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15 Fitzgerald Health Education Associates, Inc., March 2015 fhea.com The Recommended Childhood and Adolescent Immu- nization Schedule has been approved for 2015. Each year the recommended immunization schedule for individuals 0 through 18 years of age is reviewed to ensure that the schedules reflect current recommen- dations for FDA-licensed vaccines. The 2015 schedule was published in the Morbidity and Mortality Weekly Report (MMWR) February 6, 2015/64(04):93-94 and online in Pediatrics (originally published online Janu- ary 26, 2015; DOI: 10.1542/peds.2014-3955). Readers are referred to the Centers for Disease Control and Prevention (CDC) website for the most recent edition of the immunization schedule, the full set of footnotes, and the catch-up immunization schedule. The 2015 Recommended Childhood and Adolescent Immunization Schedule was approved by the American Academy of Pediatrics (AAP) Committee on Infectious Diseases, the CDC's Advisory Committee on Immunization Practices, the American Academy of Family Physicians, and the American College of Obste- tricians and Gynecologists. Specific changes from the 2014 recommended childhood and adolescent immunization schedule include the following: • A column was added to the schedule at 2 through 8 years to emphasize the availability of inactivated in- fluenza vaccine and live-attenuated influenza vaccine starting at 2 years of age, as well as the need for 2 dos- es for some children in this age-group. A second col- umn has been added at 9 through 10 years to indicate when 2 doses are no longer needed. A purple bar has been added for young children 6 months to less than 12 months who are traveling outside the United States and who will need the measles/mumps/rubella vaccine. • The diphtheria/tetanus/acellular pertussis (DTaP) vac- cine footnote has language added stating that if the fourth dose of DTaP vaccine was administered 4 months or more after the third dose, at an appropri- ate age, it can be counted as a valid dose, and need not be repeated after the recommended 6-month in- terval between doses 3 and 4. • The meningococcal vaccine footnote was revised to more clearly present recommendations for use of MenACWY-CRM (Menveo), MenACWY-D (Menactra), and Hib-MenCY-TT (MenHibrix) in children aged 2 months and older with anatomic or functional asple- nia or with persistent complement deficiencies. • The influenza vaccine footnote was updated to reflect revised contraindications for live attenuated influenza vaccine (LAIV; FluMist). LAIV should not be adminis- tered to persons who have experienced severe aller- gic reactions to LAIV, any of its components, or to a previous dose of any other influenza vaccine; children aged 2 through 17 receiving aspirin or aspirin-con- taining products; persons who are allergic to eggs; pregnant women; immunosuppressed persons; chil- dren aged 2 through 4 years with asthma or who had wheezing in the past 12 hours; and persons who have taken influenza antiviral medications in the previous 48 hours. Other contraindications and precautions to use of LAIV are available online . • The pneumococcal vaccine (PCV) footnote was up- dated to provide clearer guidance for vaccination of persons with high-risk conditions: (1) If any incom- plete schedule of 3 doses of PCV (PCV7 [Prevnar] and/or PCV13 [Prevnar13]) was received previously, administer 1 dose of PCV13; (2) administer 2 doses of PCV13 at least 8 weeks apart if unvaccinated or any incomplete schedule of fewer than 3 doses of PCV (PCV7 and/or PCV13) was received previously. The CDC's website includes tables of the immuniza- tion schedule for healthcare providers, printable versions of the 2015 immunization schedules in sev- eral formats and sizes, and "parent friendly" schedules, including instructions on how to order laminated ver- sions of the schedule. • Update: Immunization 2015 Recommended Childhood and Adolescent Immunization Schedules Published