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4 Year Old Vaccines

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Last Updated: 02 July 2021

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General | Latest Info

Updating child's immunizations is an annual back - to - school rite of passage for all parents. The American Academy of Pediatrics traditionally recommends that children receive nine vaccines for 13 primary childhood diseases. Dtap: Combines vaccines against three diseases, diphtheria, tetanus and pertussis into one shot. Children need five DTaP shots for maximum protection. The first three shots are given at 2, 4 and 6 months of age. The fourth booster shot is given between 15 and 18 months, and the fifth shot, another booster, is given when a child enters school at 4 to 6 years old. Hepatitis A: Vaccine is 94 percent to 100 percent effective in preventing hepatitis. Children between 12 and 23 months of age should receive two - time vaccine, administered at least six months apart. Hepatitis B: Three doses are needed for full protection from disease. The first dose is usually given at birth. This is particularly important for children whose mothers are chronically infect. For other babies, first dose can be given between birth and 2 months of age. The second dose is recommended at 1 to 4 months, and the third at 6 to 18 months. These three doses should protect children for life. Hib or Haemophilus Influenza Type B: Children should get either three or four doses. Vaccine is recommended at 2 4 6 and 12 to 15 months of age. 6 - month dose is not given with one brand of vaccine. Influenza: One dose is recommended annually, around October or November. Children younger than 9 who are getting Influenza Vaccine for the first time are recommended to get two doses at least a month apart, depending on type of vaccine. Mmr: Combines vaccines for measles, mumps and rubella into one shot. Most children who get Vaccine develop immunity to all three diseases, and protection is believed to last a lifetime. Two doses of vaccine are recommend, with the first dose given at 12 to 15 months of age. Second may be given four weeks after first, but it is usually given at 4 to 6 years. No boosters are needed Pneumococcal: Four doses are recommended at 2 4 6 and 12 to 15 months of age. Children who are late starting series may need fewer doses. Children aged 5 and older usually should not get pneumococcal conjugate Vaccine, but older children with certain chronic diseases or damaged immune systems should still get pneumococcal Vaccine. There is a different vaccine, called pneumococcal polysaccharide Vaccine, that can be given to these children and to adults. Polio: Children should get four doses of polio vaccine, first three doses at 2 4, and 6 to 18 months of age, and booster dose at 4 to 6 years. Varicella: separate varicella Vaccine prevents chicken pox in 70 percent to 80 percent of people who receive it, and is expected to provide lifelong immunity.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

After vaccinations

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 immunization at later visit so that they are eligible to receive combination vaccine instead. For example, common combination vaccines are DTaP, pentacel, and Pediarix. It is important to note that immunizations are given based on your childs past immunizations as well as available supply. Your healthcare provider will let you know which immunizations your child needs at your next visit.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Notes

Acthib, Hiberix, or Pentacel: 4 - Dose series at 2 4 6 12 - 15 months, PedvaxHIB: 3 - Dose series at 2 4 12 - 15 months, Dose 1 at 7 - 11 months: Administer Dose 2 at least 4 weeks later and Dose 3 at 12 - 15 months or 8 weeks after Dose 2. Dose 1 at 12 - 14 months: Administer Dose 2 at least 8 weeks after Dose 1. Dose 1 before 12 months and Dose 2 before 15 months: Administer Dose 3 8 weeks after Dose 2. 2 doses of PedvaxHIB before 12 months: Administer Dose 3 at 12 - 59 months and at least 8 weeks after Dose 2. Unvaccinated at 15 - 59 months: 1 Dose Previously Unvaccinated Children aged 60 months or older who are not considered high risk do not require catch - up Vaccination. For other catch - up Guidance, see Table 2.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Four-Year-Old Checkup

