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Immunizations (vaccines) and screening tests are important aspects of preventive
medical care for your child. The following schedule lists the routine immunization
s and screening tests that are a part of the routine well child visits at All
Star Pediatrics.
Please note that the vaccine schedule is constantly changing and may be confusing
at times. The tables below represent our current schedule, but if your child's
record does not exactly match this one it does not mean that he or she is necessarily
'behind' or missing any vaccinations. Please check with a physician or nurse for
clarifications.
* At All Star Pediatrics, all babies born after July 1, 2009 will have a
slightly different set of vaccinations than babies working with us before
the early summer of 2009. All Star Pediatrics will be using a different set
of combination vaccines in response to some of the national vaccine shortages
that all physicians have experienced. Our confidence in these new vaccine products,
as well as their safety profile, remains at the highest level you have come to
expect from All Star Pediatrics. Thank you for your patience and understanding.
Recommended Schedule for Immunization And Screening
at All Star Pediatrics for babies born after July 1, 2009*
| Birth |
Hepatitis B (recommended for all newborns before hospital discharge) |
|
|
|
| 1 Month |
Hepatitis B |
|
|
|
| 2 Months |
Pentacel (DTaP + IPV + Hib) |
Pneumococcal |
Rotavirus |
|
| 4 Months |
Pentacel (DTaP + IPV + Hib) |
Pneumococcal |
Rotavirus |
|
| 6 Months |
Pentacel (DTaP + IPV + Hib) |
Pneumococcal |
Rotavirus |
|
| 9 Months |
Hepatitis B |
Lead Screen/
Questionnaire |
|
|
| 12 Months |
Hepatitis A |
Varicella
Pneumococcal |
Hemoglobin |
Tuberculosis Screen/
Questionnaire |
| 15 Months |
DTaP |
Hib |
MMR |
|
| 18 Months |
Hepatitis A |
|
|
|
| 4-5 Years |
DTaP/IPV |
Varicella |
MMR |
|
| 11-12 Years |
Tdap |
Meningococcal |
HPV |
|
Recommended Schedule for Immunization And Screening
at All Star Pediatrics prior to July 1, 2009*
| Birth |
Hepatitis B |
|
|
|
| 1 Month |
No |
Immunizations |
|
|
| 2 Months |
Pediarix |
Pneumococcal |
Hib |
Rotavirus |
| 4 Months |
Pediarix |
Pneumococcal |
Hib |
Rotavirus |
| 6 Months |
Pediarix |
Pneumococcal |
Hib |
Rotavirus |
| 9 Months |
Lead Screen |
|
|
|
| 12 Months |
Hepatitis A |
Pneumococcal
Varicella |
Tuberculosis Screen |
Hemoglobin Level |
| 15 Months |
DTaP |
Hib |
MMR |
|
| 18 Months |
Hepatitis A |
|
|
|
| 4-5 Years |
DTaP/IPV |
Varicella |
MMR |
|
| 11-12 Years |
Tdap |
Meningococcal |
Gardasil |
|
* Beginning in the summer of 2010, All Star Pediatrics will begin using a new form of the
Prevnar (Pneumococcal) vaccine. The previous Prevnar vaccine (PCV-7) protected against 7
strains of a bacteria (Pneumococcus) that may cause meningitis, blood infections, ear infections
and pneumonias. The newly expanded Prevnar vaccine (PCV-13) will provide our infants and children
protection against 6 additional strains of this bacteria. The immunization schedule does not change
for this vaccine and remains at 2, 4, 6 and 12 months. Healthy children who have completed the 4
dose series with PCV-7 and have not yet turned 5 (as well as children with chronic medical
conditions who have not yet turned 6) are also recommended to have one additional dose/booster
of the PCV-13 vaccine.
* Pentacel is a combination vaccine which includes DTaP, IPV, and Hib in one single shot.
This vaccine was incorporated into our vaccine schedule starting in July 2009.
* Kinrix is a combination vaccine which includes DTaP and IPV in one shot.
This vaccine can be given at the 4-6 year well child visit. This vaccine was incorporated
into our vaccine schedule starting in 2009.
* Beginning in 2008, the American Academy of Pediatrics now recommends all
children ages 6 months - 18 years of age receive the seasonal influenza vaccine each year.
