›› Recommended Immunizations and Tests at Each Checkup
Complete physical exams are recommended at 2 weeks, 2, 4, 6, 9, 12, 15, & 18 months and annually from ages 2 - 6 years. After the age of 6, physical exams are recommended every two years unless your child has a chronic health issue (such as ADD or Asthma or needs medications prescribed). Those children need yearly checkups. And annual exams are sometimes necessary to provide medical information required by some camp and school forms.
| Immunization Schedule | |
| 2-4 Days | Exam, with special attention to weight and color (jaundice) |
| 2 Weeks | Exam, weight check and parent questions |
| 1 Month | Hepatitis B (unless planning to use Pediarix) |
| 2 Months | DTaP, HIB, IPV, Prevnar OR Pediarix, HIB, Prevnar |
| 4 Months | DTaP, HIB, IPV, Prevnar OR Pediarix, HIB, Prevnar |
| 6 Months | DTaP, HIB, Prevnar OR Pediarix, HIB, Prevnar |
| 9 Months | Hepatitis B (if not using Pediarix), Denver Developmental Screen |
| 12 Months | IPV, Prevnar, Hgb, (and, if indicated, TB skin test, lead screen) |
| 15 Months | MMR, HIB |
| 18 Months | DTaP, Varivax |
| 2-4 Years | Lead Screen (if at risk) |
| 4 Years | Hgb, urinalysis (can optionally give one or all of 5 year shots) |
| 5 Years | DTaP, MMR, IPV, urinalysis, vision and hearing screens |
| 6-9 Years | Urinalysis. Other screening tests may be discussed based upon family history (for example: Cholesterol) |
| 10-21 Years | As indicated: Cholesterol, Hgb, MMR, Tetanus boosters and Hepatitis B series if not received earlier |
| Abbreviations | |
| DTaP | diphtheria-tetanus-acellular-pertussis vaccine |
| HIB | Haemophilus influenzae type B vaccine |
| IPV | inactivated polio vaccine (injection) |
| Hgb | hemoglobin (to assess anemia) |
| TB | Tuberculosis |
| MMR | measles-mumps-rubella vaccine |
| Varivax | chicken pox vaccine |
| Prevnar |
7 strains of pneumococcus |
| Pediarix |
diphtheria,tetanus,pertussis,ipv,hepatitis B |