Well Visit Schedule

Well Visit Schedule

Routine visits are scheduled as follows with the recommended immunizations, tests and procedures. At times, however, we may vary from this schedule.

Our practice follows the immunization guidelines recommended by the American Academy of Pediatrics.

For descriptions of these vaccines and the diseases they protect against please refer to the bottom of this page. For more information, you may also visit www.vaccinesafety.edu, and www.immunize.org.

1 Week
2 Weeks
  • Check-Up
1 Month
  • Check-Up
9 Months
  • Check-Up
  • Fluoride
  • Vision and Hearing
18 Months
2 Years
  • Check-Up
  • Fluoride
  • Hematocrit
  • Lead Screen
  • Autism Screen
  • Vision and Hearing
2½ Years
  • Check-Up
  • Fluoride
3 Years
  • Check-Up
  • Vision and Hearing
5 Years
  • Check-Up
  • Vision and Hearing
  • Any Delayed Boosters
6 - 10 Years
  • Annual Check-Up
  • Vision and Hearing
Annually



VACCINE INFORMATION SHEETS

The following is an explanation of the immunizations, which are listed above. Click on the    to download the Vaccine Information Statement published by the Centers for Disease Control (CDC).

Our office recommends that your baby receive this vaccine starting in the newborn period. It is required for entrance to school at all levels, including daycare.

Hepatitis A is a virus that causes a flu-like illness and affects the liver. All children ages 1-2 years of age receive two doses of vaccine 6-12 months apart. We are trying to catch up for all older children.

This is the vaccine which used to receive the most publicity, perhaps because of the very infrequent reactions. These reactions occurred due to the pertussis fraction of the vaccine. However, the newest combination of the vaccine which contains the acellular pertussis fraction (aP) has drastically reduced reactivity to the pertussis. This makes the vaccine effective and safe for almost all children, including those who may not have received the original DPT. All children need to be immunized against pertussis. It is one of the preventable diseases that we see and we do not want our patients to be susceptible to this sometimes fatal disease. After seven years of age, the version of the injection is the TdaP, which contains tetanus and a lower dose of diphtheria and pertussis. This was formerly the Td, but as of 2005 was changed to include a booster of pertussis. This is the version of the tetanus shot which is given during the teen years and into adulthood.

The HIB is a very safe vaccine which has been responsible for reducing the incidence of Haemophilus Influenza (H.Flu) disease. This used to be a very common cause of meningitis and epiglottitis. The HIB vaccine is a synthetic vaccine and it cannot cause the actual disease.

It is the inactivated version (not live) of this viral vaccine. The oral version is no longer available.

This shot does not usually cause any immediate reaction, but will sometimes cause a fine rash and low fever 7-14 days after the shot. This reaction will disappear spontaneously, and does not mean that your baby is contagious. It does not pose any danger to pregnant women (from the Rubella portion).

Introduced in 1995. It is required for school entry. It is between 70% and 90% effective in preventing chickenpox. Some children who receive the vaccine may still come down with a mild case of chickenpox. Contrary to some initial fears, receiving the vaccine does not make one more susceptible to chickenpox as an adult. The 2007 recommendation is to now give a booster dose at four years of age or catch up anytime after that.

For all of you who have children who have had Rotavirus, you know how awful it can be. There is now a vaccine for it, however, it is only for children who are 2 months old. There are booster doses at 4 and 6 months. This is an oral vaccine.

The immunization for Human Papillomavirus that causes cervical, penile, head, and neck cancer. It is recommended for both males and females.

This is the vaccine introduced in 2000 which helps prevent children from developing diseases associated with the Pneumococcal bacteria. These include bacteremia (infection in the blood), meningitis and ear infections. Only a small percentage of ear infections are caused by this particular bacteria. The vaccine has mistakenly been called the ear infection vaccine. Prevnar is generally given to children under 2 years of age. Those children in high-risk groups may receive it until age 5. It is different from the pneumovax.

This is the vaccine which helps prevent meningococcal meningitis and bacteremia, an often-fatal disease. 2 doses are recommended prior to college entry.

It is now recommended for all children 6 months and up as well as any household contacts of children less than 6 months old. It also continues to be recommended for children with chronic illness, such as asthma. We stock the live intranasal version of the vaccine which is presently approved for healthy children over 2 years of age.

PPD

Presently, the only reliable test for Tuberculosis is the PPD. The old tine test is no longer recommended. Testing for TB is not required but is recommended for certain high risk groups including those who may have had exposure to persons with TB, or those who have come from other countries where TB is more common. The PPD is not a TB vaccine.

The immunizations we give today cause very few side effects. We may recommend giving your child acetaminophen prior to, or after, the immunizations to treat fever and/or pain.

There is a lot of bad publicity out there about the immunizations we use, for example, the MMR allegedly causing autism. However, there have never been any scientific studies to prove any of the rumors you may hear. In fact, there have only been studies that have disproven such claims. We feel very strongly about immunizing all of our patients according to the American Academy of Pediatrics guidelines. Please discuss your apprehensions with your provider so that he/she may answer all your concerns. There are very few instances in which we will exempt a child from these recommended vaccines, even if parents have strong preferences or 'philosophical or religious objections.'

There are now some new combination vaccines which reduce the number of injections that your infant will receive. Ask your provider about these new vaccines.