International Immunisation Schedule Comparison

Country Primary visit timing DTP-based primary HepB birth dose PCV schedule Rota MenB MenC/ACWY <2y Varicella <2y HepA <2y BCG universal Flu 6–59m funded Infant RSV programme Legal approach
Australia6wk, 4, 6, 12, 18m3+1 hexa✔ universal2+1 PCV20 (3+1 Indigenous)✔◑ Indigenous; SA/QLD/NT universal✔ ACWY 12m✔ MMRV 18m◑ Indigenous (4 states)✘✔Maternal Abrysvo ✔ + state nirsevimab ◑Incentive (No Jab No Pay/Play)
New Zealand6wk, 3, 5, 12, 15m3+0 hexa + Hib 15m◑ HBsAg+ mothers2+1 PCV13✔✔ 3, 5, 12m (since 2023)✘✔ 15m✘◑✘ (risk only)? none nationalVoluntary
UK8, 12, 16wk, 12, 18m3+1 hexa (18m booster from 2026)◑ selective1+1 PCV13✔✔ 2+1✘ (Hib/MenC dropped 2025)✔ MMRV 12 & 18m (from Jan 2026)✘◑✘ (LAIV from 2y)Maternal Abrysvo ✔Voluntary
Ireland2, 4, 6, 12, 13m3+0 hexa◑2+1✔✔✔?✘✘ (stopped 2015)✘ (LAIV 2y+)Nirsevimab ✔Voluntary
United States (Jan 2026 CDC)birth, 2, 4, 6, 12–18m3+1 DTaP◑ only if mother HBsAg+/unknown (universal recommendation dropped Dec 2025–Jan 2026)3+1SCDM◑ high-risk◑ SCDM/high-risk✔ 12–15mSCDM✘SCDM◑ high-risk only (CDC); AAP still universalState school/daycare mandates; exemptions vary
Canada (provincial)2, 4, 6, 12, 18m3+1 (penta/hexa)◑ most provinces infant HepB in hexa, not birth2+1 (PCV15/20)✔✘ (risk)✔ C/ACWY 12m✔◑ some◑ (Indigenous communities, some)✔Nirsevimab ✔ universal in Quebec, Ontario; others varyOntario/NB school laws with exemptions
France2, 3*, 4, 6, 11, 12, 16–18m2+1 hexa (2, 4, 11m)◑ (HepB in hexa)2+1✔ (since 2022)✔ (mandatory from 2025)✔ ACWY 6 & 12m✘✘◑ high-risk/Île-de-France, Guyana✘Nirsevimab ✔ + maternalMandatory (11 vaccines)
Germany2, 3*, 4, 11, 12–15m2+1 hexa◑2+1✔✔ (since 2024)✔ C 12m✔ MMR+V 11 & 15m✘✘✘Nirsevimab ✔Measles law (daycare/school; fines)
Italy3, 5, 11–13, 13–15m2+1 hexa◑2+1✔✔✔✔ MMRV✘✘✔Nirsevimab ✔Mandatory (10 vaccines)
Spain2, 4, 11, 12, 15m2+1 hexa◑2+1✔✔✔ C 4m, ACWY 12m✔ 15m✘ (✔ Ceuta/Melilla)✘ (Basque historic)✔Nirsevimab ✔Voluntary
Portugalbirth, 2, 4, 6, 12, 18m3+1 hexa✔ universal2+1?✔✔✘✘◑ (since 2016)✘Nirsevimab ✔Voluntary
Netherlands3, 5, 11, 14m2+1 hexa◑2+1✔ (2024)✘✔ ACWY 14m✘✘◑✘Nirsevimab ✔ (2025/26)Voluntary
Belgium8, 12, 16wk, 12–15m3+1 hexa◑2+1✔✘✔✘✘✘✘Nirsevimab ✔ + maternalPolio only mandatory
Denmark3, 5, 12, 15m2+1 penta◑ (risk only)2+1✘✘✘✘✘✘✘ (LAIV 2–6y)?Voluntary
Sweden6wk(rota), 3, 5, 12, 18m2+1 hexa◑2+1✔✘✘✘✘◑ (risk)✘Nirsevimab ✔ (2025/26)Voluntary
Norway6wk(rota), 3, 5, 12, 15m2+1 hexa◑2+1✔✘✘✘✘◑✘?Voluntary
Finland2, 3, 5, 12, 18m2+1 penta◑ (risk only)2+1✔ (3 doses)✘✘✘✘◑✔Nirsevimab ✔Voluntary
Iceland3, 5, 6, 8, 12, 18m2+1◑ (risk only)2+1?✘✘✘✘✘✘Nirsevimab ✔ (2025/26)Voluntary
Polandbirth, 2, 3–4, 5–6, 13–18m3+1✔ universal2+1✔✘✘◑✘✔ at birth (mandatory)✘Maternal only ✔Mandatory (fines)
Hungary2, 3, 4, 13–18m3+1 hexa◑2+1?✘✘✔ (mandatory)✘✔ at birth✘?Mandatory
Czechia / Slovakia~2, 4, 11–13m2+1 hexa◑2+1???✘✘✘ (ended 2010/2012)✘✔ (CZ)Mandatory
Baltics (LT, LV, EE)birth onward3+1✔ LT (universal)2+1✔?✘✔ LV✘✔ at birth✘✔ (LT, LV)Latvia mandatory
Japan2, 3, 4, 5–8, 12–18m3+1 penta (DPT-IPV-Hib since Apr 2024)✘ (universal HepB from 2m)3+1 PCV15/20✔✘✘✔ 2 doses✘✔ (5–8m)✘ (voluntary)✘Voluntary (“duty to endeavour”)
South Koreabirth, 1, 2, 4, 6, 12–23m3+1✔ universal3+1✔ (NIP 2023)✘✘✔ 1 dose✔ 12–23m✔ intradermal <4wk✔?Voluntary
Singaporebirth, 2, 4, 6, 12, 15, 18m3+1 (6-in-1/5-in-1)✔ universal2+1 PCV13 (4, 6, 12m)✘ (optional)✘✘✔ 12 & 15m✘✔ at birth✔?Diphtheria and measles compulsory by law
Israelbirth, 1, 2, 4, 6, 12, 18, 24m3+1✔ universal2+1✔ (3 doses)✘✘✔ MMRV 12m✔ 18 & 24m✘ (targeted)✔Nirsevimab at birth (most babies)Voluntary
Türkiyebirth, 1, 2, 4, 6, 12, 18, 24m3+1 (+OPV)✔ universal2+1✘✘✘✔ 12m✔ 18 & 24m✔ 2m✘✘State-delivered; effectively expected
Mexicobirth, 2, 4, 6, 12, 18m3+1 hexa✔ universal2+1✔✘✘✘✘✔ at birth✔✘Legal duty, weak enforcement
Chilebirth, 2, 4, 6, 12, 18m3+1 hexa✔2+1?✘✔ ACWY 12m✔ 18m✔ 18m✔ at birth✔Nirsevimab universal (since 2024)Mandatory programme vaccines
Colombiabirth, 2, 4, 6, 12, 18m3+1✔2+1✔✘✘✔ 12m✔ 12m✔ at birth✔ (6–23m)?Programme-mandated
Costa Ricabirth, 2, 4, 6, 15, 18m3+1 hexa✔2+1✔✘✘✔?✔ at birth✔?Compulsory by law