Expanded Program on Immunization (EPI)
Vaccine Minimum Age Number Dose Route Site
at 1st Dose of Doses
Bacillus Calmette-Guérin (BCG) At birth 1 0.05 mL Intradermal Right arm/deltoid or
buttocks
● tuberculosis
● Do not press the injection site
● Do not wipe cotton with alcohol
● Nee to be diluted (2 ampules)
● Booster dose- 7 years old or
school entrance
PENTAVALENT (Diphtheria-Pertussis- 1 ½ month, 3 0.5 mL Deep IM Right Thigh
Tetanus or DPT- Haemophilus
influenzae type b or Hib-Hepatitis B) 2 ½ months,
Vaccine
3 ½ months
(DPT-Hep B-HiB)
● Watch out for seizures and
convulsions
● Very painful/ risk for fever
● Advise mother to give
paracetamol before or after
Oral Polio Vaccine 1 ½ month, 3 2-3 drops Oral Mouth
(OPV) 2 ½ months,
● For polio 3 ½ months
Pneumococcal Conjugate Vaccine 1 ½ month, 3 0.5mL Deep IM Left Thigh
(PCV) 2 ½ months,
● Pulmonya, meningitis 3 ½ months
Inactivated Polio Vaccine 3 ½ month 1 0.5mL Deep IM Left Thigh (2 fingers
below PCV)
(IPV)
● For polio
Hepatitis B Vaccine At birth 3 0.5 mL Deep IM Right Thigh
(HBV)
● Hepatitis B
MMR (Measles – Mumps – Rubella) 9 months, 2 0.5 mL Subcutaneous Left Deltoid/Arm
Vaccine
1 year
(MMR)
● Tigdas, beke, german measles
● To reduce the severity prevent
severe complications
● Take the vaccine on the exact
day or the day after
● The vaccination schedule should not be restarted from the beginning even if the interval between doses
exceeds the recommended interval by months or years.
● Giving doses of vaccine at less than the recommended 4 weeks interval may lessen the antibody response
● Lengthening the interval between doses of the vaccine gives to higher antibody levels
● No extra doses must be given to children who miss a dose of DPT, HPV, and OPV
● The vaccination must be continued as it no time lapse
● Strictly follow the principles of never ever reconstituting the phrase drive vaccine in anything other than the
daily wants to supply with them
● Do not use any other diluent other than the diluent supply for the vaccine
● If you’re giving more than one vaccine, do not use the same syringe and do not use the same arm or leg for
more than one injection
● Contraindication anaphylaxis or severe hypersensitivity reaction to a previous dose of vaccine is an absolute
contraindication to subsequent doses of vaccine
● A person with a known allergy to a vaccine component should not get vaccinated