Vaccines for

2 to 4 months of age

home

Please print out this page
Are my child's vaccines up to date?

Schedule of Check-ups and Immunizations

  Travel
Hepatitis B DT / DPT / aDPT
Hib Polio
Prevnar or Pneumococcus  

Instructions:

  1. Read the boxes below to see if your child's vaccine are up to date.
  2. If your child's vaccines are not up to date, then follow the directions on when to get the next vaccines.
  3. You may get your vaccines at your pediatrician's office or at the local health department.
  4. Please recognize that your pediatrician may not follow this schedule exactly for a very good reason in your particular child's case. At the same time though, please be very resistant to letting your pediatrician defer your child's vaccines unless there is a very good reason. Having a minor illness is NOT a reason to defer any vaccine.
  5. All vaccines should be given at a scheduled check up unless their is a specific reason to give them early. If a vaccine has to be deferred because of an illness (this should be rare), then get the vaccines at the follow up visit for that illness.
  6. When traveling is mentioned, it is considered as traveling to an area at high risk for exposure.

Hepatitis B

About the Hepatitis B vaccine
Doses received so far Up to Date? Next dose due from last one
2 and low risk of exposure Yes 6 to 12 months
2 and high risk of exposure Maybe 2 months *
1 and low risk of exposure Yes 1 to 6 months
1 and high risk of exposure Yes unless 1st >1 month ago 1 month
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.

* 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.


DT / DPT / aDPT

This schedule applies regardless of which of the above are used. For example, if your child had a DPT and then a DT, then this would count as 2 of this vaccine. Should your child only get the DT and then latter get the Pertussis part, then a special schedule will have to be made by your pediatrician. As of 1998, the aDPT is preferred due to reduced side effects and similar immune effect as compared to the DPT.

About the DT / DPT / aDPT vaccines
Doses received so far Up to Date? Next dose due from last one
3 Yes 6 to 12 months, NOT < 6mo
2 and traveling soon Yes 4 to 6 weeks
2 and not traveling soon Yes 2 months
1 Yes 2 months
none No As soon as possible

Polio

This schedule applies regardless of whether the IPV or OPV was used. For example, if your child had 1 IPV and 1 OPV then they have had 2 vaccines. The OPV is recommended if traveling to an endemic area, but this should be discussed with your pediatrician. As of late 1999, the Oral Polio vaccine is not recommended for routine use in the USA due to the small risk of getting a form of poilio from that version of the vaccine. There is no risk of this from the IPV. Only the IPV is routine used now.

About the Polio vaccine
Doses received so far Up to Date? Next dose due from last one
3 Yes after the 4th birthday
2 and traveling soon Yes 4 weeks
1 and traveling soon Yes 4 weeks
1 Yes 2 months
none No As soon as possible

Hib

This applies regardless of what brand of vaccine was used. If it appears that your child does not have enough of this vaccine, then check which DPT shot was given. The Hib vaccine may have been combined with the DPT in a product called Tetramune or Acel-immune. Most nurses whom fill in your shot record will write down the brand name Tetramune or Acel-immune in the DPT vaccine space AND write down that a Hib vaccine was given also, but some may not. There are no DT / aDPT and Hib vaccines available in this country commercially yet. The currently available brands are: PedvaxHIB (PRP-OMP), HIBTITER (HbOC), ActHIB (PRP-T), OmniHIB(PRP-T) and ProHIBit (PRP-D). The ProHIBit (PRP-D) brand should not be used below 12 months of age, if it was used notify your pediatrician.

About the Hib vaccine
Doses received so far Up to Date? Next dose due
1 Yes 2 months
none No As soon as possible

Pneumococcus

The first dose can be given as early as 6 weeks of age and the first 3 can be given as close as 4 weeks apart. The forth dose should be greater than 2 months from the 3rd and on or after the first birthday. The total amount of doses depends on the age of the child.

About the Pneumococcus vaccine
Doses received so far Up to Date? Next dose due
3 Yes On or after birthday
2 Yes Next check up & > 4 weeks from 2nd dose
1 Yes Next check up & > 4 weeks from 1st dose
0 No As soon as possible

TRAVEL

See the other section on travel. This definitely requires consultation with your physician.


DISCLAIMER

This web site is designed to provide accurate and authoritative information in regard to the subject matter covered. In providing this site, the author is not engaged in rendering medical or any other professional service. Individual conditions may vary and the information contained herein should not be relied upon for the diagnosis and/or treatment of any particular individual. If medical advice or other expert assistance is required, the services of a competent professional should be sought.

 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.