Top 5 Takeaways

1. Updated Immunization Schedule: The 2022 schedule includes several changes from the 2021 version, with new recommendations for influenza, dengue, and COVID-19 vaccines.
2. New Appendix: A newly created appendix lists the contraindications and precautions for all vaccine types included in the schedule.
3. Vaccine-Specific Changes: Clarifications and updates have been made for vaccines such as Hib, HepA, HepB, HPV, MMR, MenACWY, Tdap, and VAR.
4. Table Modifications: Changes to the cover page, Tables 1, 2, and 3, and the Vaccine Notes have been implemented to improve clarity and usability.
5. Interim COVID-19 Guidance: Health care providers are directed to the CDC’s interim clinical considerations for the use of COVID-19 vaccines.

Original Article Author and Citation

Corresponding Author

A. Patricia Wodi, awodi@cdc.gov, 404-498-6431

Suggested Citation

Wodi AP, Murthy N, Bernstein H, McNally V, Cineas S, Ault K. Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2022. MMWR Morb Mortal Wkly Rep 2022;71:234–237. DOI: http://dx.doi.org/10.15585/mmwr.mm7107a2

Summary

The Advisory Committee on Immunization Practices (ACIP) approved the 2022 Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger. This schedule includes updates and new recommendations for various vaccines, including influenza, dengue, and COVID-19. The schedule also features a new appendix listing contraindications and precautions for all vaccine types. Health care providers are advised to use the tables, notes, and appendix together to ensure accurate implementation of the recommendations.

Methods

ACIP’s recommendations are developed after thorough reviews of vaccine-related data, including epidemiology, vaccine efficacy and effectiveness, safety, quality of evidence, feasibility of program implementation, and economic analyses. The schedule is updated annually to reflect the latest ACIP recommendations and assist health care providers in implementing them.

Discussion

The 2022 schedule includes several significant changes and clarifications. Notably, the addition of a new appendix provides detailed information on contraindications and precautions for each vaccine type. Changes to the cover page, tables, and notes aim to improve clarity and usability for health care providers. The schedule also emphasizes the importance of staying updated with interim guidance, particularly for COVID-19 vaccination.

Conclusion

The 2022 child and adolescent immunization schedule incorporates important updates and new recommendations to enhance vaccine administration and safety. Health care providers should utilize the comprehensive resources provided, including the new appendix, to ensure adherence to ACIP guidelines. Staying informed about interim updates, especially for COVID-19 vaccines, is crucial for effective immunization practices.

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