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Recommended Immunization Schedule for the Expanded Program on Immunization, Bahrain

At birth Bacillus Calmette Guerin (BCG) for newborns born to parents originally from endemic countries. Single Dose
Child Hepatitis B for newborns Birth Dose
2 months Diphtheria and Tetanus toxoid with Pertussis, Haemophilus Influenzae type b, hepatitis B, Inactivated Polio vaccine (DTaP-Hib-Hep B-IPV) (as Hexavalent) 1st Dose
Pneumococcal Conjugate (PCV) 1st Dose
Rotavirus vaccine (oral) 1st Dose
4 months Diphtheria and Tetanus toxoid with Pertussis, Haemophilus Influenzae type b, hepatitis B and Inactivated Polio vaccine (DTaP-Hib-Hep B-IPV) (as Hexavalent) 2nd Dose
Oral Polio Vaccine (OPV) 2nd Dose
Pneumococcal Conjugate (PCV) 2nd Dose
Rotavirus vaccine (oral) 2nd Dose
6 months Diphtheria and Tetanus toxoid with Pertussis, Haemophilus Influenzae type b and hepatitis B vaccine (DTP-Hib-Hep B) (as Pentavalent) 3rd Dose
Oral Polio Vaccine (OPV) 3rd Dose
12 months Measles, Mumps, Rubella (MMR) 1st Dose
Varicella (Chickenpox) 1st Dose
15 months Pneumococcal Conjugate (PCV) Booster
Child Hepatitis A 1st Dose
18 months Measles, Mumps, Rubella (MMR) 2nd Dose
Tetravalent (DPT, Hib), or Pentavalent (DTP-Hib-Hep B) according to availability 1st Booster
Oral Polio Vaccine (OPV) 1st Booster
2 years Meningococcal ACWY-135 Conjugate Single Dose
Child Hepatitis A 2nd Dose
3 years Varicella (Chickenpox) 2nd Dose
4-5 years Diphtheria and Tetanus toxoid with Pertussis vaccine and Inactivated Polio (DTaP-IPV) (as Tetravalent) 2nd Booster
Oral Polio Vaccine (OPV) 2nd Booster
Measles, Mumps, Rubella (MMR) if no document of 2 valid doses of MMR vaccination previously. Catch up dose (if not completed)
13 years Tetanus, diphtheria toxoid, acellular pertussis vaccine (Tdap) Booster
12-13 years Human Papilloma Virus (HPV) 2 doses (minimum interval 6 months apart)
Tetanus and diphtheria Toxoid (Td) At first contact Td1 Td1
At least 4 weeks after Td1 Td2
At least 6 months after Td2 Td3
One year after Td3 Td 1st booster
One year after Td 1st booster Td 2nd booster
Tdap One dose of Tdap in the second or third trimester can replace one dose of Td.
Pneumococcal Conjugate vaccine (PCV) Single dose for adult ≥ 50 years and high-risk groups.
Pneumococcal Polysaccharide vaccine
  • Single dose for adults at age of ≥ 65.
  • Single dose for High-risk, group ≥ 2-64 years.
  • Single revaccination dose after 5 years recommended to at risk groups including (Sickle cell disease/other blood disorders, congenital or acquired asplenia, congenital or acquired immuno-deficiencies, chronic renal failure, nephrotic syndrome, malignancy, leukemia, lymphoma, iatrogenic immunosuppression, solid organ transplant). In addition, certain high-risk people vaccinated when younger than age 65 years will need a second dose 5 years later.
Tetanus, diphtheria toxoid, acellular pertussis vaccine (Tdap) Single dose to individuals at higher risk of infection and to elderly above 65 years.
Seasonal Influenza Recommended in every season to certain categories at risk of infection including:
  • Children ≥6 months and ≤ 5 years,
  • Adults/elderly ≥ 50 years,
  • Certain chronic medical conditions including chronic pulmonary diseases, chronic cardiovascular diseases, chronic renal diseases, chronic hepatic diseases, chronic blood disorders, chronic metabolic disorders including diabetes mellitus, chronic neurologic and neurodevelopment conditions, Immune-suppressed individuals by medications or by disease condition).
  • Pregnant women,
  • Health care workers
  • Other categories at risk to be determined by treating physician.
Varicella vaccine Recommended to at risk groups. Two doses, 3 months apart from 1 -12 years of age and as 2 doses 4 weeks apart for ≥ 13 years of age.
Meningococcal ACWY-135 Conjugate vaccine
  • Single dose to certain high-risk groups and travelers to Holly places, meningitis belt countries and countries reporting outbreak.
  • Booster dose every 5 years given to certain categories remain at risk of infection such as Anatomical or functional asplenia (including sickle cell disease), persistent complement component deficiency and people with
Haemophilus Influenza type b vaccine (Hib) Single dose for >5 years of age having any of the following conditions: Anatomical or functional asplenia (including sickle cell disease), post bone marrow transplant and certain cancer after completion of treatment.
Meningococcal ACWY-135 Conjugate vaccine Single dose.
Booster doses every 5 years recommended for hajj pilgrims and certain categories at risk of infection.
Seasonal Influenza vaccine Recommended for every season.
Travelers (according to travel destination) Yellow Fever Single dose
Typhoid fever polysaccharide Single dose (typhoid polysaccharide is repeated after 3 years if indicated).
Hepatitis A 2 doses (if not vaccinated previously)
Meningococcal ACWY-135 Conjugate Single dose for traveler to certain countries.
Oral Polio (OPV)/ Inactivated Polio (IPV) Booster dose for traveler to Polio endemic/ Polio reporting countries.
Post exposure prophylaxis (depend on exposure and risk category) Rabies 4 doses of vaccine ± RIG (according to wound category and risk estimation)
Individuals at risk of hepatitis (household and sexual contacts of chronic Hepatitis B cases and/or Hepatitis C cases) Hepatitis B 3 doses (if not vaccinated previously)
Hepatitis A 2 doses (6 months apart between two doses)
Immune-compromised & and their household contacts Inactivated Polio Vaccine (IPV) 4-5 doses (as replacement of the OPV in the routine schedule).
*Other vaccines for high risk/ special groups determined by assessment of risk status by treating physician.s

