Immunization Program : Children & Adult Immunization

The following vaccinations are needed by age 2:

4 vaccinations

Diphtheria, Tetanus and Pertussis (DTP)

3 vaccinations


1 vaccination

Measles, Mumps, & Rubella (MMR)

3-4 vaccinations

Haemophilus influenza type b (Hib)

3 vaccinations

Hepatitis B

1 vaccination

Varicella (Chickenpox)

2-3 vaccinations


4 vaccinations

Pneumococcal (Pneumonia)

2 vaccinations Hepatitis A



It is important for a child to receive immunizations at the recommended time on the schedule. If a child falls behind in his or her immunization series, he or she does not have to start over again, but the series should be finished as soon as possible. The childhood immunization schedule and information on specific vaccine preventable diseases can be found at  The schedule meets the vaccination needs of children from birth through 18 years as recommended by the Advisory Committee on Immunization Practices (ACIP).

Children can receive more than one immunization at the same time as long as the immunizations are given in different places in the arms and legs. Unless a child is very sick, he or she can get immunizations.


In 2008, Nebraska started a statewide immunization database (NESIIS), but it is still important for you to keep a record of all your immunizations for yourself. The immunization should be entered by name long with the date you received them, and the name of the clinic or doctor’s office that gave them to you. This record gives health care providers the information they need to know so they can treat you appropriately in the future.

Ten Important Facts for Older Adults to Know About Vaccines

  1. Because tetanus, diphtheria and pertussis can occur in adults, all adults should receive a booster shot every 10 years, including one dose of Tdap for those under the age of 65.
  2. People who travel outside the United States should review their immunization records early in their planning to determine which vaccines are necessary. See travel immunizations at:
  3. Each year up to 60,000 adults, many 65 years or older, die of preventable diseases (flu, pneumonia, and hepatitis B). All people 65 or older should receive flu and pneumonia vaccines. People who are in certain high risk groups should also receive hepatitis B.
  4. Flu vaccine can prevent up to 70% of hospitalizations and 87% of deaths from flu-related pneumonia.
  5. Since flu viruses change each year, people should get the new vaccine annually, usually in the fall. It is important to remember you cannot get the flu from the vaccine.
  6. Flu vaccine will not protect you from other respiratory infections, such as colds and bronchitis.
  7. Pneumococcal pneumonia is the most common type of pneumonia, account for up to one-third of all types of pneumonia that lead to hospitalization.
  8. Pneumonia vaccine is usually a once-in-a-lifetime shot. Again, you cannot get pneumonia from the vaccine.
  9. Herpes zoster (shingles) occurs when someone who previously had chicken pox, has reactivation of the virus in their body.
  10. 50% of persons age 85 years and older will have had shingles at least one time.

Contact Information

Immunization Program
PO Box 95026
Lincoln, NE 68509-5026
Phone: (402) 471-6423 or (800) 798-1696
FAX: (402 471-6426