Spain childhood vaccination schedule
The vaccines in Spain's common calendar (calendario común de vacunación) for babies, children and teenagers, by age. Based on the 2026 calendar approved by the Interterritorial Council of the National Health System on 12 December 2025.
Vaccines by age
This is the national common calendar. Your region gives at least these vaccines and may add more; see regional differences.
| Age | Vaccine | Protects against |
|---|---|---|
| 0 to 6 months | RSV antibody (nirsevimab), one dose | RSV (respiratory syncytial virus) |
| 2 months | 6-in-1 vaccine (hexavalente) Pneumococcal (PCV) MenB Rotavirus (drops by mouth) | Diphtheria, tetanus, whooping cough, polio, Hib, hepatitis B Pneumococcal infections Meningococcal group B Rotavirus |
| 4 months | 6-in-1 vaccine, 2nd dose PCV, 2nd dose MenB, 2nd dose MenC Rotavirus, next dose | As at 2 months Meningococcal group C |
| 6 to 59 months | Flu vaccine, every season | Influenza |
| 11 months | 6-in-1 booster PCV booster | Diphtheria, tetanus, whooping cough, polio, Hib, hepatitis B Pneumococcal infections |
| 12 months | MenB booster MenC booster MMR (triple vírica) | Meningococcal groups B and C Measles, mumps, rubella |
| 15 months | Chickenpox (varicela) | Chickenpox |
| 3 to 4 years | MMR, 2nd dose Chickenpox, 2nd dose | Measles, mumps, rubella, chickenpox |
| 6 years | DTaP + polio booster | Diphtheria, tetanus, whooping cough, polio |
| 12 years | MenACWY HPV, one dose | Meningococcal groups A, C, W and Y Cancers and genital warts caused by HPV |
| 14 years | Td booster | Tetanus, diphtheria |
RSV: babies born during the RSV season get the antibody soon after birth, other babies under 6 months before the season starts. Rotavirus needs 2 or 3 doses depending on the brand, all before 6 months. Babies of mothers with hepatitis B also get a hepatitis B dose at birth. In pregnancy, the calendar includes whooping cough (dTpa), flu and COVID-19 vaccines.
Regional differences
Vaccination in Spain is run by the 17 autonomous communities. All of them follow the common calendar, and many add vaccines or use broader ones.
Example: Community of Madrid 2026
MenACWY instead of MenC at 12 months, a combined MMR and chickenpox vaccine (MMRV) at 3 years, and dTpa (with whooping cough) instead of Td at 14 years.
Paediatricians' recommendations
The Spanish Association of Paediatrics (AEP) publishes its own, broader calendar, for example with hepatitis A. Not every region funds those extra vaccines.
Check your region's calendar on its health service website, or ask the nurse at your centro de salud (health centre).
Moving to Spain with children
- Coming from the UK or Germany? See moving from the UK to Spain and moving from Germany to Spain.
- Register on the padrón (town hall register), then get a health card (tarjeta sanitaria) for your child at your local centro de salud. Your child is assigned a paediatrician and a paediatric nurse.
- Bring your child's vaccination records from abroad, ideally with a Spanish translation.
- The nurse compares them with your region's calendar and plans missing doses, using the Ministry of Health's accelerated (catch-up) calendar.
- Nurseries and schools usually ask for the vaccination card when you enrol, even though vaccination isn't compulsory.
- Common differences: Spain gives MenC to babies, a yearly flu vaccine to all children under 5, and chickenpox at 15 months and 3 to 4 years.
Moving away from Spain
- Keep your child's vaccination card (cartilla or documento de vacunación).
- Ask your centro de salud for a printed vaccination certificate before you leave. Some regions also show it in their health app.
- Your new country may schedule vaccines differently. For example, the UK gives MMRV at 1 year and 18 months, and Germany gives no routine flu vaccine to healthy children.
Questions
Are vaccinations compulsory in Spain?
No. Vaccination is voluntary in Spain. The public health system offers all calendar vaccines and strongly recommends them.
Are childhood vaccinations free in Spain?
Yes. The vaccines in the common calendar, and those your region adds, are free at your centro de salud through the public health system.
What if my child had vaccines in another country?
Take the records to your centro de salud. The paediatric nurse checks them against your region's calendar and offers any missing doses.
Why does my region's calendar look different?
Each autonomous community runs its own vaccination programme. They all include the common calendar, and many add vaccines, such as MenACWY instead of MenC at 12 months.
Keep track with VaxFile
VaxFile shows your child's Spanish schedule, reminds you of upcoming doses, and keeps records from every country you've lived in. Free on iOS and Android.
Sources: Ministry of Health, vaccination calendar 2026 · Calendario común 2026 (PDF) · Community of Madrid, calendar 2026
This page summarises Spain's official common vaccination calendar for information only. It isn't medical advice. Your paediatrician or paediatric nurse decides which vaccines your child needs, following your region's calendar.
Last checked against the official sources: 6 October 2026.