Vaccine Policy & Care Plan

The American Academy of Pediatrics recommends the following well visits, which we provide. The chart below lists some developmental milestones and the vaccination schedule. If your child has not reached the developmental milestones at the ages indicated, bring this to our attention either at your child’s next well visit, or give us a call. All children are different and this is often not a reason for concern.

Vaccine Abbreviations

  • Dtap: Diphtheria, Tetanus and Pertussis ( wooping cough)
  • IPV: Polio
  • PCV 13: Prevnar
  • HIB: Haemophilus influenzae type B vaccine
  • MMR: Measles,Mumps, Rubella
  • HPV: Human Papillomavirus vaccine
  • Tdap: Tetanus, diphtheria and whooping cough.
  • Hep: Hepatitis
 VisitVaccines & Other TestingDevelopmental Milestones
2-3 DayHep B (if not given in hospital)Feeding well; normal stool and urine output
2 WeeksHep B (if not given);
Trivisol for breastfed infants
Move all limbs symmetrically
1 MonthHep BImproved vision and muscle coordination
2 MonthsDTaP, IPV, HIB, PCV 13, RotavirusTracks 180 degrees, lifts head when prone, smiles responsively
4 Months DTaP, IPV, HIB, PCV 13, Rotavirus Good head control, coos, sits with support
 6 MonthsDTaP, HIB, PCV 13, Rotavirus; Fluoride supplementation begins Bears weight on legs, engages with other people, grasps and transfers objects
 9 MonthsIPV, Hep BSleeps through the night, sits without control, babbles
 12 MonthsHep A, PCV 13, HIB; Lead & Hemoglobin Cruises, mature pincer grasp, points with index finger
 15 MonthsMMR, Varicella; MCHAT** Walks independently, speak 3 words, points with index finger
 18 MonthsDTaP, Hep A Walks well, runs, enjoys scribbling, has at least 8 word vocabulary
 2 YearsLead & Hemoglobin    MCHAT**, OAE**  Speaks in 2 word phrases with at least a 50 word vocabulary
 2 1/2 Years Developmental skills continue to be assessed at each visit (including school performance) 
 4 YearsIPV, MMR, Varicella, DTaP 
 11 YearsMeningitis, Tdap, HPV screening for high cholesterol
 12 Years and olderHPV, Hemoglobin (for menstruating adolescents) Note: Meningitis booster to be given at 16 years old.

Note

  • (1) Yearly flu vaccines are recommended for children ages 6 months through 18 years.
  • (2) Catch up Hepatitis A vaccines are recommended for anyone who was not previously vaccinated.  2 doses of this vaccine are required at least 6 months apart.
  • (3) Prescreening developmental questionnaire  done at all well visits 2 months through 5 years of age.
    *VEP-A vision screen for amblyopia done yearly starting at 6 months through 6 years of age.
    ** MCHAT-an autism screening tool at 15, 18 & 24 months.
    *** OAE-a hearing screen that is done yearly from 2 through 10 years of age.