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The childhood immunisation schedule in NSW: a parent's checklist

Which vaccines are due at each age under the National Immunisation Program, what is free, and how to get an immunisation history statement for childcare and school.

Published 5 September 2026 · 5 min read · Reviewed by the doctors of East Hills Medical Centre

Under the National Immunisation Program, children in NSW receive free vaccines at birth, 6 weeks, 4 months, 6 months, 12 months, 18 months and 4 years, followed by school-based doses in Year 7 and Year 10. The schedule protects against hepatitis B, rotavirus, diphtheria, tetanus, whooping cough, polio, Haemophilus influenzae type b, pneumococcal disease, meningococcal disease, measles, mumps, rubella, chickenpox and human papillomavirus, with annual influenza vaccine free from six months to under five years. East Hills Medical Centre gives every scheduled vaccine and records it on the Australian Immunisation Register, and the consultation is bulk billed for children on weekdays. Childcare and school enrolment in NSW require an up-to-date Immunisation History Statement, which you can download from Medicare online or ask the practice to print. Catch-up schedules are available for children who have missed doses or arrived from overseas.

The schedule at a glance

  • Birth: hepatitis B
  • 6 weeks: hepatitis B, diphtheria, tetanus, pertussis, polio, Hib (combined); pneumococcal; rotavirus
  • 4 months: same as 6 weeks
  • 6 months: hepatitis B, diphtheria, tetanus, pertussis, polio, Hib (combined); pneumococcal for at-risk children
  • 12 months: measles, mumps, rubella; meningococcal ACWY; pneumococcal
  • 18 months: measles, mumps, rubella, varicella; diphtheria, tetanus, pertussis; Hib
  • 4 years: diphtheria, tetanus, pertussis, polio
  • Year 7: HPV; diphtheria, tetanus, pertussis
  • Year 10: meningococcal ACWY; meningococcal B in some years

Check the current NSW Health schedule when you book, as items are updated from time to time.

Influenza and COVID-19

Influenza vaccine is free each year for children from six months to under five, and for children of any age with certain medical conditions. COVID-19 vaccination follows current ATAGI recommendations for children at higher risk.

After the vaccine

Mild fever, fussiness and a sore leg are common for a day or two. Paracetamol can be used for discomfort. Call the practice or 13SICK if your child has a high fever that does not settle, is unusually drowsy, or you are worried.

Immunisation History Statements

The statement is the official record used for childcare enrolment, school entry and Family Tax Benefit. Download it from Medicare online through myGov or the Express Plus Medicare app, or ask reception to print one.

Missed doses

It is never too late to catch up. Bring your child's record book or overseas vaccination record and the doctor will map a catch-up schedule that is also free under the program.

This guide is general information and does not replace a consultation. Fees and processes are the practice's own and are current at the published date.

Talk to a doctor about this

Online through HotDoc at any hour, or call reception on (02) 9773 3676 during opening hours. Mon to Fri 8:30am to 5pm, Sun 9am to 2pm.