PediRounds

BCG vaccine

Bacillus Calmette-Guérin · IAP / NIS

When to giveAt birth (or as early as possible up to 1 year of age)
Dose0.05 mL until 1 month of age; 0.1 mL thereafter. Each 1 mL of reconstituted vaccine contains 2×10⁶–8×10⁶ CFU of viable mycobacteria (freeze-dried, reconstituted with normal saline).
RouteIntradermal
SiteLeft upper arm (over deltoid insertion)
Schedule / intervalSingle dose. No booster recommended.

Catch-up schedule

Can be given up to 5 years of age. Beyond infancy a pre-BCG tuberculin (Mantoux) test is advised; vaccinate only if negative.

Adverse events (AEFI)

Expected: papule → ulcer → scar over 2–3 months. Axillary lymphadenitis. Rare: suppurative adenitis, BCG abscess, disseminated BCG (immunocompromised).

Brands available in India

BCG-LAV, Tubervac (SII)

Special considerations

Contraindicated in defects of cell-mediated immunity / symptomatic HIV. A 5 mm wheal confirms correct intradermal technique. Absence of scar does not mandate re-vaccination. Store in freezer / 2–8°C, protect from light.

Common questions

When is the BCG vaccine given?

At birth (or as early as possible up to 1 year of age)

What is the BCG vaccine dose and route?

0.05 mL until 1 month of age; 0.1 mL thereafter. Each 1 mL of reconstituted vaccine contains 2×10⁶–8×10⁶ CFU of viable mycobacteria (freeze-dried, reconstituted with normal saline). Route: Intradermal. Site: Left upper arm (over deltoid insertion).

Can the BCG vaccine be given late?

Can be given up to 5 years of age. Beyond infancy a pre-BCG tuberculin (Mantoux) test is advised; vaccinate only if negative.

What are the side effects of the BCG vaccine?

Expected: papule → ulcer → scar over 2–3 months. Axillary lymphadenitis. Rare: suppurative adenitis, BCG abscess, disseminated BCG (immunocompromised).

Which BCG vaccine brands are available in India?

BCG-LAV, Tubervac (SII)

See the full IAP-ACVIP 2025 immunisation schedule →

About this page

Aligned with the IAP-ACVIP Recommended Immunization Schedule 2025 and compiled from standard paediatric references. Verify against the current product insert, the national schedule and your local protocol.

Spotted something wrong? Report an error on this page — corrections from clinicians are welcome and are reviewed before any change is published.

Last reviewed 2026-08-12.