01/26/2026
The AAP just released its 2026 childhood immunization schedule—and for the first time in nearly 30 years, it differs significantly from the CDC's.
Here's what that means practically:
The AAP is continuing to recommend vaccines based on decades of evidence, safety data, and how pediatric care actually works in this country. Where the CDC has shifted toward "shared clinical decision-making" language that weakens universal recommendations, the AAP held the line.
One key difference: HPV vaccine. The CDC moved to a single-dose recommendation, but the AAP is maintaining the 2-dose series for kids who start before age 15 (3 doses if starting at 15+). The AAP's position is that the evidence for long-term protection with one dose isn't there yet.
This schedule is endorsed by 12 major medical organizations representing over 1 million clinicians—AAFP, ACOG, AMA, IDSA, and more. This isn't one organization going rogue. It's the medical establishment saying: we're going to keep recommending what the evidence supports.
What hasn't changed:
→ The core childhood vaccines (DTaP, MMR, polio, Hib, hepatitis B, varicella, etc.) remain the same
→ Most parents still vaccinate their kids
→ Pediatricians remain the most trusted source of vaccine info for families
What this means for parents:
Your pediatrician's recommendations are the same as they've always been. If you hear conflicting guidance from federal sources, know that the AAP schedule represents the consensus of pediatric medicine—not a departure from it.
What this means for clinicians:
Parents are walking in with more questions. Lead with your recommendation for the child in front of you. Acknowledge that confusion is understandable. Don't introduce controversies that the parent hasn't raised.
ðŸ”https://downloads.aap.org/AAP/PDF/AAP-Immunization-Schedule.pdf