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New baby · Guide

The NHS vaccination schedule for babies

Your baby's vaccinations start at 8 weeks and continue through the first few years of life. Here's what's given, when, and what's different in Havering.

How the schedule works

The NHS childhood vaccination schedule is designed so that babies build immunity as quickly as possible against the diseases most dangerous in early life. Vaccines are given in a specific sequence because timing matters — some need multiple doses spaced weeks or months apart to be effective.

You don't need to remember the dates yourself. Your GP surgery will send you reminders, and your baby's red book (Personal Child Health Record) has a page for recording each vaccine given.

If your baby misses a vaccine or falls behind, contact us and we'll catch them up. Partially vaccinated children can still receive the remaining doses.

The schedule at a glance

8 weeks

6-in-1 vaccine

Injection

Diphtheria, tetanus, whooping cough (pertussis), polio, Hib (Haemophilus influenzae type b), hepatitis B

Rotavirus vaccine

Oral drops

Protects against rotavirus — the most common cause of severe diarrhoea and vomiting in babies

Men B vaccine

Injection

Meningococcal group B — the main cause of bacterial meningitis in the UK

12 weeks

6-in-1 vaccine (2nd dose)

Injection

Second dose of the combined vaccine

Rotavirus vaccine (2nd dose)

Oral drops

Final dose — must be given before 24 weeks of age

PCV (pneumococcal) vaccine

Injection

Protects against pneumococcal infections including pneumonia and meningitis

16 weeks

6-in-1 vaccine (3rd dose)

Injection

Final dose of the combined vaccine

Men B vaccine (2nd dose)

Injection

Second dose

12–13 months

Hib/Men C vaccine

Injection

Haemophilus influenzae type b and meningococcal group C

MMR vaccine

Injection

Measles, mumps, and rubella

PCV (pneumococcal) booster

Injection

Booster dose

Men B booster

Injection

Third and final dose

2–3 years (and annually)

Flu vaccine

Nasal spray

Offered annually from age 2 onwards, usually in autumn. Nasal spray in most children

3 years 4 months

MMR booster

Injection

Second dose of measles, mumps, and rubella

4-in-1 pre-school booster

Injection

Diphtheria, tetanus, whooping cough, and polio

BCG vaccination in Havering

The BCG vaccine protects against tuberculosis (TB). It isn't part of the routine NHS schedule for all babies — it's offered to babies who are at higher risk, based on family history and where parents were born or have lived.

BCG in Havering from September 2024

BCG vaccinations in Havering are now delivered by Vaccination UK — a separate service from your GP surgery. Your health visitor or GP will let you know if your baby should receive BCG, and can refer you. You can also contact Vaccination UK directly.

0208 214 1380— Vaccination UK

After each vaccination — what's normal

Some reaction after vaccinations is normal and a sign that your baby's immune system is responding:

  • Redness, swelling, or tenderness at the injection site
  • Mild fever — particularly after Men B vaccines at 8 weeks and the booster at 12–13 months
  • Fussiness, crying, or being more clingy than usual for 24–48 hours

Infant paracetamol (such as Calpol) is recommended by the NHS to ease fever and discomfort after Men B vaccines — even if your baby doesn't have a temperature yet. Check the correct dose for your baby's weight with your GP or practice nurse beforehand.

When to seek advice

  • A high fever (38°C or above) that lasts more than 48 hours
  • Persistent crying that you can't settle for more than 3 hours
  • A seizure or fit
  • Severe swelling at the injection site
  • You're worried — trust your instincts and call us or NHS 111

Are vaccines safe?

Yes. NHS vaccines are rigorously tested and monitored. The diseases they prevent — whooping cough, meningitis, measles — can be life-threatening in babies. The benefits of vaccination are well-established and far outweigh the risks of the diseases themselves.

If you have questions or concerns about any vaccine, your GP or practice nurse is happy to discuss them with you.

Useful links

Questions about your baby's vaccinations?

Our practice nurses and GPs are happy to talk through the schedule, what to expect, or any concerns you have.