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Immunization

Immunizations (shots) protect your child from many serious diseases. Below is a list of immunizations and when most children should receive them. Some children, for example those with chronic illnesses or those in certain areas of the country, may need to follow a different schedule. Your child's doctor can help you decide which immunizations your child needs and when. Be sure to talk with the doctor or nurse about possible reactions and what you should do if your child has one.

• Hepatitis B: At birth, 1-4 months, and 6-18 months.
• Diphtheria, Tetanus, Pertussis: At 2 months, 4 months, 6 months, 15-18 months, and 4-6 years.
• Tetanus-Diphtheria: At 11-12 years.
• Haemophilus Influenzae Type B: At 2 months, 4 months, 6 months, and 12-15 months. Depending on the type of vaccine your doctor uses, the 6-month dose may not be needed.
• Inactivated Poliovirus: At 2 months, 4 months, 6-18 months, and 4-6 years.
• Measles, Mumps, Rubella: At 12-15 months and 4-6 years. Children who have not previously received the second dose should receive it by 11-12 years.
• Chickenpox (Varicella): At 12-18 months if your child lacks a reliable history of chickenpox.
• Pneumococcal disease (PCV vaccine): At 2 months, 4 months, 6 months, and 12-15 months.
• Pneumococcal disease (PPV vaccine): Recommended in addition to PCV for certain high-risk groups. Ask your doctor.
• Hepatitis A: For children in selected areas or in certain high risk groups. At 2 years or older, two doses at least 6 months apart. Ask your doctor.
• Influenza: Yearly for children 6 months or older with risk factors such as asthma, cardiac disease, sickle cell disease, HIV, and diabetes; and household members of persons in groups at high risk. Government experts recently recommended that all children aged 6 to 23 months receive annual influenza vaccine starting in the fall of 2004. Immunization schedules for influenza may change. For the latest information, check with your doctor or go to: www.cdc.gov/flu/.

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