Well Child Visit & Immunization Schedule Template
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Well Child Visit & Immunization Schedule
2 weeks
No shots
Well
baby
exam
HiB
2 months
Strep Pneumonia
Well baby exam
Vaccines
DaPT-IPV-HBV*
Rotavirus
diphtheria/acellular
pertussisiwhooping coughj/tetauus
DaPT
HiB
tetanus/diphtheria/pertussis/
(adult strength)
Tdap
polio
4 months
Strep Pneumonia
Well baby exam
IPV
streptococcus
pneumoniac (PCV7,
Prevnar)
DaPT-IPV.HBV
Str
pneumonia
hcmophilus
influenza
type B
HiB
Rotavirus
hepatitis
B
HBV
hepatitis
A
6 months
Strep Pneumonia
Well
baby exam
HAV
measles/mumps/rubella
(german measles)
DaPT-IPV.HBV
MMR
chicken
pox
(Varivax)
varicella
Rotavirus
neisseria
meningitides (MCV4,
Menactra)
meningoccccocal
rotavirus
rotatec
9 months
No shots
Well
baby
exam
human papillomavirus (Gardisil)
HPV
12
HiB
months
Strep pneumonia
Well
child exam
*Notes'on
Vaccines'
15
months
DaPT or Varivax
Well child exam
MMR
DaPT
/
IPY / HBV (Pediarix) is a combination vaccine (1
shot).
24
months
HAV,
Well child exam
DaPT or Varivax
Note:
this
schedule
will
change
with the development of new
vaccines,
new
combinations
of
existing vaccines,
and new recommendations
by
the American
3 years
HAV
Well child exam
Academy
of Pediatrics
4years
No
shots
Well child exam
The HAV, Varivax, and MMR vaccines may be give as early as 12 mos age.
5
DaPT –IPV
Well child exam
years
Influenza vaccines may be give anytime after 6 mos age
(Varivax)
(MMR)
-18
6
years
Well
child exam every 2 years with
Tdap, meningococcal,
&
@
11 -15
Varivax
HPV vaccines
years
age
10/10
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