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.
|Visit||Vaccines & Other Testing||Developmental Milestones|
|2-3 Day||Hep B (if not given in hospital)||Feeding well; normal stool and urine output|
|2 Weeks||Hep B (if not given);
Trivisol for breastfed infants
|Move all limbs symmetrically|
|1 Month||Hep B||Improved vision and muscle coordination|
|2 Months||DTaP, IPV, HIB, PCV 13, Rotavirus||Tracks 180 degrees, lifts head when prone, smiles responsively|
|4 Months||DTaP, IPV, HIB, PCV 13, Rotavirus||Good head control, coos, sits with support|
|6 Months||DTaP, HIB, PCV 13, Rotavirus; Fluoride supplementation begins||Bears weight on legs, engages with other people, grasps and transfers objects|
|9 Months||IPV, Hep B||Sleeps through the night, sits without control, babbles|
|12 Months||Hep A, PCV 13, HIB; Lead & Hemoglobin||Cruises, mature pincer grasp, points with index finger|
|15 Months||MMR, Varicella; MCHAT**||Walks independently, speak 3 words, points with index finger|
|18 Months||DTaP, Hep A||Walks well, runs, enjoys scribbling, has at least 8 word vocabulary|
|2 Years||Lead & 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 Years||IPV, MMR, Varicella, DTaP|
|11 Years||Meningitis, Tdap, HPV||screening for high cholesterol|
|12 Years and older||HPV, Hemoglobin (for menstruating adolescents)||Note: Meningitis booster to be given at 16 years old.|
(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.
Dtap: Diphtheria, Tetanus and Pertussis ( wooping cough)
PCV 13: Prevnar
HIB: Haemophilus influenzae type B vaccine
MMR: Measles,Mumps, Rubella
HPV: Human Papillomavirus vaccine
Tdap: Tetanus, diphtheria and whooping cough.