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As your children become preteens, some vaccines they received as infants and young children begin to wear off and they need a “booster dose.” Other vaccines are recommended for children starting at ages 11 or 12 to keep them healthy into adulthood. Preteens and teens are at increased risk of getting certain vaccine-preventable diseases as they engage in common activities such as sharing drinks and utensils, kissing, attending summer camps, and later, college.
Missed well-care and vaccination visits can leave your children unprotected from dangerous diseases. Preteens and teens do not have as many regular visits with healthcare providers and may miss critical vaccines that can protect them. Check out our new Don’t Skip campaign that talks about the importance of routine vaccines and catching up on any vaccinations your family may have missed during the pandemic.

Talk to your children’s healthcare provider to make sure they are up-to-date on all of their recommended vaccines including flu, Tdap (tetanus, diphtheria and whooping cough), meningitis (MenACWY and MenB) HPV and COVID-19.
Protects against 6 cancers caused by human papillomavirus (HPV), a very common virus. For full protection, 11 or 12 years old need 2 shots of HPV vaccine.
Protects against flu, a disease that can even be serious for healthy preteens and teens. Everyone 6 months and older should get the flu vaccine every year.
Protects against four strains of meningococcal disease, a serious bacterial illness that can quickly lead to disability and death. Children need 2 doses of vaccine – 1 dose at age 11-12 and another dose at age 16.
Protects against serogroup B meningococcal disease, which can quickly lead to disability and death. MenB vaccine is for people 10 years or older who are at increased risk for the disease, and may also be given to 16-23 year olds.
Protects against tetanus, diphtheria and pertussis. Preteens need a booster dose at ages 11-12 because the childhood version wears off, leaving teens vulnerable.
Protects against COVID-19. The Pfizer COVID-19 vaccine is currently the only COVID vaccine recommended for people 12 years of age and older.
The CDC develops the U.S. immunization schedules for children, teens and adults based on recommendations from the Advisory Committee on Immunization Practices (ACIP). The CDC’s recommended immunization schedule is the ONLY vaccination schedule in the U.S. that is rigorously tested for safety and effectiveness. This schedule is also endorsed by the American Academy of Pediatrics and the American Academy of Family Physicians.
The vaccines recommended in the schedule are carefully timed to provide protection to children and teens when they are most vulnerable to diseases, and when the vaccines will produce the strongest response from their immune systems. That’s why it is so important to follow the schedule as closely as possible.
CDC's Recommended Schedule
for Preteens & Teens (7 - 18 Years Old)
Can preteens and teens get sick with COVID-19? Should I get my child vaccinated?
Yes, children, preteens & teens can get COVID-19 and can spread it to others. (Even children who have COVID-19, but have no symptoms, can spread it.). While children are less likely to get a serious case of COVID-19 than adults, they still are at risk of serious illness and hospitalization.
Yes. We know that it might be a hard decision, but public health and medical experts agree that children 12 years and older need protection from COVID-19 both for their health and the health of their family and friends. New COVID-19 virus variants and more in-person activities mean the virus is still being spread around the country (and the world), and kids are still getting sick.
If you have a preteen or teen (12 years and up), they are recommended to get the Pfizer COVID-19 vaccine.
At this time, there are no COVID-19 vaccines authorized for use in children under 12 years old in the U.S.
A number of vaccine makers are currently testing COVID-19 vaccines in younger children through clinical trials.
How do I know that the COVID vaccine is safe for my child?
While COVID-19 vaccines were developed faster than other vaccines, safety was (and still is) a top priority. Due to the pandemic, steps to develop the vaccines were streamlined or overlapped. None of them are being skipped. 
Before being authorized for use by FDA, each COVID-19 vaccine was tested through three phases of clinical trials and the data was carefully reviewed by the FDA and their advisory committee (VRBPAC), and the CDC and their advisory committee (ACIP). In clinical trials, the Pfizer COVID vaccine – recommended for people 12 years and older – was shown to be safe and effective. The FDA and CDC agree that the benefits of the COVID-19 vaccines outweigh the risks.

According to CDC, “these vaccines have undergone and will continue to undergo the most intensive safety monitoring in U.S. history.” After being authorized for use, COVID vaccines continue to be monitored for safety using both established systems like VAERS and new safety monitoring systems like V-Safe.
The CDC says that it is unlikely for people to get long-term side effects from the COVID-19 vaccine. There are years of research and vaccine safety monitoring on other vaccines that show side effects almost always happen within six weeks of getting a vaccine. For this reason, the FDA required each of the authorized COVID-19 vaccines to be studied for at least two months after the final dose.
