Immunizations
WELL-CHILD CHECKUP AND IMMUNIZATION SCHEDULE
The following 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.
2 week
Hep B (if first dHepatitis Bse not given in hospital)
1 month
Hep B (second dose, if insurance is active)
2 month
DTaP
Hib
IPV
Pneumo
Rota
Hep B (if not given at 1month)
4 month
DTaP
Hib
IPV
Pneumo
Rota
6 month
DTaP
Hib
IPV
Pneumo
Rota
Flu/COVID-19 vaccine (seasonal)
9 month
Hep B
Flu/COVID-19 vaccine (seasonal)
12 month
MMR
Varicella
Hep A
Flu/COVID-19 vaccine (seasonal)
15 month
Hib
Pneumo
Flu/COVID-19 vaccine (seasonal)
18 month
DTaP
Hep A (6 months after 1st)
Flu/COVID-19 vaccine (seasonal)
2 year
Catch up
Flu/COVID-19 vaccine (seasonal)
3 year
Flu/COVID-19 vaccine (seasonal)
4 year
DTaP
IPV
MMRV
Flu/COVID-19 vaccine (seasonal)
2 year/2.5 year
Catch up
Flu/COVID-19 vaccine (seasonal)
3 year
Flu/COVID-19 vaccine (seasonal)
4 year
DTap
IPV
MMRV
Flu/COVID-19 vaccine (seasonal)
5 year
Catch up
Flu/COVID-19 vaccine (seasonal)
6-10 year – annually
Flu/COVID-19 vaccine (seasonal)
Girls may start HPV at 9/10 depending on insurance
11 year
Tdap
Meningitis ACWY
HPV
Flu/COVID-19 vaccine (seasonal)
12 -15 year – annually
Flu/COVID-19 vaccine (seasonal)
Catch up, especially HPV
16 year
Meningitis ACWY
Flu/COVID-19 vaccine (seasonal)
17 year
Meningitis B
Flu/COVID-19 vaccine (seasonal)
18 year
Meningitis B
Tdap
Flu/COVID-19 vaccine (seasonal)
19-22 year -annually
Flu/COVID-19 vaccine (seasonal)
Medicaid patients over 18 must get vaccines at the local Health Department
Key:
Hep B = hepatitis B. Protects against bloodborne viral infection of the liver. Total of 3 shots.
DTaP = diphtheria, tetanus, acellular pertussis. Protects against diphtheria, a bacterial respiratory illness, tetanus, a bacterial infection commonly known as lockjaw, and pertussis, a bacterial infection commonly known as whooping cough. Total of 5 doses.
IPV = inactivated polio vaccine. Protects against polio, a viral infection which can cause childhood paralysis. Total of 4 doses.
Hib = Haemophilus influenzae type B. Protects against bacterial infection which can cause pneumonia, meningitis or other invasive infections. Total of 4 doses.
Pneumo =Pneumococcal = protects against 20 serotypes of pneumococcal bacterial which can cause otitis, pneumonia, meningitis or other invasive infections. Total of 4 doses.
Rota = rotavirus. Protects against viral gastrointestinal infection causing vomiting, diarrhea and dehydration. Total of 3 doses by mouth.
Hep A = hepatitis A. Protects against viral foodborne infection of the liver. Total of 2 doses.
MMR = measles, mumps, rubella. Protects against childhood viral infections. Total of 2 doses.
Varicella = chickenpox. Protects against childhood viral infection. Total of 2 doses.
MMRV = measles, mumps, rubella and chickenpox. Protects against childhood viral infection. (combo vaccine).
TdaP = tetanus, diptheria and pertussis booster. See DTaP above. Booster every 5-10 years starting at 11 years of age.
Meningitis ACWY = Meningitis serogroups A, C, W, and Y. Protects against bacterial infection causing meningococcal meningitis. Total of 2 doses
Meningitis B = Meningitis serogroup B. Protects against bacterial infection causing meningococcal meningitis. Total of 2 or 3 shots depending on interval between doses.
HPV = human papilloma virus. Protects against sexually transmitted viral infection of the female cervix, male genitalia, or throat known to cause cancer and genital warts. Total of 2 doses if series started before 15 years of age or 3 doses if started over 15.
Flu = Influenza – Protects against influenza and reduces the risk of serious infection and death caused by influenza. First time vaccination under 9 years old requires 2 doses, 4 weeks apart and then annually. Over 9 years old 1 dose annually.
COVID = SARS-COVID 19 Pfizer/BioNTech- Protects against SARS-COVID-19 and reduces the risk of serious infection and death caused by SARS-COVID-19. Under 5 years old requires 3 doses and then 1 dose annually. Five and over 1 dose annually.
Complete information on vaccines including frequently asked questions, immunization schedules, effectiveness and safety is available at the Centers for Disease Control and Prevention website.
Nirsevimab (RSV shot for infants):
- Given first RSV season (Oct-April)
- All infants less than 8 months of age are eligible unless mom received RSV vaccine during pregnancy more than 2 weeks prior to delivery
- Certain high risk populations are eligible for vaccine again during 2nd RSV season
- Reduces risks of severe disease by 80% and hospitalization by 90%
- Not a vaccine but a dose of antibodies specifically against RSV