Vaccinations in Germany: mandatory vs. recommended according to the U-Heft and Impfpass
What is the U-Heft (child health check booklet)?
The U-Heft is the child’s preventive check-up booklet, typically provided around birth/early days. It records:
all preventive check-ups (U examinations)
the doctor’s notes on growth, development, and health
and often serves as a practical reference for vaccination timing, while vaccinations themselves are documented in the vaccination card (Impfpass)
Keeping it safe is important because it may be useful (and sometimes requested) during medical follow-ups and administrative processes. BMG+1
Are any vaccinations “mandatory” in Germany?
In practice, legal obligation is most clearly linked to the Measles Protection Law (Masernschutzgesetz):
Certain community settings require proof of measles vaccination or measles immunity.
Children aged 1 year need 1 measles vaccination (or proof of immunity); children aged 2 years and older need 2 vaccinations (or immunity).
Medical exemptions apply in specific cases (contraindications). Infektionsschutz
Recommended vaccinations (STIKO) – age-based overview
Germany follows the official vaccination calendar based on STIKO recommendations. schleswig-holstein.de+1
From 6 weeks to 14 months
From 6 weeks: Rotavirus (depending on the vaccine: 2 or 3 doses) Infektionsschutz+1
From 2 months: 6-in-1 (diphtheria, tetanus, pertussis, polio, Hib, hepatitis B)
11–14 months: MMR (measles, mumps, rubella) + varicella
From 15–23 months to 6 years
15–23 months: 2nd dose MMR + varicella
5–6 years: booster DTPa + IPV
From 9 to 14 years
9–14 years: HPV (for girls and boys; typically 2 doses, sometimes 3 depending on age/timing) Infektionsschutz+1
Additional boosters may be needed depending on the child’s vaccination status (e.g., tetanus/diphtheria)
Does statutory health insurance cover these vaccines?
Vaccines recommended by STIKO are typically included in the national vaccination framework and are generally covered by statutory health insurance (GKV), with details depending on the insurer and indication. Robert Koch Institute+1
Important notes
Some vaccines are recommended/required for travel, depending on destination and risk. BMG
Proper documentation in the Impfpass matters—especially for measles proof. Infektionsschutz
Schedules may vary in special situations (e.g., premature infants) and additional doses may be recommended. Infektionsschutz+1
ـ* The editorial team strives to provide accurate information through extensive research and multiple sources. However, errors may occur or some details may be unconfirmed. Please treat this as an initial reference and consult the competent authorities for verified information.
