Intramuscular (IM) Vaccine Injection (Age and Gauge)

Newborn (0–28 days)
  • Site: Anterolateral thigh muscle
  • Needle Gauge:  ⅝”* (22–25 gauge)
Infant (1–12 months)
  • Site: Anterolateral thigh muscle
  • Needle Gauge:  1″ (22–25 gauge)
Toddler (1–2 years)
  • Site: Anterolateral thigh muscle, 1–1¼” (22–25 gauge)
  • Site: Alternate site: Deltoid muscle of arm if
    muscle mass is adequate, ⅝–1"* (22–25 gauge)

Children (3–18 years)

  • Site: Anterolateral thigh muscle, 1–1¼” (22–25 gauge)
  • Site: Deltoid muscle (upper arm), ⅝–1″* (22–25 gauge)
Adults 19 years and older
  • Site: Anterolateral thigh muscle, 1–1½” (22–25 gauge)
  • Site: Deltoid muscle (upper arm), 1–1½”* (22–25 gauge)

Reference: BCCDC http://www.immunize.org/catg.d/p2020.pdf

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