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Years 1-4 exam and immunization schedule

Infant and children’s vaccination schedule – years 1-4 wellness exam


12 month well child checkup

Examinations: Physical examination; Weight and length; Head circumference
Immunizations: Measles, Mumps, Rubella (MMR); Chickenpox (Varicella); Hepatitis A (HAV); Influenza†
Lab/other: Hemoglobin*; Lead* (as needed); Tuberculosis (as needed); Fluoride varnish2
Screenings:  Developmental/behavioral screening


15 month well child checkup

Examinations: Physical examination; Weight and length; Head circumference
Immunizations: Haemophilus Influenzae Type B (HIB); Pneumococcal Conjugate Virus (PCV20); Diphtheria, Tetanus, Pertussis (DTaP)**; Influenza†
Lab/other: Fluoride varnish2
Screenings: Developmental/behavioral screening


18 month well child checkup

Examinations: Physical examination; Weight and length; Head circumference
Immunizations: Hepatitis A (HAV)¹; Influenza†
Lab/other: Fluoride varnish2
Screenings:  Developmental/behavioral screening


2 year well child checkup

Examinations: Physical examination; Weight and height; Head circumference; Body Mass Index (BMI)
Lab/other: Lead* (as needed); Fluoride varnish2
Screenings:  Developmental/behavioral screening


2.5 year well child checkup

Examinations: Physical examination; Weight and length; Body Mass Index (BMI)
Immunizations: Influenza†
Lab/Other: Fluoride varnish2
Screenings: Developmental/behavioral screening


3 year well child checkup

Examinations: Physical examination; Weight and height; Blood pressure; Body Mass Index (BMI)
Immunizations: Influenza†
Lab/other: Fluoride varnish2; Vision3
Screenings: Developmental/behavioral screening


4 year well child checkup

Examinations: Physical examination; Weight and height; Blood pressure; Body Mass Index (BMI)
Immunizations: Diphtheria, Tetanus, Pertussis (DTaP); Polio (IPV); Measles, Mumps, Rubella (MMR); Chickenpox (Varicella); Influenza†; These pre-kindergarten immunizations may be completed between at age 4 or 5.
Lab/other: Fluoride varnish2; Vision and hearing3
Screenings: Developmental/behavioral screening


*Done at 9 or 12 month checkup
**DTaP given at 15 or 18 months
1HAV given at 18 months or 2 years
2Fluoride varnish available
3Vision and hearing screenings as needed
†Influenza – once a year during flu season; twice the first year given

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