What parents should know about vaccination and diseases targeted by them.


  • Parents and caregivers of children are advised to ensure completion of routine vaccination of their children prior to their enrolment in school.
  • Patients with chronic diseases conditions and other high risk categories are advised to ensure completion of the recommended vaccination.
  • Travelers are advised to visit their health center enough time prior to their travel to complete the recommended vaccination according to their travel destination.

General vaccine contraindication

  • The vaccine is contraindicated in case of severe allergic reaction to vaccine component or following a prior dose.
  • Fitness certificate from treating physician is recommended for immunocompromised and cancer patients.
  • Moderate to severe illness at the time of vaccination.


  • Defaulters Immunization Form
    If the student was not present during the immunization session at school, please complete the above form and visit the respective Health Center to get vaccinated.


HB Hepatitis type B Vaccine
HA Hepatitis type A Vaccine
OPV Oral Polio Vaccine
IPV Inactivated Polio Vaccine
Rota Vaccine Rota Virus Vaccine
Hib Hemophilus Influenza type B Vaccine
Flue Vaccine Influenza Vaccine
MMR Measles, Mumps and Rubella Vaccine
DPT Diphtheria, Pertussis, Tetanus Vaccine
Td Tetanus, diphtheria Vaccine (adult)
DTaP Diphtheria, Tetanus acellular Pertussis Vaccine for children
Tdap Tetanus, diphtheria, acellular pertuesis vaccine for adolescents and adults
DT Dipheteria, Tetanus vaccine(Paediatric)
Hexavalent Combined IPV, DPT, HB, Hib
Pentavalent Combined DPT, HB, Hib
BCG Bacillus Calmette-Guerin (vaccine against Tuberculsis)
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