* Additionally, beginning in 2007, the American Academy of Pediatrics now recommends a
booster (second vaccination) for the varicella/chickenpox vaccine at the 4-5 year well child visit.
* Gardasil (HPV vaccine) has been recommended for use in 2007. Gardasil is a vaccine that will
protect females from the most common types of human papillomaviruses that cause cervical cancer.
* Beginning in the summer of 2006, the Hepatitis A vaccine is now recommended for children
beginning at 12 months of age. This vaccine is given as two doses - the first at 12 months and a
booster dose at 18 months. Though not required, older children are encouraged to be vaccinated as well.
* Rotavirus vaccine has been recommended in 2006. This vaccine protects against a virus that causes
severe vomiting and diarrhea in infants and children. The three dose (oral) series is given at
the 2, 4, and 6 month well child visits.
* In the Spring/Summer of 2005, two vaccines were recommended for the teenage population. A meningitis
vaccine (Menactra) is recommended at the 11-12 year old well child visit. Studies have shown that
adolescence is a high risk age for acquiring the sometimes fatal and debilitating illness.
Additionally, a combination tetanus-diptheria-acellular pertussis vaccine (Tdap) is recommended
in order to boost the pertussis (whooping cough) immunity.
Notes on the Vaccine Table
- DTaP - Diphtheria and Tetanus toxoids combined with acellular (not live)
Pertussis (whooping cough) vaccine.
- IPV - Inactivated (not live) Polio Vaccine.
- Hib - Hemophilus influenzae type b conjugate protects children
from some types of meningitis and epiglottitis.
- Pneumococcal - (Prevnar) conjugated Pneumococcal vaccine
protects children from some types of meningitis, pneumonia, blood infections and even some
ear infections.
- Pentacel - A combination vaccine that includes DTaP, IPV, and Hib
- Pediarix - A combination vaccine that includes DTaP, IPV, and Hep B
- Tdap - A combination vaccine that includes tetanus, diphtheria (adult type),
and acellular pertussis for those eleven years of age and older. It contains a smaller amount of
diphtheria antigen, which provokes a strong reaction in adults. The pertussis antigen was added
in the summer of 2005 to help with the increase of whooping cough in the adolescent population.
Tetanus vaccine and injuries: for clean minor wounds, a fully immunized child needs no booster
dose unless more than 10 years has elapsed since the last dose. For contaminated wounds, a booster
dose should be given if more than five years have elapsed since the last dose. Adults should be
vaccinated every ten years.
- MMR - A live combination vaccine that includes measles, mumps, and rubella
(German measles)
- Hepatitis B - A vaccine that protects against one type of viral hepatitis,
which is transmitted by blood products or intimate contact.
- Varicella - A live vaccine protects children from getting the chicken pox.
The first dose is given to children at 12-15 months, the second dose is given to each child after
4 years of age.
- Rotavirus - An oral vaccine that protects against Rotavirus, a serious
cause of vomiting and diarrhea in children.
- Meningococcal vaccine (Menactra) - A vaccine that protects against
strains of dangerous bacteria which can cause a deadly form of meningitis. Adolescents have
been identified as a high risk population for this devastating illness.
- Hepatitis A - A vaccine that protects against one type of viral hepatitis,
which is transmitted by close personal contact and sometimes by eating food or drinking water
contaminated with the virus. This vaccine has been used for travel to endemic areas for over 15 years.
- HPV vaccine (Gardasil) - A vaccine protects females from the most common
types of human papillomaviruses. These viral infections result in genital warts and cervical cancer.
The vaccine is given in 3 doses.
Other vaccine products are becoming available and more are coming along all the time.
Our table lists only those vaccines currently recommended for all children by the American
Academy of Pediatrics and the Centers for Disease Control.
Some of our screening tests require nothing more than a questionnaire. Others require skin or
blood tests. Your physician or nurse practitioner will discuss these with you at the time of the visit.
We at All Star Pediatrics strongly believe in the importance of immunizations and their role in the
health of all children. We follow the recommended schedule of immunizations as established by the Centers
for Disease Control. In recent years there has been much discussion in the media and on the Internet
regarding vaccines, much of it misleading and frightening. Please use the following websites as accurate
and validated sources of information on vaccines, their safety, and their benefits in the prevention of
many childhood illnesses.
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