The descriptions of each well-child visit including measurements and recommended vaccines are listed below. Click on the headings below to read more information about each well visit.
Recommended Child and Adolescent Immunization Schedule for ages 18 years and younger
Newborn
Head Circumference • Weight • Length
Vaccines:
Hepatitis B if not given in the hospital
2 Week
Head Circumference • Weight • Length
Vaccines: None
4 Week (must be on or after 4 weeks from 1st Hep B vaccine)
Head Circumference • Weight • Length
Vaccines:
Hepatitis B #2 (must be 4 weeks after the first dose)
8 Week
Head Circumference • Weight • Length
Vaccines:
Prevnar #1 (Pneumococcal Vaccine) Rota #1 (Rotavirus)
And:
DTaP #1 (Diphtheria, Tetanus, and Pertussis Vaccine)
Hib #1 (Haemophilus Influenza Vaccine)
IPV #1 (Polio Vaccine)
Or:
Pentacel #1 (DTaP, Hib, Polio)
4 Months
Head Circumference • Weight • Length
Vaccines:
Rota #2
Prevnar #2
And:
DTaP #2
Hib #2
IPV #2
Or:
Pentacel #2 (DTaP, Hib, Polio)
6 Months
Head Circumference • Weight • Length
Fluoride varnish application
Vaccines:
Prevnar #3
Rota #3
Influenza (if desired and available)
And:
DTaP #3
Hib #3
IPV #3
Or:
Pentacel #3 (DTaP , Hib, Polio)
9 Months
Head Circumference • Weight • Length
Fluoride varnish application
Vaccines:
Hep B #3
12 Months (must be on or after 1st birthday)
Head Circumference • Weight • Length
Fluoride varnish application
Vision
Hemoglobin
Lead
Vaccines:
Prevnar #4
Hep A #1 (Hepatitis A Vaccine)
MMR #1 (Measles, Mumps, and Rubella Vaccine)
15 Months
Head Circumference • Weight • Length
Age-appropriate developmental and or behavioral screens
Fluoride varnish application
Lead
Vaccines:
Varivax #1 (Varicella Vaccine)
And:
DTaP #4
Hib #4
Or:
Pentacel #4 (DTaP, Hib, Polio)
18 Months
Head Circumference • Weight • Length
Age-appropriate developmental and or behavioral screens
Fluoride varnish application
Vaccines:
No vaccines OR Hep A #2
2 Years
Head Circumference • Weight • Length
Age-appropriate developmental and or behavioral screens
Fluoride varnish application
Vision
Hemoglobin
Lead
Vaccines:
Hep A #2 (if not already given)
MMRV (2nd dose of MMR and Varivax)
2 ½ Years
Height – standing
Weight
Age-appropriate developmental and or behavioral screens
Fluoride varnish application
Vaccines: MMRV (if not given at the 2-year visit)
3 Years
Height • Weight • Blood Pressure
Age-appropriate developmental and or behavioral screens
Vision
Fluoride varnish application
Vaccines:
Catch up on vaccines, if needed
4 Years
Height • Weight • Blood Pressure • Pulse
Hearing & Vision
Age-appropriate developmental and or behavioral screens
Vaccines:
DTaP #5
IPV #4 (or #5)
Or:
Kinrix (DTaP, IPV)
5 Years
Height • Weight • Blood Pressure • Pulse
Age-appropriate developmental and or behavioral screens
Hearing & Vision
Hemoglobin
Urinalysis
Vaccines: None
6 – 10 Years
Height • Weight • Blood Pressure • Pulse
Age-appropriate developmental and or behavioral screens
Hearing & Vision
Lipid Screen (9-year-olds)
Urinalysis (10-year-olds)
Vaccines: Tdap (10-year-olds)
Gardasil – HPV vaccine (after 9th birthday – 2 doses 6 months apart)
Catch up on vaccines, if needed
11 Years
Height • Weight • Blood Pressure • Pulse
Age-appropriate developmental and or behavioral screens
Hearing & Vision
Hemoglobin (for all children entering 7th grade and girls with menses)
Urinalysis (for children entering 7th grade)
Vaccines:
Gardasil – HPV vaccine (2 doses 6 months apart)
Menquadfi (meningococcal vaccine)
12 Years – College Age
Height • Weight • Blood Pressure • Pulse
Age-appropriate developmental and or behavioral screens
Hearing & Vision
Hemoglobin (for girls with menses and children entering 10th grade)
Urine screen for chlamydia and gonorrhea (ages 16 and up)
Urinalysis (15-year-olds)
Lipid Screen (18-year-olds)
Vaccines:
Gardasil – HPV vaccine (if not given sooner)
Menquadfi booster (on or after 16th birthday)
Bexsero (Meningitis B Vaccine) 2 dose series minimum 6 months apart
Tdap (at age 17, before college)
Catch up on vaccines, if needed
* Vaccines are safe and effective and are part of routine child and adolescent well-visits