Should vaccines be administered together or separately?

Selected vaccines:

Bivak Polio OPV from 3 m to 14 yr live
+
Bubo-Kok DTPHepB from 3 m to 4 yr live
+
Nimenrix MenACWY from 6 w

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Options for combining selected vaccines

Can they be administered on the same day?

Yes
Vaccines can be administered on the same day to different areas of the body.

Injectable vaccines can be injected into the arms (shoulders), legs (thighs) and subscapular muscles. Thus, up to 6 vaccines can be administered (even more with oral vaccines). For children under 2 years of age, intramuscular vaccines are administered in the legs, and subcutaneous ones are administered in the shoulder or leg.

How long to wait if they are administered on different days?

Live injectable vaccines – either in a month or on the same day
Different live injectable vaccines can be administered either at intervals of at least 4 weeks, or together on the same day.

Others can be administered on any other day
Other vaccines, inactivated (non-living), live oral, live intranasal, can be administered at any time, regardless of live injectable vaccines, together with them on the same day or separately on any other day.

If Nimenrix, the meningococcal vaccine, is administered shortly after a vaccine containing the pertussis component (DTP), pertussis protection may be somewhat less, but not critically less. Therefore, if possible, it is better to administer Nimenrix either before DTP, or together with it on the same day, or to wait at least 4 weeks after DTP administration.

Together with the already selected vaccines, you can combine more – select a vaccine
+ ActHib+ Adacel+ Adacel Polio+ Afluria Quadrivalent+ Algavak+ Ambirix+ Avaxim 160+ Avaxim 80+ BCG Bulgaria+ BCG India+ BCG Poland+ BCG SSI Denmark+ BCG USP+ Bexsero+ Boostrix+ Boostrix Polio+ Cervarix+ Covaxis+ DT Biolik+ DTwP Biolik+ DTwP India+ Daptacel+ Diftet DT+ Encepur+ Encepur children+ Encevir+ Engerix-B for adults+ Engerix-B for children+ Eupenta+ Euvax-B+ Fendrix+ Flu-M+ Flu-M Tetra+ FluLaval Quadrivalent+ FluMist Quadrivalent+ Fluad+ Fluarix Tetra (Quadri)+ Flublok Quadrivalent+ Flucelvax Quadrivalent+ Fluenz Tetra+ Fluzone Quadrivalent+ GC Flu+ GC Flu Quadrivalent+ Gardasil+ Gardasil 9+ Grippol Plus+ H-B-Vax-II+ HBVax Pro+ Havrix-1440+ Havrix-720+ Hepatyrix+ Hexaxim+ Hexyon+ Hiberix+ Imovax Polio+ Imovax Rabies+ Indirab+ Infanrix+ Infanrix Hexa+ Infanrix IPV+ Infanrix IPV Hib+ Infanrix Penta+ Influsplit Tetra+ Influvac+ Influvac Tetra+ Ipol+ Ixiaro+ Kinrix+ Kleshch-E-vak+ MMR VaxPro+ MMR-II+ Menactra+ Menitorix+ Menveo+ NeisVac-C+ Pediarix+ PedvaxHib+ Penta Hib+ Pentabio+ Pentacel+ Pentavac+ Pentaxim+ Pneumovax 23+ Polimileks+ Polio Sabin+ Poliovaccine SSI+ Prevenar-13+ Prevenar-20+ Priorix+ Priorix Tetra+ ProQuad+ Quadracel+ RabAvert+ Rabipur+ Rabivax-S+ Recombivax HB+ Regevak-B+ Repevax+ RotaTeq+ Rotarix+ Rotavac+ Shingrix+ Sovigripp+ Stamaril+ Synflorix+ Td Biolik+ Td India+ Tenivac+ Tetract-Hib+ Tetravac+ Tetraxim+ TicoVac (FSME-Immun)+ TicoVac Junior (FSME-Immun for children)+ Triaxis+ Trimovax+ Trumenba+ Twinrix+ Typhim VI+ Ultriks Kvadri+ Vaqta+ Varilrix+ Varivax+ Vaxelis+ Vaxigrip+ Vaxigrip Tetra+ Vaxneuvance+ Verorab+ Vianvak+ Vivaxim+ YF-Vax+ Zostavax

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