Recommended Vaccines for a 13-Year-Old
A 13-year-old should receive Tdap (tetanus, diphtheria, acellular pertussis), MenACWY (meningococcal conjugate), HPV (human papillomavirus) vaccines, and a second dose of varicella vaccine if not previously received. 1
Core Adolescent Vaccines
Tdap Vaccine
- Recommended for all adolescents at age 11-12 years
- If not received at 11-12 years, should be administered at 13 years
- Provides protection against tetanus, diphtheria, and pertussis (whooping cough)
- Booster dose essential to ensure long-lasting immunity 1
Meningococcal Conjugate Vaccine (MenACWY)
- First dose recommended at age 11-12 years
- If not received earlier, should be administered at 13 years
- Protects against meningococcal disease which can cause meningitis and bloodstream infections
- A second dose is recommended at age 16 years 1
HPV Vaccine
- Recommended for both boys and girls at age 11-12 years
- If not started earlier, should be initiated at 13 years
- Protects against HPV infections that can cause various cancers and genital warts
- Most effective when administered before potential exposure to HPV through sexual contact 1
- For those starting the series before age 15, a 2-dose schedule is recommended 1
Varicella (Chickenpox) Vaccine
- Second dose recommended at age 11-12 years if not previously received
- Approximately 20% of adolescents ages 11-12 years remain susceptible to varicella 1
- Particularly important as complications from chickenpox are more severe in adolescents and adults than in younger children 1
Additional Vaccines Based on Individual Circumstances
Influenza Vaccine
- Annual vaccination recommended for all adolescents
- Particularly important for those with chronic medical conditions such as asthma, diabetes, or heart disease 1
MMR (Measles, Mumps, Rubella)
- Verify that the adolescent has received two doses of MMR vaccine
- Especially important given recent measles outbreaks 1
Catch-up Vaccines
- Hepatitis B: Complete the 3-dose series if not already done
- Polio: Complete the series if not already done
- Any other routine childhood vaccines that may have been missed
Implementation Considerations
Simultaneous Administration
- All recommended vaccines can be administered during the same visit
- This approach increases timely protection and reduces missed opportunities 1
- No increase in adverse effects has been observed when multiple vaccines are administered together 1
Common Barriers to Address
- Parental concerns about vaccine safety should be addressed with factual information
- 54% of parents express concern about serious adverse effects of vaccines 1
- Emphasize that vaccination is one of the most effective ways to protect adolescents from serious diseases
Follow-up
- Ensure completion of multi-dose vaccine series (particularly HPV)
- Schedule follow-up appointments for subsequent doses at the time of initial vaccination
Special Considerations
- Adolescents with certain medical conditions may require additional vaccines (e.g., pneumococcal vaccines for those with diabetes, nephrotic syndrome, or cochlear implants) 1
- Review the adolescent's complete medical history to identify any specific risk factors that might warrant additional vaccines
By ensuring your 13-year-old receives these recommended vaccines, you are providing critical protection against serious and potentially life-threatening diseases during this important developmental period.