Immunisation Schedule

South Africa’s immunisation schedule is in line with the World Health Organization’s recommendations of how children should be vaccinated
By Child Magazine

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The World Health Organization’s (WHO) Expanded Programme of Immunization (EPI) encourages vaccination against measles, polio, pertussis (whooping cough), diphtheria, tetanus and tuberculosis. The South African Department of Health’s immunisation schedule is in line with the WHO’s vaccination recommendations. Between two and three million deaths are prevented globally each year by effective immunisation.
 
Recommended immunisation schedule 
Age of child
Vaccine needed
How and where it is given
Birth
BCG
TOPV
Intradermal injection to right upper arm
Drops by mouth
6 weeks
TOPV
RV
DTP-IPV/Hib
Hepatitis B
PCV7
Drops by mouth
Liquid by mouth
Intramuscular injection to the left thigh
Intramuscular injection to the right thigh
Intramuscular injection to the right thigh
10 weeks
DTP-IPV/Hib
Hepatitis B
Intramuscular injection to the left thigh
Intramuscular injection to the right thigh
14 weeks
RV
DTP-IPV/Hib
Hepatitis B
PCV7
Liquid by mouth
Intramuscular injection to the left thigh
Intramuscular injection to the right thigh
Intramuscular injection to the right thigh
9 months
Measles
PCV7
Intramuscular injection to the left thigh
Intramuscular injection to the right thigh
18 months
DTP-IPV/Hib
Measles
Intramuscular injection to the left arm
Intramuscular injection to the right arm
6 years (both boys and girls)
Td
Intramuscular injection to the left arm
12 years (both boys and girls)
Td
Intramuscular injection to the left arm
Source: South African Vaccination and Immunisation Centre 
 
BCG – Bacilli Calmete-Guerin (Anti-tuberculosis vaccine)
TOPV – Trivalent oral polio vaccine
DTP-IPV/Hib – diphtheria, tetanus, pertussis vaccine, inactivated polio vaccine, Haemophilus influenza type b vaccine
Td – tetanus and diphtheria vaccine
RV - rotavirus vaccine
PCV7- 7-valent pneumococcal vaccine
 

These vaccinations are available at government clinics and from private sector health facilities, but at a cost. There are also additional vaccinations, such as the MMR vaccine for measles, mumps and rubella, which should be done at 15 months and again as a booster at five years. Keep a record of your child’s vaccinations as schools may ask for proof of immunisation when you register.

Comments

Anonymous wrote 5 weeks 6 days ago

Hi, are there any known side effects caused by the 18 month immunization? Thanks

Tamlyn wrote 5 weeks 3 days ago

We would suggest that you speak to your doctor or baby clinic about any questions that you have. 

Gamu wrote 9 weeks 6 days ago

My 5 year old son has been vaccinated until 18 months, but now he has measels. Should he be immunised again?

Tamlyn wrote 9 weeks 3 days ago

Unfortunately we are not qualified to answer medical queries. You would need to speak to your doctor or clinic nurse about your concerns. 

Anonymous wrote 14 weeks 2 days ago

Hi, is the 6 year's immunisation the same product in both private clinics as well as public clinics? 

Tamlyn wrote 12 weeks 1 day ago

You would need to confirm this with your local clinic. 

Anonymous wrote 15 weeks 4 days ago

Hi, my child was born on the 10th of Nov and they gave her a date for 6 weeks to be on the 12th. Did they make a mistake there or can a baby be vaccinated in 4 weeks without there being any problem?

Tamlyn wrote 15 weeks 3 days ago

We would suggest that you speak to your doctor or clinic nurse about any medical concerns. 

Anonymous wrote 16 weeks 2 days ago

My child is 14 months old and he was given the immunization for an 18 month old child and to my surprise at the wrong location. I mean on the leg and to my understanding that injection is given on the arm. Can there be any consequences after that, what should I do? Please help.

