Immunizations
Are your Vaccines up to Date?
In Manitoba, all children should receive the vaccines below from a child's primary care provider. This could be a family physician or a pediatrician.
| Vaccine / Antibody Product | Age of Child | ||||||
|---|---|---|---|---|---|---|---|
| At birth | 2 months | 4 months | 6 months | 12 months | 18 months | 4–6 years | |
Respiratory Syncytial Virus (RSV) Antibody * | ♦ | ||||||
Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b (DTaP-IPV-Hib) | ♦ | ♦ | ♦ | ♦ | |||
Pneumococcal Conjugate 15-valent (Pneu-C-15) ** | ♦ | ♦ | ♦ | ||||
Rotavirus (Rot-1 or Rot-5) *** | ♦ | ♦ | (♦) | ||||
Measles, Mumps, Rubella, Varicella (MMRV) | ♦ | ♦ | |||||
Meningococcal Conjugate Quadrivalent (Men-C-ACYW) | ♦ | ||||||
Tetanus, Diphtheria, Pertussis, Polio (Tdap-IPV) | ♦ | ||||||
Influenza (Flu) | An annual flu vaccine is available to all Manitoba residents aged 6 months and older. View current seasonal flu vaccine information. | ||||||
♦ = One dose.
* RSV antibody:
Infants born on or after April 1 are eligible for one dose during their first RSV season (October 1–March 31).
Babies born during the season generally receive it before discharge from the birthing facility.
Babies born April–September receive it in the fall.
** Pneumococcal vaccine:
For children with high-risk medical conditions and children living in First Nations communities, the schedule uses Pneu-C-20 at 2, 4, 6 and 18 months.
See
Manitoba Health eligibility criteria.
*** Rotavirus:
Rotarix (Rot-1) uses a two-dose schedule; RotaTeq (Rot-5) uses three doses.
The dose shown in parentheses at 6 months applies to the three-dose schedule.
Children with higher health risks or missed doses may need an adjusted schedule.
Please discuss your child’s immunizations with their healthcare provider.
Public health visits schools to provide these vaccines to children. If for some reason your child missed out, these vaccines are also available from their family physician or pediatrician.
| Vaccine | Age of Child | |
|---|---|---|
| Grade 6 | Grade 8–9 | |
| Meningococcal Conjugate Quadrivalent (Men-C-ACYW) | ♦ | |
| Hepatitis B (HB) | ♦ ♦ | |
| Human Papillomavirus (HPV) | ♦ ♦ | |
| Tetanus, Diphtheria, Pertussis (Tdap) | ♦ | |
| Influenza (Flu) | All Manitobans 6 months of age and older are eligible for influenza vaccine each year. Click here for current information on the seasonal influenza vaccine. | |
♦ = One dose.
Vaccination helps protect adults against preventable diseases.
The vaccines you need depend on your age, health, previous vaccinations and other risk factors.
Many vaccines are covered by Manitoba Health for eligible individuals.
Other vaccines may require payment.
Speak with your healthcare provider about which vaccines are recommended for you.
Tetanus, Diphtheria and Pertussis Vaccine (Tdap)
- Who pays for it: Covered by Manitoba Health for eligible individuals.
- Who should have it:
- Adults who are due for their routine tetanus booster, recommended every 10 years. Tdap is now used for this booster instead of Td.
- Pregnant individuals during every pregnancy, ideally between 27 and 32 weeks of gestation.
- Adults with an incomplete or unknown vaccination history should discuss their vaccination schedule with their healthcare provider.
- Protects against:
- Tetanus: An infection that causes painful muscle stiffness and spasms, which can affect swallowing and breathing.
- Diphtheria: An infection that can cause breathing difficulties and damage to the heart and nerves.
- Pertussis (whooping cough): A respiratory infection that causes severe coughing fits and can be especially dangerous for young infants.
Human Papillomavirus Vaccine (HPV)
- Who pays for it:
Manitoba Health covers HPV vaccination for individuals who meet its eligibility criteria.
Check Manitoba Health eligibility criteria.
Individuals who are not eligible for public coverage may need to pay for the vaccine. - Who should have it:
Adults who have not completed HPV vaccination should ask their healthcare provider whether vaccination is recommended.
Recommendations and the number of doses depend on age, vaccination history and health conditions. - Protects against:
Infection with HPV types that can cause cervical and other genital cancers, certain cancers of the throat, and genital warts.
- Who pays for it: Covered by Manitoba Health at no cost to the patient.
- Who should have it: Everyone aged 6 months and older, every year.
- Protects against:
Seasonal influenza and its complications, including pneumonia and hospitalization.
In addition to the vaccines listed in the Adult section, adults aged 50 and older should consider shingles vaccination and continue receiving an annual flu vaccine.
- Who pays for it:
Shingrix is not currently included in Manitoba’s publicly funded immunization program.
Patients generally pay for the vaccine, although some private insurance plans may cover the cost.
Check with your insurance provider. - Who should have it:
Adults aged 50 and older without contraindications should receive two doses, usually 2 to 6 months apart.
If you have previously had shingles or received another shingles vaccine, ask your healthcare provider about the appropriate timing. - Protects against:
- Shingles (herpes zoster): A painful rash caused by reactivation of the virus that causes chickenpox.
- Postherpetic neuralgia (PHN): Persistent nerve pain that can continue after the shingles rash has healed.
- Who pays for it: Covered by Manitoba Health at no cost to the patient.
- Who should have it: Everyone aged 6 months and older, every year.
- Protects against:
Seasonal influenza and its complications, including pneumonia and hospitalization.
In addition to the vaccines listed in the previous sections, adults aged 65 and older should review their pneumococcal and influenza vaccinations.
RSV vaccination is also publicly funded for eligible older adults, as outlined below.
Pneumococcal Conjugate 20-valent Vaccine (Pneu-C-20)
- Who pays for it:
Covered by Manitoba Health for eligible individuals. - Who should have it:
- Adults aged 65 and older who have not received Pneumovax-23 (Pneu-P-23) since turning 65 are eligible for one dose.
- If Pneumovax-23 was received before age 65, Pneu-C-20 can be given at least 5 years after that dose.
- A further routine dose is not currently recommended if Pneu-C-20 was already received before age 65.
- Your healthcare provider should review your previous pneumococcal vaccinations to confirm eligibility and timing.
- Protects against:
Infections caused by the pneumococcal types included in the vaccine, including:- Pneumonia: An infection of the lungs.
- Bloodstream infection: A serious infection that can lead to sepsis.
- Meningitis: An infection of the membranes surrounding the brain and spinal cord.
View Manitoba Health pneumococcal vaccine eligibility criteria.
Respiratory Syncytial Virus (RSV) Vaccine
- Who pays for it:
Covered by Manitoba Health for eligible individuals. - Who should have it:
- Beginning October 1, 2026, adults aged 80 and older are eligible for one lifetime dose.
- Adults aged 60–79 may also qualify through specified personal care home and related care eligibility criteria.
- People who have already received an RSV vaccine are not eligible for an additional dose under this program.
- Protects against:
Lower respiratory tract disease caused by RSV, which can lead to pneumonia and hospitalization in older adults.
View Manitoba Health RSV vaccine eligibility criteria.
- Who pays for it:
Covered by Manitoba Health at no cost to the patient. - Who should have it:
Adults should receive a flu vaccine every year.
People aged 65 and older are eligible for an enhanced influenza vaccine. - Protects against:
Seasonal influenza and its complications, including pneumonia and hospitalization.