Table

AgeRecommended vaccines, tests, and office visits
BirthNewborn blood screen Hepatitis B (Hep B)
3-5 daysWell-child visit
7-14 daysWell-child visit
2 monthsWell-child visit DTaP (diphtheria, tetanus, acellular pertussis) Hep B Hib (Haemophilus influenzae type b) PCV (pneumococcal disease) Rotavirus (given by mouth) IPV (polio)
4 monthsWell-child visit DTaP Hib PCV Rotavirus (given by mouth) IPV
6 monthsWell-child visit DTaP Hep B PCV Hib, if needed Rotavirus (given by mouth) IPV
9 monthsWell-child visit
12 monthsWell-child visit MMR (measles, mumps, rubella); not before first birthday Hepatitis A (Hep A); not before first birthday Varicella (chickenpox); not before first birthday Hib PCV
15-18 monthsWell-child visit DTaP Any 12-month immunizations not already given
2 yearsWell-child visit Hep A
3 yearsWell-child visit
4 yearsWell-child visit Vision screen Hearing screen DTaP IPV Varicella MMR
5 yearsWell-child visit
6, 8, and 10 yearsWell-child visit
11 yearsWell-child visit Tdap booster (tetanus, diphtheria, pertussis) MCV (meningococcal disease) HPV (human papillomavirus) can start 2 dose series at age 9 to complete sooner (wait at least 6 months between first and second dose)
12 yearsWell-child visit
13 yearsWell-child visit Varicella blood test, if vaccine not given and no history of chickenpox
14 and 15 yearsWell-child visit
16 yearsWell-child visit MCV booster
17 yearsWell-child visit

Four - year - old child has become his or her own person - more independent and able to carry on conversation. Rapid growth in language and motor skills helps four - year - olds to progress in motor and social development. Your child has a clearer sense of self and behavior expectations. Gender - role identification, emergence of conscience, capacity for collaborative play and beginnings of mastery over impulsivity are seen at this age. Read. Read. Read. By age of four, most children understand some prepositions, can identify colors and common animals, can recite alphabet, and few can recognize letters. Four - year - olds can catch large ball, skip and do broad jump. Motor activities still appear children due to lack of refinement which is common at this age. Competence in sports or activities that require accuracy or careful timing and sequencing will not be seen for several years. Four - year - olds should be encouraged to dress themselves, except for tying shoes. Your childs thinking is still magical and he / she has a unique point of reference. Your child has difficulty taking another point of view, cannot fully understand cause and effect, nor anticipate the consequences of their actions. Your children's reasoning is based on seeing themselves as the center of things. You may experience imaginary friends or hear tall tales. This behavior should not be interpreted as lying but should be seen as reflecting your childs rich imagination.


What to Expect During This Visit

On this page Visit and Immunization chart Well - care Visit questionnaires Immunization glossary Immunization records Getting help Kaiser Permanente recommends that you bring your child in for regular visits to help keep your child healthy. Choices for your child's care include your primary care physician, or pediatrician. During these well - child visits, your child's doctor will give any vaccines that are due, check your child's growth and development, and test vision and hearing starting at age 4. Vaccines protect your child by immunizing him or her against certain diseases. Some vaccines will be given as one shot or a series of shots. When available, we might give your child vaccines that are combined into one shot. For your child to be completely immunized against disease, he or she must get all the recommended doses. There have been outbreaks of serious diseases in children who do not get fully immunize. Some vaccines are required before your child can go to daycare or school. Washington and Idaho provide the following information on Immunization requirements: if you are new to Kaiser Permanente Washington and have come from out of state and have a doctor's office record of your child's immunizations, please bring it with you to your child's appointment. That way, we can make sure we have the most up - to - date information. If you don't have a doctor's office record of your child's immunizations, we will ask for permission to obtain it for you. Even if your child isn't due for vaccines, be sure to bring him or her in for a Well - child Visit. These visits give your child's doctor the chance to find and treat any concerns early. It's also good time for you to ask any questions you have about your child's health.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Behavior