Tamlyn wrote 16 weeks 1 day ago

We suggest that you speak to your doctor or clinic nurse about your concerns. 

Anonymous wrote 16 weeks 6 days ago

Make an informed decision for your child(ren). I highly recommend reading the book Dissolving Illusions: Disease, Vaccines,and The Forgotten History by Dr Suzanne Humphries MD and Roman Bystriank.

Anonymous wrote 19 weeks 15 hours ago

Hi. My child is 1 years old now and I haven't taken him to the clinic for 9 months so I am scared. What can I do? Please help ...

Tamlyn wrote 19 weeks 10 hours ago

Please speak to your doctor or local family planning clinic about how to proceed.

Anonymous wrote 20 weeks 2 days ago

My child has only been vacinated until 9 months. Is this a problem when applying for schools?

Tamlyn wrote 20 weeks 1 day ago

Many schools do require you to submit your child's Road to Health card, but you would need to speak to the individual school to find out their policy on vaccinations. 

Anonymous wrote 27 weeks 14 hours ago

What is the vitamin A supplementation for exactly? Why do the babies need it?

Tamlyn wrote 26 weeks 6 days ago

Unfortunately we're not qualified to address any medical queries. Please speak to your doctor or paediatrician.

CORNCENED MOTHER wrote 27 weeks 3 days ago

Hello, my daughter is three months old today and for some reason she never received polio drops at birth. So I was just wondering what are the chances of her getting sick, where can I possibly get these drops, and what will happen to her if she doesn't receive them at all?

Tamlyn wrote 27 weeks 2 days ago

It would be best to speak to your doctor or baby clinic about your concerns and queries. 

Anonymous wrote 28 weeks 2 days ago

Hi 

My daughter is 3 years & 10 months. Her last visit to the clinic was at 18 months. She stayed with my mom in Mpumalanga till now. She has never fallen sick or been taken to the clinic. They only gave her vermox for deworming once every six months at home. Now that she will be turning 4 years old, is there an immunisation that needs to be taken.The baby card shows that after 18 months the next is at 6 years.

Thanks 

Tamlyn wrote 27 weeks 6 days ago

According to the above schedule, immunizations are required at 18 months and then again at 6 years. But if you are uncertain of anything, you should speak to your local clinic or doctor. 

Anonymous wrote 29 weeks 1 day ago

I took my son for his 9 month check up. He ws supposed to take the vaccine for MMR but the midwife injected him with the 18 month vaccine; OPV and DT. Lucky I noticed something was wrong because of the reaction she had on her face. When can he take his 9 month vaccine? And what will happen when he is 18 months? Will he be revaccinated or not? Please help ... am so heart broken and I desperately need answers.

Tamlyn wrote 29 weeks 15 hours ago

You would need to speak to the clinic or your doctor about your concerns and questions. 

Amandalee wrote 29 weeks 2 days ago

I lost my son's immunisation card. He is due when he is 6 years old. How do I get a new one?

Tamlyn wrote 29 weeks 2 days ago

You will need to contact the baby clinic where your son received his vaccinations, as they should have records.

Refilwe Tshetlha wrote 32 weeks 1 day ago

Hi, I took my son for his 6 year's shots and now his left arm is swollen and he says it's itchy, is this normal? Thank you 

Tamlyn wrote 32 weeks 1 day ago

Please speak to your doctor or baby clinic about any medical concerns. 

MAQUIA wrote 32 weeks 2 days ago

Hi ... Are there any vaccinations or immunizations required at 6 months?

Tamlyn wrote 32 weeks 2 days ago

According to the above schedule, vaccinations are required at 14 weeks (approx. 3 and 1/2 months) and then again at 9 months.

Anonymous wrote 32 weeks 3 days ago

Hi. My daughter received measles 2 at 24 months instead of 18 months because of a shortage, now the problem is that she's injected on the left arm instead of a right arm. Will that cause any problems for her?

