Immunization and Health Maintenance Schedule
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| Age |
Action |
Vaccine |
| 3-5 days after hospital discharge |
Check-up |
|
| 1 month |
Check-up |
|
| 2 month |
Check-up |
DTaP, IPV, Hep B, Pneumo, Hib, Rota |
| 4 month |
Check-up |
DTaP, IPV, Hep B, Pneumo, Hib, Rota |
| 6 month |
Check-up |
DTaP, IPV, Hep B, Pneumo, Rota |
| 9 month |
Check-up |
|
| 1 year |
Check-up |
Pneumo, Hib |
| 15 month |
Check-up |
MMR, VAR (combined) |
| 18 month |
Check-up |
DTaP |
| 2 year |
Check-up |
Hep A |
| 3 year |
Check-up |
Hep A, Vision (as indicated) |
| 4 year |
Check-up |
Var |
| 5 year |
Check-up |
DTaP, IPV, MMR, Vision/Hearing (as indicated) |
| 6 year |
Check-up |
|
| 8 year |
Check-up |
|
| 10 year |
Check-up |
|
| 12 year |
Check-up |
Tdap, Meningococcal, HPV (Dose one between 9-12 years, second dose 2 months after the first dose, third dose 6 months after the first dose.) |
| 14 year |
Check-up |
|
| 16 year |
Check-up |
|
| 18 year |
Check-up |
|
| 20 year |
Check-up |
|
* For well children only. Children with chronic medical problems may need to be seen more often.
| Key |
| DTaP |
Acellular DPT (Diphtheria, Pertussis, Tetanus) |
| Hep A |
Hepatitis A |
| Hep B |
Hepatitis B |
| Hib |
Haemophilus B (Meningitis Vaccine) |
| HPV |
Human Papilloma Virus |
| IPV |
Injectable Polio Vaccine |
| Meningococcal |
Meningitis Vaccine |
| MMR |
Measles/Mumps/Rubella |
| Pneumo |
Pneumococcal Vaccine |
| Rota |
Rotavirus Vaccine |
| Tdap |
Diphtheria/Tetanus/Pertussis |
| Var |
Varicella (chicken pox) |
Influenza Recommendation
General Recommendations
- Annual influenza vaccine should be given to children ages 6 months through 8 years
- All children aged 6 months - 8 years that have not been vaccinated previously, should receive two doses of vaccine, either Live, attenuated influenza vaccine (LAIV) (doses separated by >6 weeks) or Trivalent inactivated influenza vaccine (TIV) (doses separated by >4 weeks)
- The following high risk groups/close contacts also should receive influenza vaccine
Targeted High-Risk Populations
- Asthma or chronic pulmonary diseases
- Hemodynamically significant heart disease
- Immunosuppressive disorders or therapy
- HIV infection
- Sickle cell and other hemoglobinopathies
- Diseases requiring long-term aspirin therapy
- Chronic renal disease
- Diabetes mellitus, other metabolic diseases
Close Contacts of High-Risk Patients
- All health care personnel in contact with pediatric patients in hospital and outpatient-care settings
- Household contacts, including siblings and primary caregivers of high-risk children
- Children who are members of households with high-risk adults, including those with symptomatic HIV infection
- Providers of home care to children and adolescents in high-risk groups
- Household contacts and out-of-home care takers of children younger than 2 years of age.
Other Considerations
- Healthy children or adolescents who wish to reduce the chance of becoming infected
- Influenza vaccination may be considered for
- Any child or adolescent with an underlying condition that may compromise resistance to influenza, including young age
- Groups of persons whose close contact facilitates rapid transmission and spread of infection that may disrupt routine activities