Vaccinations are scheduled at predictable ages because a child’s immune system responds to them best at those times. The list below follows the standard schedule used in our pediatric clinics. Your pediatrician may adjust timing if your child was born early or has a specific health need.
Birth to two months
The first vaccination, hepatitis B, is usually given in the hospital before you go home. At the two-month visit your child receives their first set of combination vaccines, which cover several diseases in a smaller number of injections.
Four and six months
These visits repeat some of the two-month vaccines to build a stronger immune response. The rotavirus vaccine, given by mouth, is also part of this stage.
Twelve to fifteen months
This is the stage that includes the MMR (measles, mumps, rubella) and varicella (chickenpox) vaccines. Some children develop a mild fever or rash a week later; your pediatrician will tell you what to watch for.
Before school
The four-to-six-year visit includes boosters for the vaccines given in infancy. It is also a good time for a hearing and vision check.
Adolescence
The adolescent schedule includes the HPV vaccine, a booster against whooping cough, and the meningococcal vaccine. The HPV vaccine is given as two doses when started before age 15, and three doses when started later.
What to bring to a vaccination visit
- Your child’s vaccination record (the portal keeps a copy too).
- A favorite comfort item.
- A list of questions about side effects.
After the visit
Mild fussiness, a low fever, or soreness at the injection site is common for a day or two. A persistent fever above 39°C (102°F), a rash that spreads quickly, or unusual drowsiness is a reason to call the clinic.
This article is general information. Your pediatrician may adjust the schedule for your child. If you are unsure whether your child is up to date, ask at your next visit.