Further information on vaccinations

BCG: Not available for all children via the UK schedule.

BCG is the vaccine for Tuberculosis (TB). The vaccine is offered to children born in areas with higher rates of TB or more likely to come into contact with TB.
BCG vaccine is not offered routinely to all children via the UK immunisation schedule.
Ideally the vaccine is given during the first year and can be given any time from birth onwards.
The vaccine protects infants from the complications of Tuberculosis and so earlier is better but can given at any age.
Children over 6 years of age and some children who may have been exposed to TB require a blood and/or skin test prior to receiving the vaccine.
A reaction usually occurs 2 to 3 weeks after injection and there is no fever expected on day of injection.
A red pimple usually appears at the site of the injection and may ooze. This may last for several weeks/months and heals with a scar.

8 week immunisations: Can be given from 6 weeks if needed due to travel, ideally at 8 weeks.

Minimum interval between injections is 4 weeks and can be longer if your
schedule doesn’t allow or you are unable to make an appointment after 4

Expect fever on day of vaccines, mainly due to Meningitis B vaccine.

National recommendation is to administer Paracetamol 60 mg ( 2.5mls of
120mg/5 ml solution) within 1 hour of vaccines and repeat after 4 hours and
again after further 4 hours. Three doses in total. Further doses may be
given following dosing guidance. Maximum 4 doses in 24 hours and
minimum interval 4 hours between doses.

12 week immunisations: Meningitis C vaccine not included in the UK schedule at 12 weeks since July 2016.

This is due to the success of immunisation programme in UK resulting
lower rates of Meningococcal type C illnesses.

The vaccine is still recommended to protect younger infants.
A further dose is given at 1 year of age.

Influenza vaccine: Not available for all children via the UK schedule.

Influenza (Flu) vaccines are usually available from September and during the winter months the UK.
An injection of inactivated flu vaccine is available from 6 months of age. Two doses needed at a minimum of 4

weeks apart.

The nasal spray, live attenuated vaccine, is available from 2 years of age
and recommended annually until 18 years.

1 year immunisations: There are 4 injections in total.
The practice offers two injections per visit, 2-4 weeks apart.

There is no minimum interval between these two visits.

All four injections can safely be given on a single day if specifically
requested. Extra appointment time needed.

MMR: Two doses are given at 12 months and 3 years 4 months of age in
the UK NHS schedule.
The second dose may be given 3 months after the first if needed and is
often recommended if there is an outbreak of measles.

The MMR vaccine can given from 6-12 months if travelling to an area with
an outbreak, with two further doses needed as usual.

MMR Priorix is porcine gelatine free but MMR Vaxpro is not.

Usually there is fever and possible measles-like rash around 10 days after


Varicella/Chicken Pox: Not available for all children via the UK schedule.

Available for children over 12 months of age.

Two doses needed with a minimum interval of 4 weeks between doses
(usually recommended around 3 months).

Possible chickenpox-like rash 2 weeks after injection for which no
treatment is needed.

To be given 4 weeks after other live vaccines, such as MMR.

Hepatitis A: Not available for all children via the UK schedule.
Available for children over 12 months of age

Two doses needed, 6 months apart.

If child has not received Hepatitis B already, combined vaccination with
Hepatitis B is recommended.

Hepatitis A and B combined: Not available for all children via the UK schedule.
Hepatitis B has now been included in UK NHS schedule.

Infants born on or after 1st August 2017 will have had hepatitis B included in
the 6 in 1 vaccine, Infanrix Hexa given at 8,12 and 16 weeks of age. In this
case only Hepatitis A is needed as above.
Available for children over 12 months of age who have not received
Hepatitis B during first year. Three doses needed, with first two doses a
minimum of one month apart and third dose 5 months after second dose.