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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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When I was expecting my first child, I wanted to know everything that could possibly be in store for his first year.

I quizzed my own mom and the friends who ventured into motherhood before I did. I absorbed parenting books and articles like a sponge. I signed up for classes on childbirth, breastfeeding and even baby-led weaning. My philosophy? The more I knew, the better.

Yet, despite my best efforts, I didn't know it all. Not by a long shot. Instead, my firstborn, my husband and I had to figure it out together—day by day, challenge by challenge, triumph by triumph.

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The funny thing is that although I wanted to know it all, the surprises—those moments that were unique to us—were what made that first year so beautiful.

Of course, my research provided a helpful outline as I graduated from never having changed a diaper to conquering the newborn haze, my return to work, the milestones and the challenges. But while I did need much of that tactical knowledge, I also learned the value of following my baby's lead and trusting my gut.

I realized the importance of advice from fellow mamas, too. I vividly remember a conversation with a friend who had her first child shortly before I welcomed mine. My friend, who had already returned to work after maternity leave, encouraged me to be patient when introducing a bottle and to help my son get comfortable with taking that bottle from someone else.

Yes, from a logistical standpoint, that's great advice for any working mama. But I also took an incredibly important point from this conversation: This was less about the act of bottle-feeding itself, and more about what it represented for my peace of mind when I was away from my son.

This fellow mama encouraged me to honor my emotions and give myself permission to do what was best for my family—and that really set the tone for my whole approach to parenting. Because honestly, that was just the first of many big transitions during that first year, and each of them came with their own set of mixed emotions.

I felt proud and also strangely nostalgic as my baby seamlessly graduated to a sippy bottle.

I felt my baby's teething pain along with him and also felt confident that we could get through it with the right tools.

I felt relieved as my baby learned to self-soothe by finding his own pacifier and also sad to realize how quickly he was becoming his own person.



As I look back on everything now, some four years and two more kids later, I can't remember the exact day my son crawled, the project I tackled on my first day back at work, or even what his first word was. (It's written somewhere in a baby book!)

But I do remember how I felt with each milestone: the joy, the overwhelming love, the anxiety, the exhaustion and the sense of wonder. That truly was the greatest gift of the first year… and nothing could have prepared me for all those feelings.

This article was sponsored by Dr. Brown's. Thank you for supporting the brands that support Motherly and mamas.

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My husband and I always talked about starting a family a few years after we were married so we could truly enjoy the “newlywed” phase. But that was over before it started. I was pregnant on our wedding day. Surprise!

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