Home / Health & Wellness / Children's Health An age-by-age vaccination guide: From newborn to 21 years old Here is an approximate schedule of recommended vaccines per age group, mama. By Children's National Health System November 8, 2018 Rectangle Keeping track of immunizations can be difficult so here is an approximate schedule of recommended vaccines per age group. However, parents should ask their doctor at every well visit if their child is up-to-date on their shots as recommendations change frequently. A few notes: When available, many immunizations are given as combination vaccines. Combination vaccines are single shots that have multiple vaccines. Combination vaccines allow immunizations to be given as one shot so that your child does not have to receive one shot for each immunization. Because of this, your child may receive an immunization at a later visit so that they are eligible to receive a combination vaccine instead. Common combination vaccines are DTaP (Diphtheria, Tetanus, and acellular Pertussis), Pentacel (DTaP, Polio, and Haemophilus influenzae type B), and Pediarix (DTaP, Polio, and Hepatitis B). It is important to note that immunizations are given based on your child’s past immunizations as well as available supply. Your healthcare provider will let you know which immunizations your child needs at your next visit. Newborn to 18 months Newborn check-up (1-2 days after hospital or birth center discharge) Visit focus: Discuss labor and delivery information, breastfeeding concerns, needs of a newborn baby Check height, weight, head circumference, temperature, heart rate and breathing rate Discuss feedings Physical exam Immunizations: Hepatitis B, Dose 1 of 3 (if not received at birth) 2 weeks well child check-up Check height, weight, head circumference, temperature, heart rate and breathing rate Physical exam Immunizations: None, if up-to-date on immunization schedule 1 month well child check-up Check height, weight, head circumference, temperature, heart rate and breathing rate Physical exam Immunizations: Hepatitis B, Dose 2 of 3 2 months well child check-up Check height, weight, head circumference, temperature, heart rate and breathing rate Physical exam Immunizations: DTaP, Dose 1 of 5 Polio, Dose 1 of 4 HiB, Dose 1 of 4 PCV, Dose 1 of 4 Rotavirus (oral), Dose 1 of 3 4 months well child check-up Check height, weight, head circumference, temperature, heart rate and breathing rate Physical exam Immunizations: DTaP, Dose 2 of 5 Polio, Dose 2 of 4 HiB, Dose 2 of 4 PCV, Dose 2 of 4 Rotavirus (oral), Dose 2 of 3 6 months well child check-up Check height, weight, head circumference, temperature, heart rate and breathing rate Physical exam Immunizations: Hepatitis B, Dose 3 of 3 DTaP, Dose 3 of 5 Polio, Dose 3 of 4 HiB, Dose 3 of 4 PCV, Dose 3 of 4 Rotavirus (oral), Dose 3 of 3 Influenza, which is given every year during the flu season. For children, ages 6 months to 8 years, receiving the flu vaccine for the first time, two doses are needed four weeks apart. 9 months well child check-up Developmental screening Check height, weight, head circumference, temperature, heart rate and breathing rate Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 12 months well child check-up Check height, weight, head circumference, temperature, heart rate and breathing rate Physical exam Immunizations: PCV, Dose 4 of 4 Chicken Pox, Dose 1 of 2 Measles, Mumps, and Rubella, Dose 1 of 2 Hepatitis A, Dose 1 of 2 Influenza—if not already given during the current flu season, needed every year 15 months well child check-up Check height, weight, head circumference, temperature, heart rate and breathing rate Physical exam Immunizations: DTaP, Dose 4 of 4 HiB, Dose 4 of 4 Influenza, if not already given during the current flu season, needed every year 18 months well child check-up Developmental screening Check height, weight, head circumference, temperature, heart rate and breathing rate Physical exam Immunizations: Hepatitis A, Dose 2 of 2 Influenza, if not already given during the current flu season, needed every year 2 to 9 years old 2 years well child check-up Developmental screening Check height, weight, head circumference, temperature, heart rate and breathing rate Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 2 1/2 years well child check-up Developmental screening Check height, weight, head circumference, temperature, heart rate and breathing rate Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 3 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 4 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: DTaP, Dose 5 of 5 Polio, Dose 4 of 4 Chicken Pox, Dose 2 of 2 Measles, Mumps, and Rubella, Dose 2 of 2 Influenza, if not already given during the current flu season, needed every year 5 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 6 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 7 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 8 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 9 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 10 to 14 years old 10 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 11 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Tdap, Dose 1 of 1 HPV, Dose 1 of 3—(Dose 2 is given 2 months after Dose 1; Dose 3 is given 4 months after Dose 2) Meningococcal Conjugate, Dose 1 of 2 Influenza, if not already given during the current flu season, needed every year 12 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 13 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 14 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 15 to 21 years old 15 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 16 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Meningococcal Conjugate, Dose 2 of 2; Influenza, if not already given during the current flu season, needed every year 17 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 18 years well child check-up Visit focus: Becoming an adult, choosing a new doctor Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 19 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 20 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year 21 years well child check-up Check height, weight, temperature, heart rate, breathing rate and blood pressure Hearing and vision screening Physical exam Immunizations: Influenza, if not already given during the current flu season, needed every year Originally posted on Children’s National Health System’s Rise and Shine . 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