Does the COVID vaccine cause heart problems (myocarditis or pericarditis)?
There have been reports of cases of myocarditis and pericarditis after mRNA COVID-19 vaccination. (Both Pfizer and Moderna COVID vaccines are mRNA vaccines). Most of these reported cases have happened in young men under 30 years old, and after the second dose of the COVID vaccine compared to the first.
While these heart issues might sound very scary, myocarditis and pericarditis can be mild and treatable. In fact, of those who developed the heart conditions after getting vaccinated, at least 79% (or 4 in 5) have made a full recovery.
Symptoms of both these heart conditions may include:
If you or a family member start to feel any of the symptoms listed above, please contact your healthcare provider right away. Make sure to let them know if you’ve had the Pfizer or Moderna COVID-19 vaccine within the last week or so.
Health experts are taking the reports of myocarditis and pericarditis very seriously. On June 23, the CDC’s advisory group (ACIP) met to discuss the latest safety data related to COVID-19 vaccines, including myocarditis and pericarditis after mRNA COVID vaccination. Based on the latest evidence:
The CDC and its group of medical experts concluded that the benefits of COVID vaccination continue to outweigh the risks. The COVID-19 vaccine continues to be recommended for anyone 12 years of age and older.
In the American Academy of Pediatrics’ AAP News, Dr. Stuart Berger, chair of the AAP Section on Cardiology and Cardiac Surgery Executive Committee, said “in general, myocarditis is rare. Patients can be asymptomatic and often recover quickly. Most commonly, mild inflammation is related to a viral infection. This includes SARS-CoV-2 and the related multisystem inflammatory syndrome in children.”
Preteens, teens and young adults might not be as likely to die from COVID-19 as older adults, but they aren’t naturally immune. Thousands of people under 30 years old in the U.S. have died from the virus. Many more have landed in the hospital or live with long-term symptoms, commonly called “long COVID”. The virus that causes COVID can damage vital organs, including the heart. Study after study has found that the virus can often cause serious or long-term harm to the body, including in those who were healthy before getting COVID.
Some kids and teenagers can also develop Multisystem inflammatory syndrome in children, or MIS-C. MIS-C (and a similar condition in adults called MIS-A) isn’t common, but it can be very dangerous. Vital organs like the heart, lungs, and brain get severely inflamed, putting kids at risk of lifelong health issues or death.
Researchers are still trying to figure out why COVID hits some children harder than others. But preteens and teens seem to be more likely than younger kids to get seriously sick from the virus in general, which is why health experts strongly encourage those 12 years and up to get vaccinated.
Bottom line: Vaccination is still the safer choice.
More Information about COVID-19 Vaccine Safety Monitoring
The CDC’s Advisory Committee on Immunization Practices (ACIP) has a COVID-19 Vaccine Safety Technical (VaST) Work Group that reviews the vaccine safety data from the U.S. vaccine monitoring systems on a weekly basis. They are looking for any unexpected health problems that are reported after COVID-19 vaccination, and will continue to make certain that the benefits of COVID-19 vaccines outweigh the risks.
Which COVID vaccine should my preteen/teen get?
If you have a preteen or teen (12 years old or older), they are recommended to get the Pfizer COVID-19 vaccine.
What should my child expect during and after their COVID vaccine appointment?
While the benefits of the COVID-19 vaccine outweigh the risks of getting vaccinated, it is possible that your child MAY have some mild or moderate side effects after getting the first or second dose of COVID-19 vaccine. This is normal and is a sign that your child’s body is building protection (immunity) against COVID. (Some people have no side effects after getting vaccinated.)

While these mild or moderate side effects may affect your child’s ability to do their normal daily activities, they are temporary and should go away on their own.
These side effects usually start within a day or two of getting the shot and should go away in a few days.
Contact your child’s healthcare provider if the redness or tenderness where the shot was given gets worse after 24 hours or if the side effects are worrying you or do not seem to be going away after a few days.
Talk to your child’s healthcare provider about giving your child over-the-counter medicine, such as ibuprofen (Advil or Motrin), acetaminophen (e.g., Tylenol), aspirin, or antihistamines (Benadryl), for any pain and discomfort after getting vaccinated. They can take these medications to relieve side effects if they have no other medical reasons that prevent them from taking these medications normally.
It is not recommended to give your child these medicines before vaccination for the purpose of trying to prevent side effects.
The CDC says that it is unlikely for people to get long-term side effects from the COVID-19 vaccine. There are years of research and vaccine safety monitoring on other vaccines that show side effects almost always happen within six weeks of getting a vaccine.
Where should I get my preteen/teen vaccinated?
