Birth to 2 months of age
|Schedule of Check-ups and Immunizations|
|Are my child's vaccines up to date?|
|Doses received so far||Up to Date?||Next dose due|
|2 and low risk of exposure||Yes||6 to 12 months from 2nd|
|2 and high risk of exposure||Yes||2 months from 2nd*|
|1 and low risk of exposure||Yes||1 to 6 months from 1st|
|1 and high risk of exposure||Yes, unless 1st >1 month ago||1 month from 1st|
|none and low risk of exposure||No||Next check up|
|none and high risk of exposure||No||As soon as possible|
High risk of exposure: Infants born to a mother whom is a carrier for Hepatitis B, health care workers and chronic health care facility patients, hemodialysis patients, patients whom receive blood products, household contacts of those with carriers, international travel, intravenous drug users, prisoners. Low risk is everyone else.
Special circumstance: If the biologic mother is a carrier of Hepatitis B, then the infant would receive the Hepatitis B vaccine and the Hepatitis B immune globulin within 12 hours of birth. Should more time elapse, then they would be given ASAP. The immune globulin may be given up to 1 week of age if the biologic mother was later discovered to be a carrier.
* The 3rd dose may be given as early as 2 months from the 2nd in this circumstance, but some may then give a 4th dose a year later. This should be discussed with your pediatrician.
The DT / DPT / aDPT and Polio may be given as early as 4 weeks of age and as close as 8 weeks apart. The Hib vaccine may be given as early as 6 weeks of age and as early as 4 weeks apart, but this is not optimal. The vaccines do not work as well when given less than 6 weeks apart, therefore if your child may have a high risk of exposure, then as many vaccines as possible will be given before travel. See the other section on travel. This definitely requires consultation with your physician, especially at this age.
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Copyright 2005 Joe Matusic, MD. This document may be freely copied and distributed, providing there is no charge for duplication or the material and this copyright notice remains affixed.