Pediatrics
Visit and Immunization Schedule
Schedule
AGE | IMMUNIZATION |
BIRTH | HBV #1 |
2 MONTHS | DTaP/IPV/Hib #1 HBV #2 Prevnar #1 Rotavirus #1 |
4 MONTHS | DTaP/IPV/Hib #2 HIB #2 Prevnar #2 Rotavirus #2 |
6 MONTHS | DTaP/IPV/Hib #3 HBV #3 Prevnar # 3 Rotavirus #3 |
12 MONTHS | Hep A # 1 MMR #1 Prevnar #4 Varicella #1 |
15 MONTHS | DTaP #4 DTaP/IPV/Hib #4 1 |
18 MONTHS | Hep A #2 |
4 YEARS | MMR #2 Varicella #2 |
5 YEARS | DTaP #5 IPV #5 PPD |
>11 Years YEARS (female) | HPV |
11-12 YEARS (or before entering high school or college) | Menactra |
| > 11 Years | Tdap |
| 6 MONTHS to 5 YEARS and high-risk children | Flu2 |
The above immunization schedule is a guideline and based on the most current recommendations from the Centers for Disease Control (CDC) and Prevention/Advisory Committee on Immunization Practices. Your physician may recommend changes to the schedule based on individual circumstances or need of your child.
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Definitions
- DTaP: Diphtheria/Tetanus/acellular Pertussis -- Infanrix
- DTaP/IPV/Hib1: Diptheria/Tetanus/acellular Pertussis/Polio/Hib (4 shot series) -- Pentacel
- Flu2: Trivalent Inactivated Influenza Vaccine -- Fluzone
- HBV: Hepatitis B Virus (3-shot series) -- Recombivax (or Engerix)
- Hep A: Hepatitis A Virus (2-shot series) -- Vaqta (or Havrix )
- Hib: Hemophilus Influenzae Type B (4-shot series) -- Pedvax, or ActHib
- HPV3: Human Papillomavirus Vaccine (3 shot series) -- Gardasil
- IPV: Inactivated Polio Vaccine -- IPOL
- Menactra: Meningococcal Conjugate Vaccine
- MMR: Measles/Mumps/Rubella
- PPD4: Purified Protein Derivative -- Skin test for Tuberculosis (May be indicated more frequently for high risk individuals)
- Prevnar: Pneumococcal Conjugate Vaccine (4-shot series)
- Rotavirus5: Rotavirus Vaccine (3-oral dose series) -- RotaTeq
- Tdap: Tetanus toxoid, reduced diptheria toxoid and acellular pertussis -- Adacel (or Boostrix)
- Varicella: Varicella (Chicken Pox) Vaccine
- DTaP alone should be used instead of Pentacel at the15 month dose until Hib shortage is resolved.
- Influenza immunization is recommended annually for children 6 months -- 18 years old. Children ages 6 months -- under 9 years old receiving influenza vaccine for the first time should receive 2 doses, given at least one month apart.
- Females age 11 and older have the option of receiving HPV vaccine (Gardasil) which is given in a three shot series. Second dose is two months after first dose. Third dose is six months after first dose (four months after second dose).
- Additional PPD screening may be indicated after travel abroad, other exposure, and/or before daycare attendance.
- RotaTeq given in three doses at 2, 4, 6 month visits. All doses should be administered between 6 to 32 weeks of age. First dose must be given between 6 to 12 weeks of age. No catch up doses. Third dose is not recommended after 32 weeks of age.
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CDC Web Links
Childhood and Adolescent Immunizations Schedule (Printable version)
Vaccination Information Statements Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain to vaccine recipients, their parents, or their legal representatives both the benefits and risks of a vaccine. Federal law requires that VISs be handed out whenever (before each dose) certain vaccinations are given.
Vaccine Safety Answers questions regarding common concerns on vaccine safety and discusses continued monitoring and research on vaccine safety.
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