Your Child's Health
Immunization Schedule

At birth: Hepatitis B (may be given up to 2 months if it is known that the mother is not a hepatitis B carrier)
DTaP (diphtheria, tetanus and acellular pertussis)
Hib (Haemophilus influenzae type b)
IPV (inactivated polio)
PCV (pneumococcus)
4 months: DTaP, Hib, IPV, PCV (second doses)
6 months: Hepatitis B (second dose)*, DTaP, Hib, IPV, PCV (third doses)
6–18 months: Hepatitis B (third dose)
6–23 months: Flu vaccine (annually)**
12–15 months: Hib, PCV (fourth doses)
Varicella (chickenpox)
MMR (measles, mumps and rubella)
24 months: Hepatitis B series, if not previously given
Varicella, if not previously given
4–6 years: DTaP (fifth dose), MMR (second dose),
IPV (fourth dose)
11–12 years: Td (tetanus–diphtheria); preadolescent assessment for any missed immunizations or necessary “booster shots”

*May be given as early as four weeks after first dose
**All infants 6–23 months of age should receive a flu vaccine; children 2 years and older with defined high-risk conditions should receive the flu vaccine annually.

A vaccination record should be started when your child receives the first vaccination and updated with each vaccination. Copies of the record are required for school entry, camp attendance, college entry and the like.

A few additional vaccines are recommended for specific populations. Ask your physician if your child is a member of one of these groups.

Immunizations are given at no cost to those who qualify for the Vaccines for Children Program. Call the National Immunization Hotline for more information, or visit the Centers for Disease Control and Prevention Web site at www.cdc.gov/nip.

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