous | Right upper arm |
| JE-1** | 0.5 ml | SC (live) / IM (killed) | Left upper arm (live) / mid-thigh (killed) | |
| PCV Booster* | 0.5 ml | Intramuscular | Anterolateral mid-thigh | |
| Vitamin A (1st dose) | 1 ml (1 lakh IU) | Oral | Oral |
For Children (1-17 years)
| Age | Vaccines | Dose | Route | Site |
|---|---|---|---|---|
| 16-24 Months | MR-2 | 0.5 ml | Subcutaneous | Right upper arm |
| JE-2** | 0.5 ml | SC / IM | Left upper arm / mid-thigh | |
| DPT Booster-1 | 0.5 ml | Intramuscular | Anterolateral mid-thigh | |
| OPV Booster | 2 drops | Oral | Oral | |
| Vitamin A (2nd-9th dose) | 2 ml (2 lakh IU), every 6 months up to 5 years | Oral | Oral | |
| 5-6 Years | DPT Booster-2 | 0.5 ml | Intramuscular | Upper arm |
| 10 Years | Td (Tetanus-diphtheria) | 0.5 ml | Intramuscular | Upper arm |
| 16 Years | Td | 0.5 ml | Intramuscular | Upper arm |
For Pregnant Women
| Timing | Vaccine | Dose | Route | Site |
|---|---|---|---|---|
| Early in pregnancy (1st ANC visit) | Td-1 | 0.5 ml | Intramuscular | Upper arm |
| 4 weeks after Td-1 | Td-2 | 0.5 ml | Intramuscular | Upper arm |
| If previously vaccinated with 2 Td/TT doses within last 3 years | Td-Booster | 0.5 ml | Intramuscular | Upper arm |
Key Notes
- Pentavalent vaccine combines DPT + Hepatitis B + Hib in a single injection, replacing individual antigens at 6, 10, and 14 weeks.
- PCV* (Pneumococcal Conjugate Vaccine) is currently available in select states/districts: Bihar, Himachal Pradesh, Madhya Pradesh, Rajasthan, Uttar Pradesh (selected districts), and Haryana (state initiative).
- JE vaccine* is given only in endemic districts after a campaign.
- fIPV (fractional dose IPV) is given intradermally at 1/5th the IM dose, conserving vaccine supply while maintaining immunity.
- OPV can be given up to 5 years of age; Pentavalent can be given up to 1 year.
- Vitamin A supplementation: 1st dose at 9 months with MR; 2nd-9th doses every 6 months from 16-18 months up to 5 years.
2026 Updates to the UIP
Two notable additions as of early 2026 per the Press Information Bureau:
- Indigenously manufactured Td vaccine launched February 2026 (produced at CRI, Kasauli) - replacing TT in the schedule.
- Nationwide HPV vaccination campaign launched February 28, 2026, targeting 14-year-old girls (~1.15 crore) for free cervical cancer protection.
IAP (Indian Academy of Paediatrics) Additional Vaccines
Beyond the government NIS, IAP recommends these additional vaccines (not in UIP due to cost):
| Vaccine | Schedule |
|---|---|
| MMR | 15 months, 4-6 years |
| Varicella | 15 months (or after 1 year) |
| Typhoid conjugate (TCV) | 9-12 months, then booster at 2 years |
| Hepatitis A | 12 months + booster at 18 months (killed) / single dose (live) |
| Influenza | 6 months onwards, annually |
| HPV | 9-14 years (2 doses); 15+ years (3 doses) |
| Meningococcal | High-risk groups |
Source: Park's Textbook of Preventive and Social Medicine; NHM National Immunization Schedule; IMA Immunization Chart
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