PediRounds

Hepatitis A vaccine

Hepatitis A vaccine · IAP

When to giveDose 1 at 12 mo. Inactivated Dose 2 at 18–19 mo (0–6 mo apart). Live-attenuated: single dose only.
DoseInactivated: paediatric 0.5 mL IM / adult 1 mL IM (Havrix 720 EU, Avaxim 80 U, HavShield/HapiBEV/Havisure 25 IU/mL, ≥250 U). Live (H2 strain): 0.5 mL SC, single dose.
RouteIntramuscular (inactivated) / Subcutaneous (live)
SiteAnterolateral thigh / deltoid
Schedule / intervalInactivated: 0 & 6 months (2nd at 18–19 mo). Live: single dose.

Catch-up schedule

Any unvaccinated child ≥12 mo — complete per product schedule (2-dose 0–6 mo for inactivated).

Adverse events (AEFI)

Local soreness; mild fever, headache. Efficacy >95%.

Brands available in India

Inactivated: Havisure (indigenous, HM175), Avaxim-80, Havrix-720, HavShield, HapiBEV, Havpur. Live: BioVac-A

Special considerations

Single dose suffices for live attenuated vaccine; inactivated requires 2 doses. Havisure (India's first indigenous inactivated Hep A, 2-dose 0–6 mo). Live vaccine avoided in pregnancy & immunocompromise. Store 2–8°C, do not freeze.

See the full IAP-ACVIP 2025 immunisation schedule →

Sources

  • IAP-ACVIP Recommended Immunization Schedule 2025 (Indian Pediatrics 2026)
  • IAP Purple Book 2025, 5th edition