This page covers immunization information for adolescents, which includes preteens (younger than age 13) and teens (age 13 through 18). The questions and answers below will refer to both age groups as teens.
- See the For Children (Birth to 6 Years) page for information on birth to 6 years.
- Go to the School and Child Care Immunizations Information for Families page for school and child care immunization requirement questions.
- Why are immunizations important for teens?
- What are the recommended immunizations for teens?
- What are the immunizations requirements for teens?
- Where can teens get immunizations?
- When should teens get their immunizations?
- How much do vaccines cost?
- How can I get my child's immunization record?
- More information about immunization
- What other preventive health services do teens need?
Why are immunizations important for teens?
Teens need immunizations to stay healthy. Some diseases, like chickenpox, are more dangerous for teens and adults than they are for young children. Two vaccines, HPV and hepatitis B, also protect against certain cancers later in life.
What are the recommended immunizations for teens?
Health care providers recommend immunizations for teens to protect against serious diseases. Some of the recommended immunizations for teens are required to attend school in Washington. Read more about that on the School and Child Care Immunizations Information for Families page.
Washington’s current immunization guidance continues to be based on recommendations from trusted professional organizations endorsed by both the Washington State Department of Health (DOH) and the West Coast Health Alliance (WCHA). The American Academy of Pediatrics (AAP) guides our immunization recommendations for children 18 years or younger.
Washington Recommendations:
National Recommendations:
You can view and download the 2026 AAP vaccine recommendations by age here:
Teens with chronic health conditions like asthma or diabetes, and teens that have weak immune systems, may need more immunizations. Check with your teen's health care provider to find out if they need the following immunizations:
Age or other health conditions may change the number of doses or times when vaccines are due. Always check with your health care provider to find out what your child needs.
What are the immunization requirements for teens?
- Families can view vaccine requirement charts for schools and child cares on the School and Child Care Immunizations Information for Families page. This page also includes required forms, information about exemptions, and how to access vaccines at no cost.
Where can teens get immunizations?
Teens should go to their regular doctor, nurse, school-based health center, or clinic for immunizations. They may also be able to get immunizations at a local pharmacy, their local health department, or a vaccine clinic.
Here are some links to help you find a provider:
- School-Based Heath Centers in Washington
- Washington State Local Health Departments and Districts
- Federally Designated Rural Health Clinics
- Flu Vaccine Finder Tool (Note: not all providers listed in this tool give no-cost vaccinations, but it may be covered by your insurance. Ask each provider what they offer.)
- Call Help Me Grow Washington Hotline at 1-800-322-2588 for help finding free or low-cost immunizations.
- Talk to your clinic or insurance company to find out what's covered.
When should teens get their immunizations?
Starting at age 4, your child should get a well child checkup every year. When your child is 9 years old, they can get the HPV vaccine. At 11 or 12 years-old, they can get several other vaccines. Your teen can get many of the recommended immunizations before age 11, so ask your provider at each well child checkup. Teens also can get immunizations when they see their health care provider for sports physicals, injuries, mild illnesses, and other visits. Everyone 6 months of age and older, including teens, needs a yearly flu shot.
How much do vaccines cost?
Washington teens younger than age 19 can get immunizations at no cost from the Washington State Childhood Vaccine Program. You might have to pay a small charge for the office visit or for vaccine administration. However, you can ask for the fee to be waived if you can't afford it. Clinics that get state-supplied vaccine are forbidden by law from denying your child a vaccine because you cannot pay. Most health insurance plans cover preventive health care costs, including vaccination, without applying deductibles or co-pays.
How can I get my child's immunization record?
There are four ways to get your child's record:
- Option 1: Sign up for MyIR Mobile (MyIRmobile.com) to view and print your family's immunization information, including COVID-19 vaccination.
- Option 2: Visit your local pharmacy, clinic, or school
- Option 3: Request a complete immunization record from your healthcare provider
- Option 4: Request a complete immunization record from the Department of Health
More information about immunization
- Find vaccine recommendations and more information on immunizations.
- Learn about diseases and the vaccines that can prevent them.
- Call your doctor, nurse, clinic, or local health department for more information about immunizations and other preventive health services.
What other preventive health services do teens need?
Teen health checkups may include health education, screening, and physical exams. Your teen can talk with their health care provider about:
- Immunization
- Diet/nutrition
- Exercise
- Injury prevention
- Mental health
- Risk behaviors
If you want more information about child health and development, visit the following DOH webpages:
- Children’s Health and Safety
- Child and Adolescent Well-Visits
- Watch Me Grow Print Materials by Mailing (check out the 9- and 10-year materials
Does your teen want to learn more on their own? Send them to Teen Health Hub WA for information on many topics written just for them, such as dating and relationships, health care access, sexual and reproductive health, mental health, whole body health, and more.