WELL-CHILD CHECKUP AND IMMUNIZATION SCHEDULE

The following chart outlines the typical checkup and immunization schedule. There may be circumstances which call for slightly different administration of vaccines based on vaccine availability, your child’s health or other factors. Your doctor will discuss an immunization schedule for your child.

key:

  • HepB = hepatitis B. Protects against bloodborne viral infection of the liver. Total of 3 shots.
  • DTaP = diptheria, tetanus, acellular pertussis. Protects against diptheria, a bacterial respiratory illness, tetanus, a bacterial infection commonly known as lockjaw, and pertusis, a bacterial infection commonly known as whooping cough. Total of 5 shots.
  • IPV = inactivated polio vaccine. Protects against viral infection which can cause childhood paralysis. Total of 4 shots.
  • Hib = haemophilus influenzae type B. Protects against bacterial infection which can cause pneumonia, meningitis or other invasive infections. Total of 4 shots.
  • Pneumococcal = protects against pneumococcal bacterial infection which can cause pneumonia, meningitis or other invasive infections Total of 4 shots.
  • Rota = rotavirus. Protects against viral infection causing vomiting, diarrhea and dehydration. Total of 3 doses by mouth.
  • HepA = hepatitis A. Protects against viral foodborne infection of the liver. Total of 2 shots.
  • MMR = measles, mumps, rubella. Protects against childhood viral infections. Total of 2 shots.
  • Varicella = chickenpox. Protects against childhood viral infection. Total of 2 shots.
  • TdaP = tetanus and pertussis booster. See DTap above. Booster every 5 years as a child.
  • Meningitis = protects against bacterial infection causing meningococcal meningitis. Total of 1 shot.
  • HPV = human papilloma virus. Protects against sexually transmitted viral infection of the female cervix or male genitalia that is known to cause cancer and genital warts. Total of 3 shots for both male and female.
  • PPD = tuberculosis screening test.
Age Required Shots Recommended Shots Labs/Testing
Newborn HepB (if not given in hospital) Bilirubin if needed
1 month (optional) HepB none
2 months DTaP, IPV, Hib, Pneumococcal, Rota none
4 months DTaP, IPV, Hib, Pneumococcal, Rota none
6 months DTaP, IPV, Hib, Pneumococcal, Rota none
9 months HepB none
1 year MMR and Varivax HepA
  • blood count
  • lead level
15 months Pneumococcal and Hib None
18 months DTaP HepA for high-risk groups
2 years None
  • blood count
  • lead level
  • TB screening test for high risk groups
2.5 years None As needed
3 years None
  • As needed
  • TB screening test for high risk groups
4 years
  • MMR
  • DTaP
  • IPV
  • Varicella
  • blood count
  • lead level
  • hearing and vision tests
  • PPD
  • urine as needed
  • TB screening test for high risk groups
5 years Catch-up as needed
  • hearing and vision tests
  • PPD for high-risk groups
  • labs and urine as needed
6–10 years Catch-up as needed
  • hearing and vision every 1 to 2 years
  • PPD for high-risk groups
  • labs and urine as needed
11 years TdaP Meningitis, HPV
  • hearing and vision every 1 to 2 years
  • PPD for high-risk groups
  • labs and urine as needed
12–18 years Catch-up as needed

  • Td (5 years after Tdap)
  • Meningitis (booster 5y after 1st shot)
  • hearing and vision every 3 years
  • PPD for high-risk groups
  • labs and urine as needed