Routine immunisation schedules for Wales

• Complete routine immunisation schedule for Wales

• Routine childhood immunisation schedule for Wales

Click on the links in the table for more information about the disease each vaccine protects against.

The complete routine immunisation schedule for Wales from September 2026

Age due	Diseases protected against	Vaccine	Name	Usual site
Age due 8 weeks old	Diseases protected against Diphtheria, tetanus, pertussis (Whooping cough), polio, Hib and hepatitis B	Vaccine DTaP/IPV/Hib/ HepB (6-in-1)	Name Infanrix hexa or Vaxelis	Usual site Thigh
Age due 8 weeks old	Diseases protected against Meningococcal group B (MenB)	Vaccine MenB	Name Bexsero	Usual site Thigh
Age due 8 weeks old	Diseases protected against Rotavirus gastroenteritis	Vaccine Rotavirus	Name Rotarix	Usual site By mouth
Age due 12 weeks old	Diseases protected against Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	Vaccine DTaP/IPV/Hib/ HepB (6-in-1)	Name Infanrix hexa or Vaxelis	Usual site Thigh
Age due 12 weeks old	Diseases protected against MenB	Vaccine MenB	Name Bexero	Usual site Thigh
Age due 12 weeks old	Diseases protected against Rotavirus gastroenteritis	Vaccine Rotavirus	Name Rotarix	Usual site By mouth
Age due 16 weeks old	Diseases protected against Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	Vaccine DTaP/IPV/Hib/ HepB (6-in-1)	Name Infanrix hexa or Vaxelis	Usual site Thigh
Age due 16 weeks old	Diseases protected against Pneumococcal	Vaccine PCV13	Name Prevenar 131	Usual site Thigh
Age due 12 months old	Diseases protected against Pneumococcal	Vaccine PCV13	Name Prevenar 131	Usual site Upper arm/ thigh
Age due 12 months old	Diseases protected against MenB	Vaccine MenB	Name Bexero	Usual site Upper arm/ thigh
Age due 12 months old	Diseases protected against Measles, mumps, rubella and varicella (chickenpox)	Vaccine MMRV	Name ProQuad or Priorix-Tetra	Usual site Upper arm/ thigh
Age due 18 months old	Diseases protected against Born before 1 July 2024: No appointment Born on or after 1 July 2024: Measles, mumps, rubella and varicella (chickenpox)	Vaccine MMRV	Name ProQuad or Priorix-Tetra	Usual site Upper arm/thigh
Age due 18 months old	Diseases protected against Born before 1 July 2024: No appointment Born on or after 1 July 2024: Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	Vaccine DTaP/IPV/Hib/HepB (6-in-1)	Name Infanrix hexa or Vaxelis	Usual site Upper arm/thigh
Age due 22 and 3 years old and all school aged children	Diseases protected against Influenza (annually from September)	Vaccine Live attenuated influenza vaccine	Name Fluenz3	Usual site Both nostrils
Age due 3 years 4 months old	Diseases protected against Diphtheria, tetanus, pertussis and polio	Vaccine dTaP/IPV (4-in-1)	Name Repevax	Usual site Upper arm
Age due 3 years 4 months old	Diseases protected against Born before 1 January 2025: Measles, mumps, rubella and varicella (chickenpox)  Born on or after 1 January 2025: No MMRV vaccine	Vaccine MMRV	Name ProQuad or Priorix-Tetra	Usual site Upper arm
Age due School year 8 (12 to 13 year olds)	Diseases protected against Cancers and genital warts caused by specific human papillomavirus (HPV) types	Vaccine HPV4 (one dose)	Name Gardasil 9	Usual site Upper arm
Age due School year 9 (13 to 14 year olds)	Diseases protected against Tetanus, diphtheria and polio	Vaccine Td/IPV (3-in-1) (check MMR status)	Name Revaxis	Usual site Upper arm
Age due School year 9 (13 to 14 year olds)	Diseases protected against Meningococcal groups A, C, W and Y	Vaccine MenACWY	Name Nimenrix or MenQuadfi	Usual site Upper arm
Age due 65 years of age and older	Diseases protected against Influenza (annually)	Vaccine Inactivated influenza vaccine	Name Inactivated influenza vaccine	Usual site Upper arm
Age due 65 years of age and older	Diseases protected against Pneumococcal	Vaccine PCV205	Name Prevenar 20	Usual site Upper arm
Age due 65 years old and 70 to 79 years old	Diseases protected against Shingles	Vaccine Shingles	Name Shingrix	Usual site Upper arm
Age due 75 years old and older  (plus people who live in a care home for older adults)	Diseases protected against Respiratory Syncytial Virus (RSV)	Vaccine RSV	Name Abrysvo	Usual site Upper arm

¹  Refer to the Green Book Chapter: Pneumococcal – table 3 (external site) for babies with asplenia, splenic dysfunction, complement disorder or severely immunocompromised. 

² Children must be 2 years old by 31 August to receive influenza vaccine in the routine programme in autumn/winter.

³ If Fluenz  is unsuitable, use an inactivated flu vaccine. 

⁴ Check the relevant chapter of the Green Book for individuals requiring a 3-dose schedule.

⁵ Remaining local stocks of PPV23 should be used first for the over 65s and for some clinical risk groups. Refer to the Green Book Chapter: Pneumococcal  (external site) for more information.

