Vaccines

Health Maintenance Exams are the best way to ensure the healthy growth of your Child.

2 Month Check-up
At age 2 months, a series of several vaccinations usually begins. Combination vaccines are generally recommended to reduce the number of shots.
•Diphtheria, tetanus and acellular pertussis vaccine (DTaP)
•Inactivated poliovirus vaccine (IPV)
•Haemophilus influenzae type b vaccine (Hib)
•Prevnar - Pneumococcal conjugate vaccine
•Hepatitis B vaccine
•Rotavirus vaccine (RotaTeq) (cannot be given before 6 wks of age)

4 Month Check-up
At age 4 months, follow-up doses to those vaccines received at age 2 months are usually given.
•Diphtheria, tetanus and acellular pertussis vaccine (DTaP)
•Inactivated poliovirus vaccine (IPV)
•Haemophilus influenzae type b vaccine (Hib)
•Prevnar - Pneumococcal conjugate vaccine
•Hepatitis B vaccine
•Rotavirus vaccine (RotaTeq) (cannot start series now)


6 Month Check-up

At age 6 months, another round of the vaccines
given at 2 months and 4 months is usually given.
•Diphtheria, tetanus and acellular pertussis vaccine (DTaP)
•Inactivated poliovirus vaccine (IPV)
•Haemophilus influenzae type b vaccine (Hib)
•Prevnar - Pneumococcal conjugate vaccine
•Rotavirus vaccine (RotaTeq) (cannot start series
 now)

9 Month Check-up
No immunizations at 9 months.

12 Month Check-up
The final dose of PCV vaccine and the first
doses of MMR and varicella vaccines are usually
given between ages 12 months and 15 months.
In addition, two doses of the hepatitis A vaccine — spaced at least six months apart — are usually
given between ages 12 months and 23 months.
•Prevnar - Pneumococcal conjugate vaccine
•Hepatitis A vaccine
•Varivax - Chickenpox (varicella) vaccine

15 Month Check-up
The final dose of Hib and the fourth dose of DTaP
is usually given between ages 15 months and 18 months.
•Hepatitis B vaccine
•Haemophilus influenzae type b vaccine (Hib)
(when available)
•Measles-mumps-rubella vaccine (MMR)

18 Month Check-up
•Diphtheria, tetanus and acellular pertussis vaccine (DTaP)
•Hepatitis A vaccine

60 Month (5 yr. Check-up)
•Diphtheria, tetanus and acellular pertussis vaccine (DTaP)
•Inactivated poliovirus vaccine (IPV)
•Measles-mumps-rubella vaccine (MMR)
•Varivax - Chickenpox (varicella) vaccine

11-12 years
•Tdap (Adacel - 7 and up)
•Menactra
•Gardasil (girls > 11 - if younger at physicians descretion only)

11-12 years + 2 months
•Gardasil #2

11-12 years + 6 months
•Gardasil #3
If the 4th dose of IPV was given prior to the 4th birthday must give a 5th dose