Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 11/22/2025

Vaccination Schedule for 18 Months

Booster Doses

  • The Centers for Disease Control and Prevention (CDC) recommends a fourth dose of DTaP vaccine at 15-18 months of age as a booster following the 3-dose primary series given at 2, 4, and 6 months 1, 2, 3
  • The CDC recommends that this DTaP booster dose should be given at least 6 months after the third dose 4, 5
  • A booster dose of Hib conjugate vaccine is recommended at 12-15 months of age, which overlaps with the 1.5-year timeframe, and should be given at least 2 months after the last primary series dose 1, 2, 3, 4, 5
  • Any Hib conjugate vaccine licensed for booster use can be administered 2, 3
  • The fourth dose of IPV is recommended between 6-18 months 1, 2, 3

Pneumococcal Conjugate Vaccine

  • A fourth dose of PCV is recommended at 12-15 months of age, according to the American Academy of Family Physicians (AAFP) and the Advisory Committee on Immunization Practices (ACIP) 6