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Children's Health

When Does My Kid Need That? A Guide to Childhood Immunizations


Author:

Karen Barrow

Medical Reviewer:

Punita Ponda, MD

Medically Reviewed On: August 01, 2005

In September the back-to-school rush begins. Before life gets too hectic, it is good idea to check your child's immunization record to be sure that everything is up-to-date.

The Centers for Disease Control and Prevention (CDC) has issued the following recommendations to ensure that your child receives all the necessary immunizations to prevent serious disease.

The first 2 Months
Hepatitis B—Usually a few hours after being born, all babies receive the first dose of hepatitis B vaccine. If the mother does not have hepatitis B, the first shot could wait until up to 2 months of age. However, if the mother does have hepatitis B, the baby should receive the first shot within 12 hours of birth and the second dose by 2 months. By 18 months of age, all children should have received three doses of the vaccine. Together, these three shots provide long-lasting immunity against hepatitis B. If your child is older than 2 months and has not yet received this vaccination, they can safely receive three injections over a period of six months.

Two to 6 Months
Diphtheria, Tetanus and Pertussis (DTaP)—This immunization consists of a series of five injections. The first three are usually given at 2, 4 and 6 months of age. Shot number four is given before 18 months of age. The last in the series should not be administered until after the child is four years old. Tetanus and diptheria boosters (Td) are necessary again by age 12 and every ten years after to maintain immunity. However, the vaccine for pertussis should not be administered to anyone over 7 years of age.

Haemophilus influenzae type b (Hib)—This immunization protects against the bacteria that can cause meningitis, pneumonia and other serious infections in children. Beginning at 2 months of age, your child will receive four shots before he or she is 15 months old. This vaccine is manufactured by various companies, so individual instructions may differ slightly.

Pneumococcal vaccine (PCV)—Also used to prevent meningitis and other blood infections, this immunization is administered at 2 months and repeated three more times before the age of 15 months. Some at-risk children may also receive a similar vaccine after reaching 2 years of age.

Polio (IPV)—This vaccine is given first at 2 months and again at 4 months. Subsequent doses should be given between 6 and 18 months of age and again between 4 and 6 years of age. While previously available as a liquid that could be swallowed, the polio vaccine is now only recommended to be given via an injection.

Influenza (flu)—A yearly inactivated flu vaccine is recommended for children between 6 months and 5 years (this vaccine should never be given to anyone under 6 months of age). It is also recommended for children older than 2 years if they have a particular medical condition that puts them at increased risk, such as asthma, HIV, diabetes or cardiac disease.

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