Well child care

  • Childhood Immunization Guidlines - It's important that children get vaccinated (get their "shots") to prevent childhood diseases. Your child can be vaccinated at the doctor's office or your local health department. Ask for a list of the shots your child has received. Keep this list for your school records and so you'll know if your child needs more shots.

    The following guidelines are a summary of recommendations from the medical literature of the American Academy of Pediatrics (AAP), the Advisory Committee on Immunization Practices (ACIP), and the Centers for Disease Control and Prevention (CDC).

    These guidelines apply to those who do not have symptoms of disease or illness. Those who display symptoms fall outside these guidelines and should be treated accordingly by their physician.

    Vaccine

    Disease prevented

    Number of vaccines and age for giving them

    Hepatitis (HepB)

    Hepatitis B. This is an infection that can cause chronic, severe liver disease.

    1st: Birth
    2nd: 1 to 2 months
    3rd: 6 to 18 months

    Rotavirus (RV)

    Rotavirus infection. Rotavirus is a virus that causes diarrhea, mostly in babies and young children. The diarrhea can be severe, and lead to dehydration.

    1st: 2 months
    2nd: 4 months
    3rd: 6 months (This dose depends on the vaccine used)

    Diphtheria, Tetanus, Pertussis (DTaP)

    Diphtheria. This is a disease that causes inflammation of the throat and airways, which can block breathing.

    Tetanus (lockjaw). This is a disease that causes severe, painful spasms of neck, jaw, and other muscles. It can cause death.

    Pertussis (whooping cough). This is a disease that causes prolonged loud coughing and gasping. It can interfere with breathing and can cause death.

    1st: 2 months
    2nd: 4 months
    3rd: 6 months
    4th: 15 to 18 months
    5th: 4 to 6 years

    Note: Your child also needs an extra dose (called the Tdap) at 11–12 years old. Your child should then get the Tdap booster every 10 years throughout life.

    Haemophilus influenzaeType b (Hib)

    Haemophilus influenzae Type b (Hib). This is a severe bacterial infection that causes lung infection (pneumonia), inflammation of the covering of the brain and spinal cord (meningitis), and other serious infections.

    1st: 2 months
    2nd: 4 months
    3rd: 6 months (This dose depends on the vaccine used)
    4th: 12 to 15 months

    Inactivated Poliovirus (IPV)

    Polio, an infection that can paralyze the muscles and also can also cause death, usually by paralyzing the muscles used for breathing.

    1st: 2 months
    2nd: 4 months
    3rd: 6 to 18 months
    4th: 4 to 6 years

    Note: Infants, children, and adults traveling to countries where polio is still active, and staying for more than 4 weeks, should get age-appropriate polio vaccines or a polio booster within 12 months before travel.

    Measles, Mumps, Rubella (MMR)

    Measles, a disease that causes rash, cough, runny nose, eye irritation, and fever.  It can lead to ear infection, pneumonia, seizures (jerking and staring), brain damage, and death.

    Mumps, a disease that causes fever, headache, muscle pain, loss of appetite, and swollen glands. It can lead to deafness, meningitis, painful swelling of the testicles or ovaries, and rarely sterility.

    Rubella (German measles). This is a disease that causes rash, arthritis, and mild fever. If a woman gets rubella while she is pregnant, she could have a miscarriage or her baby could be born with serious birth defects

    1st: 12 to 15 months
    2nd: 4 to 6 years

    Varicella

    Chickenpox. This is a disease that causes itchy rash, with fever and fatigue. It can lead to scarring, pneumonia, brain inflammation (encephalitis), and other serious infections.

    1st: 12 to 15 months
    2nd: 4 to 6 years

    Meningococcal

    Bacterial meningitis.  This is inflammation of the membrane covering the brain and spinal cord. It can result in death.

    1st: 11 to 12 years
    2nd: 16 years

    Pneumococcal (PCV)

    Pneumococcal disease, can cause ear infections, pneumonia, meningitis, and bacteremia.

    1st: 2 months
    2nd: 4 months
    3rd: 6 months
    4th: 12 to 15 months

    Influenza

    Flu. Different strains of which appear each year. The flu can be serious, especially for very young children. It can result in pneumonia and hospitalizations.

    Yearly beginning at age 6 months.
    2 doses are given for children 6 months to 8 years old who have never had flu vaccines 

    Hepatitis A (HepA)

    Hepatitis A. This is an infection that can cause sudden liver inflammation.

    1st: 12 to 23 months
    2nd: 6 to 18 months after the first dose

    Human Papillomavirus (HPV)

    Human papillomavirus (HPV) may cause many cancers, including: 

    • cervical cancer in females,
    • vaginal and vulvar cancers in females,
    • anal cancer in females and males,
    • throat cancer in females and males
    • penile cancer in males.

    HPV can also cause genital warts in both females and males.

    Under 15 years old
    2 doses 6 months apart

    15 and older
    2nd: 2 months after 1st dose
    3rd: 4 months after 2nd dose


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