WELL VISIT AND IMMUNIZATION SCHEDULE
A COUPLE OF DAYS AFTER PATIENT GOES HOME FROM BIRTH 2 WEEKS OF AGE
2 MONTHS OF AGE: DTaP, IPV, Hep B (Pediarix), Pneumococcal (Prevnar 13), HIB (PedVax), Rotavirus (Rotarix)
4 MONTHS OF AGE: DTaP, IPV, Hep B (Pediarix), Pneumococcal (Prevnar 13), HIB (PedVax), Rotavirus (Rotarix)
6 MONTHS OF AGE: (Must be at least 6mo. Old for this apt. and at least 8 weeks from their 4 mo. well ck) DTaP, IPV, Hep B (Pediarix), must be 8 weeks b/t dose #2 and Dose #3 of Hep B, Pneumococcal (Prevnar 13), Influenza #1(Dose #2 in 4 weeks)
9 MONTHS OF AGE: TB (Fill out TB Questionaire), Hematocrit
12 MONTHS OF AGE: Varicella (Varivax), MMR, (MMRV if available), Pneumococcal (Prevnar 13) (OLD SCHED.) Varicella (Varivax), MMR, (MMRV if available), Pneumococcal (Prevnar 13) Hep A (NEW SCHED.)
15 MONTHS OF AGE: DTaP, HIB, Hep A #1 (OLD SCHED.) DTaP, HIB (NEW SCHED. If they had Hep A. @ 12 months.)
18 MONTHS OF AGE: HEP A #2 (NEW SCHED.), MCHAT (Make sure there is 6 mo. From 1st Hep A.)
24 MONTHS OF AGE: Hep. A #2 (OLD SCHED.)
3 YEARS OF AGE: Update any vaccine deficits
4 YEARS OF AGE: , (Must be 4 years of age), DTaP, IPV = Kinrix, MMR, Chicken Pox (Varicella), (MMRV if available)
5 YEARS OF AGE: Update any vaccine deficits
6 YEARS OF AGE: Update any vaccine deficits
8 YEARS OF AGE: Update any vaccine deficits
10 YEARS OF AGE: Tdap, HPV (Cervarix for females and Gardasil for males), update any vaccine deficits
12 YEARS OF AGE: Tdap, Meningococcal (Menactra), HPV for females and males
14 YEARS OF AGE: Update any vaccine deficits
16 YEARS OF AGE: Menactra booster (3-5 years after 1st dose) Update any vaccine deficits
18 YEARS OF AGE: Update any vaccine deficits
Revised 2/2013
