Missed a Vaccination: What Should Parents Do?

My child missed a vaccine. Do we have to start the whole schedule again?

Usually, no. A delayed vaccination does not generally mean that a child has to start the entire vaccine series again. India’s Ministry of Health and Family Welfare advises that when a child comes late for a subsequent dose, the schedule should be continued from where it was left off rather than restarted.

What should I do if my child’s vaccination is overdue?

Arrange a visit with your pediatrician and take your child’s vaccination record with you. The doctor can review which doses have already been given, identify what is due and decide the appropriate catch-up plan for your child’s age and vaccination history.

Do not try to work out the catch-up schedule from a general chart alone. The required vaccines and intervals can depend on the child’s age, previous doses and the particular vaccine.

What should I bring to the vaccination visit?

  • Your child’s vaccination card or any written vaccination records.
  • Details of vaccines that may have been given elsewhere, if available.
  • Information about any previous significant reaction to a vaccine.
  • Your child’s current medical information and any medicines being taken, if relevant.
  • Any questions you have about the remaining doses.

What if I have lost my child’s vaccination card?

Tell the pediatrician what records you still have and where previous vaccinations may have been given. The doctor can help determine what information is available and what should be done next. Avoid guessing about previous doses when the record is uncertain.

Does a long gap between vaccine doses reduce the need to catch up?

A long gap does not usually mean that the completed doses become useless or that the entire series has to be restarted. Catch-up guidance is designed to help children who are behind complete the doses they still need.

The important point is to have the child’s vaccination history reviewed and to continue the recommended schedule as soon as practical.

Can several vaccines be given at the same visit?

Depending on the child’s age, vaccination history and the vaccines that are due, more than one vaccine may sometimes be given during the same visit. The pediatrician will determine what is appropriate.

What if my child is sick on the day of the appointment?

Whether vaccination should proceed depends on the child’s illness and the vaccine involved. If your child is unwell on the day of the appointment, ask the pediatrician rather than automatically cancelling or delaying the vaccination.

What if I am not sure which vaccine was missed?

Bring all available records to the pediatrician. The doctor can review the documented doses and determine which vaccinations or catch-up doses are appropriate. It is better to clarify the record than to rely on memory.

A simple rule for parents

A missed vaccination is a reason to catch up, not a reason to give up. Do not assume that you have to restart everything. Take the vaccination record to your pediatrician, find out what is due and continue from there.

Related reading

Back to the Parent’s Guide

This information is for general guidance and does not provide an individual catch-up schedule. Vaccination schedules and catch-up requirements should be reviewed by a qualified healthcare professional using the child’s age and documented vaccination history.