Adolescent Schedule

The Tdap vaccine is required for entry to 7th grade, and the Meningitis vaccine, though not required, is strongly recommended.

At Framingham Pediatrics, we recommend the following schedule:


Entering 7th Grade: Tdap, Meningitis and HPV Vaccines
Those 15 years and older: 3 doses of HPV Vaccine if not already received
Age 16 and older: Meningitis booster if booster dose not already received



This Vaccination Policy minimizes the risk of your child suffering from preventable illness.  

During flu season, we also recommend flu shots for all our patients.

HPV Vaccine


Children younger than 15 years of age only require two doses of HPV vaccine.  This recommendation comes as studies have demonstrated increased effectiveness of the vaccine in younger adolescents when compared to older teenagers.

On the basis of these recommendations, we have changed our HPV vaccine schedule as follows:

    --11-14 years of age:  2 dose series, at least 6 months apart (starting at 11-12 year old check up)

    --15-26 years of age:  3 dose series, 2nd dose 1-2 months after the 1st and the 3rd dose at least 4 months after the 2nd.

We will continue to administer the 3 dose series to all patients 15 years and older, or anyone who got their second dose before the 6 month mark.

note:  anyone with a weakened immune system, aged 9-26 years will continue to require 3 doses of HPV vaccine.

If you have a scheduled appointment for a 2nd HPV vaccine and your child was less than 15 years of age when they got their first dose of HPV, please call to cancel that appointment.

Tdap Vaccine

We have been using a new form of diphtheria and tetanus vaccine for adolescents entering 7th grade for several years. The Tdap vaccine adds protection against pertussis ("whooping cough") to the previous vaccine that protected against diphteria and tetanus only. This new vaccine should significantly diminish the number of cases of whooping cough recently being seen in middle schools and high schools. The Tdap vaccine is now recommended for adolescents who received the old Td vaccine more than five years ago. In most cases this will occur prior to 12th grade.

The Tdap vaccine is also recommended for adolescents and adults who are exposed to pertussis ("whooping cough,") or who have significant family or work-related exposure to young infants, even if they have had the old Td vaccine in the past five years. Young infants are not yet vaccinated against pertussis, and the disease can be deadly to them. Parents of newborn infants are encouraged to seek this new vaccine from their own physicians.

Meningitis Vaccine

We are recommending the meningococcal ("meningitis") vaccine, known as MCV4 or Menactra, for all adolescents entering 7th grade. Effective March 2011, we are now recommending a booster dose of this vaccine for all adolescents and young adults under age 21 whose first meningitis vaccine was at least 5 years earlier.



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