At what age is the Rotavirus (RV) vaccine administered?

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Last updated: April 27, 2025View editorial policy

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From the Guidelines

The rotavirus vaccine should be administered to infants in a series of doses, with the first dose given between 6 weeks and 14 weeks, 6 days of age, and the final dose completed by 8 months of age. The recommended schedule includes doses at 2 months and 4 months for Rotarix (RV1), or at 2 months, 4 months, and 6 months for RotaTeq (RV5) 1.

Key Considerations

  • The minimum interval between doses of rotavirus vaccine is 4 weeks 1.
  • The rotavirus vaccine is given orally, not as an injection, and can be administered at the same time as other routine infant vaccines.
  • It's essential not to start the vaccine series if the infant is older than 15 weeks as this may increase the risk of intussusception, a rare but serious intestinal complication.

Vaccine Schedules

  • For RV5 (RotaTeq), the recommended ages for doses are 2,4, and 6 months 1.
  • For RV1 (Rotarix), the recommended ages for doses are 2 and 4 months 1. The vaccination timing is crucial because rotavirus infections are most severe in infants and young children, causing severe diarrhea and dehydration that can be life-threatening, particularly in the first few years of life when natural immunity hasn't yet developed 1.

From the Research

Rotavirus Vaccine Administration Age

  • The rotavirus vaccine is typically administered to infants in a series of doses, with the first dose given at 6-14 weeks of age 2, 3.
  • The recommended schedule for the RotaTeq vaccine is three doses at ages 2,4, and 6 months, with the first dose administered between ages 6 and 12 weeks, and vaccination not initiated for infants aged >12 weeks 2.
  • The vaccine should be administered at 4-10 week intervals, with all doses administered by age 32 weeks 2.
  • The age range for rotavirus vaccine administration can vary depending on the specific vaccine and the country's immunization schedule, but it is generally recommended for infants under 5 years of age 3, 4.

Key Considerations

  • The rotavirus vaccine has been shown to be safe and effective in preventing severe gastroenteritis in children, with a significant reduction in rotavirus hospitalization and mortality 3, 5, 6.
  • The vaccine has been recommended by the Advisory Committee on Immunization Practices (ACIP) for routine vaccination of U.S. infants, and its use has been associated with a significant decrease in rotavirus activity in infancy and beyond 2, 3.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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