Tamlyn wrote 32 weeks 2 days ago

You would need to speak to your doctor or baby clinic about any medical concerns that you have. 

Anonymous wrote 40 weeks 1 day ago

Hello, I took my child for her 18 month immunisation and they injected her on her right arm then we were give another date to come back for the other arm . But when I got there, the doctor that injected her in our first appoinment was not there and another doctor injected her on both legs. Will that have an effect on my child, should I be worried? I only realised that when I got home and was reading her card. Thanks

Tamlyn wrote 40 weeks 1 day ago

You would need to address any medical concerns to your doctor or baby clinic. 

Anonymous wrote 40 weeks 5 days ago

Hi. My son didnt get his bcg vac at birth, because the hospital didnt have stock... They only received stock this month. I took my son for his injection on Wednesay - he is almost 15 weeks.

Are there any side affects to the injection as he is not himself in many ways, struggling to drink and puking a lot, but he doesn't have a fever or any weird symptoms  

Tamlyn wrote 40 weeks 3 days ago

We would suggest that you speak with your doctor or the nurse at your baby clinic about any possible complications or side effects. 

Anonymous wrote 41 weeks 2 days ago

Which immunisation is given at 10 weeks? Because I went to the clinic today and they gave my child one injection on the left thigh.

Tamlyn wrote 41 weeks 1 day ago

Please speak to your clinic or nurse about which vaccinations your child needs at 10 weeks. 

Anonymous wrote 41 weeks 6 days ago

My twins had their 14 weeks vaccine and the next day one of them got small pinpoint bumps on his legs and one on his arm, the skin around each bump is red which I think itches him but doesn't cause him pain because he doesn't cry.

Tamlyn wrote 41 weeks 6 days ago

We would suggest that you speak to your doctor or the nurse at your local baby clinic. 

sham wrote 42 weeks 18 hours ago

Hi. I took my baby for the 9 months injection and was given 1 on the right thigh and after a month I took her again for another one on left thigh. After a day she started vomiting and having diarrhoea and refusing to eat and it has been 4 days now; every time I breastfeed or give her some water she throws up. Is it normal or I should go back to the clinic?

Tamlyn wrote 42 weeks 15 hours ago

We would suggest that you either go and see a doctor or go back to the clinic. 

Gisela wrote 42 weeks 1 day ago

Please watch Silent Epidemic: The Untold Story of Vaccines. I read the article you recommended, Vaccinated or vulnerable, and the facts are far from verified. I am not anti-immunisation, but we should all be more informed on the matter. 

Tamlyn wrote 42 weeks 14 hours ago

We agree that this issue of immunisation is a complex one. Please look out for our follow-up article in our October issue.

Anonymous wrote 42 weeks 3 days ago

Good day

When will the vaccinations be available?

How could the Department of Health be so behind on it?

 

Tamlyn wrote 42 weeks 2 days ago

You would need to speak with your local family planning clinic about when vaccinations will be available.

Anonymous wrote 43 weeks 3 days ago

My youngest boy turned 7 in December, and I have just realised that I did not take him for his 6 year injection (TD). He has been suffering with terrible ongoing diarrhoea (under control and treated by my doctor). I would like to know if the fact that he has not had his injection could be the cause of this?

Tamlyn wrote 43 weeks 2 days ago

We aren't aware of delayed vaccinations causing any such symptoms. We suggest that you speak to your doctor about this and about catching up on any missed innoculations. 

Asanda wrote 46 weeks 2 days ago

My baby missed his 6 months Vitamin A supplementation. He is now 7 months and 2 weeks old. Is it too late to take him to the clinic for his Vitamin A supplementation? 

Tamlyn wrote 46 weeks 1 day ago

It would be best for you to speak to someone at your local clinic.

Luchae Williams wrote 47 weeks 2 days ago

Hi there, my daughter is scheduled to go for her 18 month injections on the 10th of May but I am unable to go on that day. Will the clinic allow the vaccination to be given a week before the scheduled date? 

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