Can my preteen/teen get other vaccines at the same time as the COVID-19 vaccine?
Yes. The CDC says that it is OK for your preteen and teen (12 years old or older) to get their routine vaccines at the same time as the COVID-19 vaccine.
Ask your healthcare provider what vaccines your preteen & teen needs or see the recommended vaccine schedule on this page.
Can teens get vaccinated without parental consent?
Learn more about this issue in an episode of PBS’ Above the Noise with host Myles Bess. In this video, Myles investigates the trend of teens wanting to get vaccinated without parental consent, in addition to the history of vaccines and the movement against them. He also speaks with Kelly Danielpour, a high school senior who founded VaxTeen – an organization that provides resources for teens to learn more. Watch now.
How do we know vaccines given to teens in the U.S. are safe?
Vaccines approved for use in the United States are required to go through three phases of clinical trials and years of extensive safety testing before they are approved (or authorized) by the Food and Drug Administration (FDA).
After approval or authorization, each vaccine continues to be continuously monitored for any safety by CDC and FDA . This monitoring looks for any rare or new problems that may happen after vaccination.
In the U.S., there are four different vaccine safety surveillance systems in place to watch routine vaccines AFTER they are approved by FDA and recommended for use by CDC.

Any serious safety problems found with these vaccines will be reported to health officials, healthcare providers, and the public.
While COVID-19 vaccines were developed faster than other vaccines, safety was (and still is) a top priority.
Before being authorized for use by FDA:
Since they were authorized for emergency use by the FDA:
Yes, the HPV vaccine is very safe and effective at preventing HPV. Before the three HPV vaccines were licensed for use in the U.S. by the FDA, each went through years of testing in thousands of people through clinical trials to make sure they were safe. After being licensed, the the CDC and FDA continued to monitor the safety of the HPV vaccines through the four post-licensure vaccine safety surveillance systems in the U.S. to look for rare or new problems that may happen after vaccination. Since HPV vaccine became available in 2006, there have been many large safety studies conducted in the U.S. and other countries, and over 100 million doses of HPV vaccines were distributed in the United States. HPV vaccines have continued to have good safety records, and careful safety monitoring has not shown any problems. No deaths have been shown to be caused by HPV vaccinations.
Of course, vaccines, like any medicine, can have side effects. Many people who get the HPV vaccine have no side effects at all, while others report having very mild side effects, like a sore arm from the shot. The most common side effects of HPV vaccine include:
There have been some reports of fainting after HPV vaccination, which is not usual. Sometimes people, especially teens, faint after they get shots. To make sure your child doesn’t get injured if they fall from fainting, your healthcare provider might ask your child to stay seated after getting the vaccine to help protect him/her.
Can the HPV vaccine cause my child to not be able to have babies when he or she gets older?
No, there is no evidence that HPV vaccination causes fertility or reproductive problems. In fact, getting HPV vaccine, which protects against cervical cancer, can help ensure a woman’s ability to get pregnant and have healthy babies.
For example, a woman who develops cervical cancer later in life due to HPV infection may require serious treatments that could leave her unable to have children. It’s also possible that treatment for cervical pre-cancer could put a woman at risk for problems with her cervix, which could cause preterm delivery or other problems. HPV vaccination can help prevent these complications.
Will getting the HPV vaccine make my child feel it is OK to have sex?
There have actually been scientific studies that have looked at this issue, and they show that there is no correlation between receiving the HPV vaccine and increased rates of, or earlier engagement in, sexual activity.
Like all vaccines, we want to give HPV vaccine earlier rather than later – before your child is exposed to HPV. Preteens should receive all recommended doses of the HPV vaccine series long before they begin any type of sexual activity. Even if your child delays sexual activity until marriage, or only has one partner in the future, he or she could still be exposed to HPV if his/her partner has been exposed to HPV. Studies have shown that the HPV vaccine is most e­ffective in preventing the virus, and therefore, HPV-related cancers, when given at age 11 or 12.
What is the difference between the two meningococcal (meningitis) vaccines?
There are two types of meningococcal vaccines available in the United States. Each type helps protect your child against different serogroups (strains) of meningococcal disease. Meningococcal conjugate vaccine (MenACWY) is routinely recommended for preteens and teens to protect against four serogroups (A, C, W, and Y).
Serogroup (B) meningococcal vaccine (MenB) protects against serogroup B and is available for adolescents and young adults 16 through 23 years old. Currently, there is not a meningococcal vaccine that offers protection against all common serogroups in one shot.
Ask your child’s doctor about BOTH meningococcal vaccinations (MenACWY and MenB).
Vaccinate Your Family
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