Selective immunisation programmes

Group	Age and schedule	Disease	Vaccines
Group Babies born to hepatitis B infected mothers	Age and schedule At birth and 4 weeks of age1	Disease Hepatitis B	Vaccines Hepatitis B vaccines  (Engerix B / HBvaxPRO)
Group Infants in areas of the country with TB incidence at least 40 per 100,000	Age and schedule From birth	Disease Tuberculosis	Vaccines BCG
Group Infants with a parent or grandparent born in a high incidence country2	Age and schedule From birth	Disease Tuberculosis	Vaccines BCG
Group People in a risk group for influenza3	Age and schedule From 6 months to 64 years	Disease Influenza	Vaccines Age-appropriate flu vaccine3
Group People in a risk group for RSV4	Age and schedule From 65 to 74 years	Disease RSV	Vaccines Abrysvo
Group Pregnant women	Age and schedule From 16 weeks of pregnancy	Disease Pertussis	Vaccines Tdap (ADACEL)   If ADACEL is unavailable or contraindicated, administer dTaP/IPV (Repevax)
Group Pregnant women	Age and schedule From 28 weeks of pregnancy	Disease Respiratory syncytial virus (RSV)	Vaccines Abrysvo
Group Pregnant women	Age and schedule At any stage in pregnancy during the flu season	Disease Influenza	Vaccines Inactivated flu vaccine3
Group Gay, bisexual and other men who have sex with men	Age and schedule 45 years of age and under5	Disease HPV5	Vaccines Gardasil 9
Group People at increased risk of mpox6	Age and schedule Based on risk	Disease Mpox	Vaccines Imvanex
Group People at increased risk of gonorrhoea6	Age and schedule Based on risk	Disease Gonorrhoea	Vaccines Bexsero
Group People experiencing homelessness (from 1 October 2026)3,7	Age and schedule Any age	Disease Influenza   Pneumococcal	Vaccines Inactivated flu vaccine3 PCV207

¹  In addition to the hexavalent vaccine (Infanrix hexa or Vaxelis) given at 8, 12, 16 weeks and, for children born on or after 1 July 2024, also at 18 months. Take a blood sample for HBsAg at 12 to 18 months to exclude infection. See the Selective neonatal Hepatitis B immunisation pathway | GOV.WALES (external site)

²  Where the annual incidence of TB is at least 40 per 100,000, see the WHO country profile.

³  Refer to the annual influenza (flu)  Welsh Health Circular (external site) for eligibility criteria and vaccine recommendations.

⁴ RSV vaccination is offered to people aged 65–74 with chronic respiratory disease or immunosuppression due to disease or treatment. For a list of eligible conditions, read: Update on RSV vaccination programme 2026 (WHC/2026/020) | GOV.WALES (external site).

⁵ Check the Green Book Chapter: HPV (external site) for individuals requiring a 1, 2 or 3 dose schedule. 

⁶ A sexual health clinician will assess individuals attending the sexual health clinic and advise vaccination if required.

⁷ Refer to the Pneumococcal Welsh Health Circular (WHC/2026/023) (external site) and Green Book: Pneumococcal (external site) for further details. 

Additional vaccines for individuals with underlying medical conditions¹

Medical condition2	Diseases protected against	Vaccines required2
Medical condition2 Asplenia, splenic dysfunction (Including people with coeliac disease who have splenic dysfunction, and all haemoglobinopathies such as homozygous sickle cell disease)   Complement disorder (including people receiving complement inhibitor therapy)	Diseases protected against Meningococcal groups A, B, C, W and Y Meningococcal B  Pneumococcal Influenza	Vaccines required2 MenACWY  MenB  PCV203 Annual flu vaccine4
Medical condition2 Cochlear implants, cerebrospinal fluid leaks	Diseases protected against Pneumococcal	Vaccines required2 PCV20 (from two years of age)3
Medical condition2 Chronic respiratory and heart conditions (such as moderate  to severe asthma, chronic pulmonary disease, and heart failure)	Diseases protected against Pneumococcal Influenza	Vaccines required2 PCV20 (from two years of age)3 Annual flu vaccine4
Medical condition2 Chronic neurological conditions (such as Parkinson’s or motor neurone disease, or learning disability)	Diseases protected against Pneumococcal (only if the individual is also at increased risk of aspiration) Influenza	Vaccines required2 PCV20 (from two years of age)3 Annual flu vaccine4
Medical condition2 Diabetes	Diseases protected against Pneumococcal Influenza	Vaccines required2 PCV20 (from two years of age)3 Annual flu vaccine4
Medical condition2 Chronic kidney disease (CKD) (including haemodialysis)	Diseases protected against Pneumococcal (stage 4 and 5 CKD) Influenza (stage 3, 4 and 5 CKD) Hepatitis B (stage 4 and 5 CKD)	Vaccines required2 PCV20 (from two years of age)3 Annual flu vaccine4 Hepatitis B
Medical condition2 Chronic liver conditions	Diseases protected against Pneumococcal Influenza Hepatitis A & B	Vaccines required2 PCV20 (from two years of age)3 Annual flu vaccine4 Hepatitis A Hepatitis B
Medical condition2 Haemophilia	Diseases protected against Hepatitis A & B	Vaccines required2 Hepatitis A Hepatitis B
Medical condition2 Immunosuppression due to disease or treatment5	Diseases protected against Pneumococcal Influenza	Vaccines required2 PCV203 Annual flu vaccine4
Medical condition2 Severe immunosuppression5	Diseases protected against Pneumococcal Influenza Shingles	Vaccines required2 PCV203 Annual flu vaccine4 Shingrix (aged 18 years and over)

¹ The list is not exhaustive. Other vaccines may be recommended for certain individuals. 

² Check relevant chapter of the Green Book for specific schedule and for further detail.

³ For detailed guidance and further information about pneumococcal vaccines for clinical risk groups, see Table 3 of the Green Book Chapter: Pneumococcal (external site).

⁴ From six months of age.

⁵ Consider annual influenza vaccination for household members and those who care for people with immunosuppression.