Required and optional vaccines | RMC Gyermekgyógyászati Központ

Required and optional vaccines

Vaccinations are a means of actively providing immunity. The essence of how they work is that we inject a vaccine containing weakened or dead pathogens, in reaction to which the body’s own immune response creates its protection.

Required vaccines

Please use these information sheets as an informative guide to immunizations. Below you will find the current Hungarian, U.S. and British vaccination schedule. We will tailor your child's shots according to his/her needs.

Hungarian children receive a BCG vaccine against tuberculosis in the hospital after birth. We recommend this vaccine for expatriate children if they will have contact with locals or they are at high risk. If you are in Hungary for only a short period, and will be returning to a low-risk area like the United States or Canada, many choose to forgo this shot, although it is officially mandatory.

Hungarian Immunization Schedule:

  • 0-4 weeks: BCG (in maternity ward)
  • 2 months: DPTa-IPV-HiB+PCV13
  • 4 months: DPTa-IPV-HiB
  • 6 months: DPTa-IPV-HiB+PCV13
  • 12 months: PCV13
  • 13 months: Varicella (born after 31st of July 2018)
  • 15 months: MMR
  • 16 months: Varicella (born after 31st of July 2018)
  • 18 months: DPTa-IPV-HiB
  • 6 years: DPTa-IPV
  • 11 years: MMR, dTap
  • 12 years: Hepatitis B

British Immunization Schedule:

American Immunization Schedule:

Optional vaccines

In addition to the required vaccinations, we recommend that you also have the optional vaccinations. Some of these are given according to a vaccination schedule, similarly to the required vaccinations, and some are seasonal vaccinations (for example, flu shots).

We have the following optional vaccinations available in our office:

  • from birth: Hepatitis B
  • from 6 weeks of age: meningococcal ACWY
  • at the age of 2-4 months: rotavirus
  • 2 months and over: meningococcal B, meningococcal C
  • 6 months and over: influenza
  • 12 months and over: varicella (chicken pox), tick-borne encephalitis, hepatitis A
  • 9 years and over: HPV (16, 18), HPV (6, 11, 16, 18)


BCG = tuberculosis vaccination

The BCG (Bacillus Calmette-Guérin) vaccine is administered to newborn children in the upper arm by six weeks of age. Vaccination protects against childhood tuberculosis (tuberculosis, pulmonary tuberculosis). Temporary swelling or redness may occur at the site of the injection. There may be excretion of a pus-like substance from the site of the injection.

DTPa, dTap - IPV = Diphtheria, pertussis, and tetanus, Polio vaccine

The DTPa - IPV vaccine is a vaccine against diphtheria, whooping cough, tetanus and polio (otherwise known as infantile paralysis). The vaccine is administered at 2, 4, 6 and 18 months of age. The booster vaccines are given at 6 and 11 years of age. A booster vaccine is recommended for DTPa at 11 years of age.


This is the adult booster vaccine against diphtheria and tetanus, and is recommended every ten years throughout life in the United States.

HiB = Haemophilus influenzae type b vaccine

The Hib vaccine protects against the B strain of the Haemophilus influenzae bacteria. This is the primary cause of meningitis and other inflammation-related diseases in young children. Immunization is carried out using a combination vaccine.

MMR = Measles, mumps, rubella

MMR is a vaccine against measles, mumps and rubella/rosacea, and is administered to babies when they are 15 months old. The vaccine contains live attenuated viruses. The vaccination should be repeated aged 11. In rare cases, side effects (rash, runny nose, high temperature) may occur, though these disappear within a few days.

PCV13 (Prevenar) = Pneumococcal conjugate vaccine

The pneumococcus bacteria is especially dangerous for children aged five years and below, especially infants. It can cause inflammations of the lung, middle ear and other areas, as well as meningitis. The vaccine is given to children at 2, 4 and 12 months of age.

Hepatitis B

Vaccine for the infectious „B” type of viral inflammation of the liver. Children receive the vaccine twice, with a half-year interval between shots. Swelling, skin redness, high temperature, and muscle pain may appear as side effects.

Chicken Pox (varicella)

The vaccine against chickenpox significantly reduces the chance of infection. If you do get the disease, the symptoms will be milder, and the likelihood of severe complications (such as pneumonia and bacterial overgrowth) is low. The vaccine can be given from 12 months of age.

Hepatitis A

The hepatitis A vaccine can be given to children aged one year and above. We recommend it if you are traveling to Asia, Africa or South America. In Hungary it is also recommended for people who have a higher risk of contracting it (e.g. dialysis patients, patients regularly treated with blood products).


The rotavirus can cause severe diarrhea and vomiting gastrointestinal infections, often resulting in severe dehydration. Most young children are infected before 5 years of age. The rotavirus vaccine should be administered at 2-4 months of age. The vaccine can be administered orally.

Meningococcal B, meningococcal C, meningococcal ACWY

This vaccination provides protection against a very serious illness, meningitis, which is caused by the bacteria Neisseria meningitides. The vaccine against the B and C strains is available for children older than two months, while the combined (ACWY) vaccine is available for children older than 6 weeks. The vaccine may cause fever of more than 38°C (100.4°F) in infants, which usually passes within one day. The most common side effects in children and adults are sensitivity in the area of ​​administration and headaches.


This is a seasonal vaccination which can be given from six months of age. The vaccine should be repeated every year due to variations in the influenza virus. The vaccine is adapted each year to the current virus structure. In the northern hemisphere – including Hungary – the season runs from November to March, so it is recommended to have the vaccine in October or November.

Tick-borne encephalitis

Tick-borne encephalitis is a disease caused by a virus, and there is currently no available treatment. In severe cases it can lead to muscle paralysis, so vaccination is recommended. The second vaccination should be administered one month after the first vaccination, and a repeat dose should be administered after 12 months. Further protection can be provided with a booster vaccine every 3-5 years.

HPV (human papilloma virus)

There are more than 100 human papilloma viruses. HPV types 16 and 18 account for 90% of human diseases caused by HPV, whereas genital warts are most commonly caused by types 6 and 11. The two-part vaccine provides protection against types 16 and 18, while the four-part vaccine provides protection against all four types. The various strains of HPV are responsible for 5% of all cancerous diseases and nearly all cervical cancer. The vaccine is recommended for boys and girls aged 12 years and above.