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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.
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|
Visit
|
Vaccines & Other Testing |
Developmental Milestones |
|
2 Weeks |
Hep B (if not given in hospital); Trivisol for breastfed infants |
Move all limbs symmetrically |
|
2 Months |
DTaP, IPV, HIB, PCV, Rotavirus
|
Tracks 180 degrees, lifts head when prone, smiles responsively |
|
4 Months |
DTaP, IPV, HIB, PCV, Rotavirus
|
Good head control, coos, sits with support |
|
6 Months
|
DTaP, Hep B, HIB, PCV, Rotavirus;
VEP/Suresight*; Flroride 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, HIB;
Lead & Hemoglobin |
Cruises, mature pincer grasp, points with index finger |
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15 Months
|
MMR, Varicella;
MCHAT** |
Walks independently, speak 3 words, points with index finger
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18 Months |
DTaP, Hep A;
M-CHAT** |
Walks well, runs, enjoys scribbling, has at least 8 word vocabulary |
|
2 Years |
Lead & Hemoglobin
M-CHAT**, OAE** |
Speaks in 2 word phrases with at least a 50 word vocabulary |
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2 1/2 Years
(Yearly exam, 3 years to 18 years of age) |
|
Developmental skills continue to be assessed at each visit
(including school performance) |
|
4 Years
|
IPV, MMR, Varicella, DTaP |
|
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11 Years |
Meningitis, Tdap, HPV (for girls) |
|
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12 Years
|
HPV (for girls)
Hemoglobin (menstruating adolsecents) |
Note: 2 Varivax vaccines are now recommended, for children over 4 who only received one Varivax, a catch-up dose will be given at the next scheduled checkup.
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Note:
(1) 2 Varicella Vaccines are now recommended; for children over 4 years old who have only received one Varicella Vaccine, a catch-up dose will be given at the next checkup.
(2) Yearly flu vaccines are recommended for children ages 6 months through 18 years.
* VEP/Suresight-2 distinct vision screens one of which is done yearly starting at 6 months through 8 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.
Vaccine Abbreviations:
| DTap-Diphtheria, Tetanus, Pertussis |
Rotavirus |
| IPV-Polio |
PCV-Pneumococcal |
HIB-Haemophilus Influenza Type B
|
MMR-Measles, Mumps, Rubella
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Hep A-Hepatitis A
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Varicella-Chicken Pox Vaccine
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Hep B-Hepatitis B
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Meningitis-Meningococcal Vaccine
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Tdap-Adult Diphtheria, Tetanus
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HPV-Human Papillomavirus & Pertussis Vaccine |
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