Immunization Intervals: Immunization Calendar

For pregnant women, note:

  • In principle, active vaccinations should be avoided during pregnancy.
  • However, passive immunizations with immunoglobulins after pathogen contact can be performed for the following diseases.
  • Vaccinations that the woman should have received in full before pregnancy, see under Introduction “Vaccinations during pregnancy and lactation”.

The following vaccinations can be given during pregnancy without hesitation:

Vaccine Basic vaccination Post-vaccination Booster
2-4 month (M) 11-14 M 15-23 M 2-4 J 5-6 year (J) 5-6 J 9-14 5-16 J from 18 y
Tetanus (T) G1, G2, G3 G4 N N A1 A2 A (N if necessary) e
Diphtheria (T) G1, G2, G3 G4 N N A1 A2 A (N if necessary) e
Pertussis* (T) G1, G2, G3 G4 N N A1 A2 A (N if necessary) e
Poliomyelitis (T) G1, G2 b, G3 G4 N N A1 N if necessary
Influenza (T) Pregnant women from the 2nd trimester (third trimester); in case of concomitant diseases with increased health risk from the first trimester onwards

* New: Vaccination against pertussis for pregnant women with a Tdap combination vaccine at the beginning of the 3rd trimester. If there is an increased likelihood of preterm delivery, vaccination should be brought forward to the 2nd trimester. Vaccination should be given regardless of the interval between previously administered pertussis vaccines and in any pregnancy. The following vaccinations can be given to pregnant women after pathogen contact or before travel to endemic areas:

Vaccine Type Basic immunization Booster
Cholera T 2 times within 6 weeks After 2 years
Hepatitis A T 2 x within one year (0- 6/12 months) Not required
Hepatitis A+B T 3 times within one year (0- 1- 6/12 months). Not required
Hepatitis B T 3 times in 2 months (0- 1- 2 months) After 1 year or at titer ↓
Rabies (rabies) T 3 times within a month (0- 7- 21/28 days) Every 2-5 years or at titer ↓
Typhoid fever T 1 x After 5 years
Yellow fever L 1 x After 10 years
Meningococcus T 1 x After about 3 years
TBE T 3 times within a year (0-1 month – 1 year)
  • The first booster vaccination (for persons aged > 16 to ≤ 50 years) is given three years after the last vaccination
  • All further booster vaccinations are performed 5 years after the last vaccination.
  • For people older than 50 years, the booster vaccinations are performed after each 3 years.
Diphtheria T G1-G4
  • The first booster vaccination is administered at the age of 5-6 years.
  • Another booster vaccination is recommended at 9-17 years of age.
Pneumococcus T G1-G4
  • Booster vaccination can be given after five years in adults and after three years in children if the indication continues.

Legend

  • T = dead vaccine
  • L = live vaccine
  • A = booster vaccination
  • N = booster vaccination
  • G = basic immunization
d Td booster vaccination every 10 years.The next due Td vaccination once as Tdap or, if indicated, as Tdap-IPV combination vaccination.

Basically, for intervals between different vaccinations:

  • Live vaccines may be administered simultaneously; if they are not administered simultaneously, then an interval of four weeks should be observed for live viral vaccines; however, they should not be administered to pregnant women except for the yellow fever vaccine
  • For dead vaccinations no intervals must be observed