Table

AgeRecommended vaccines, tests, and office visits
BirthNewborn blood screen Hepatitis B (Hep B)
3-5 daysWell-child visit
7-14 daysWell-child visit
2 monthsWell-child visit DTaP (diphtheria, tetanus, acellular pertussis) Hep B Hib (Haemophilus influenzae type b) PCV (pneumococcal disease) Rotavirus (given by mouth) IPV (polio)
4 monthsWell-child visit DTaP Hib PCV Rotavirus (given by mouth) IPV
6 monthsWell-child visit DTaP Hep B PCV Hib, if needed Rotavirus (given by mouth) IPV
9 monthsWell-child visit
12 monthsWell-child visit MMR (measles, mumps, rubella); not before first birthday Hepatitis A (Hep A); not before first birthday Varicella (chickenpox); not before first birthday Hib PCV
15-18 monthsWell-child visit DTaP Any 12-month immunizations not already given
2 yearsWell-child visit Hep A
3 yearsWell-child visit
4 yearsWell-child visit Vision screen Hearing screen DTaP IPV Varicella MMR
5 yearsWell-child visit
6, 8, and 10 yearsWell-child visit
11 yearsWell-child visit Tdap booster (tetanus, diphtheria, pertussis) MCV (meningococcal disease) HPV (human papillomavirus) can start 2 dose series at age 9 to complete sooner (wait at least 6 months between first and second dose)
12 yearsWell-child visit
13 yearsWell-child visit Varicella blood test, if vaccine not given and no history of chickenpox
14 and 15 yearsWell-child visit
16 yearsWell-child visit MCV booster
17 yearsWell-child visit

If your child is allergic to certain vaccines, you notice signs that something is wrong. Typically, these reactions happen quickly after the vaccine, within a few minutes or hours. A good rule of thumb is to watch for anything that seems unusual, like mood or behavior change, high fever, or weakness. Severe reactions are rare. Only 1 in 1 million children have them. Still, is important to know what symptoms your doctor needs to know about, so you can get help for your child. Breathing problems like wheezing Hoarseness Hives Pale color Weakness Fast heartbeat Dizziness Swelling in face or throat Fever over 105 F Seizures Another sign of a possible problem is if your baby or child cries uncontrollably for 3 hours or longer. In extremely rare cases, some vaccines may lead to coma, long - term seizures, or permanent brain damage. These are unlikely reactions. In fact, doctors are trying to find out whether these and other serious side effects were caused by vaccines or for other reasons. If you notice any serious symptoms that concern you after your childas vaccines, call 911 or get your child to the hospital right away.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Newborns to 18 months

Table

AgeRecommended vaccines, tests, and office visits
BirthNewborn blood screen Hepatitis B (Hep B)
3-5 daysWell-child visit
7-14 daysWell-child visit
2 monthsWell-child visit DTaP (diphtheria, tetanus, acellular pertussis) Hep B Hib (Haemophilus influenzae type b) PCV (pneumococcal disease) Rotavirus (given by mouth) IPV (polio)
4 monthsWell-child visit DTaP Hib PCV Rotavirus (given by mouth) IPV
6 monthsWell-child visit DTaP Hep B PCV Hib, if needed Rotavirus (given by mouth) IPV
9 monthsWell-child visit
12 monthsWell-child visit MMR (measles, mumps, rubella); not before first birthday Hepatitis A (Hep A); not before first birthday Varicella (chickenpox); not before first birthday Hib PCV
15-18 monthsWell-child visit DTaP Any 12-month immunizations not already given
2 yearsWell-child visit Hep A
3 yearsWell-child visit
4 yearsWell-child visit Vision screen Hearing screen DTaP IPV Varicella MMR
5 yearsWell-child visit
6, 8, and 10 yearsWell-child visit
11 yearsWell-child visit Tdap booster (tetanus, diphtheria, pertussis) MCV (meningococcal disease) HPV (human papillomavirus) can start 2 dose series at age 9 to complete sooner (wait at least 6 months between first and second dose)
12 yearsWell-child visit
13 yearsWell-child visit Varicella blood test, if vaccine not given and no history of chickenpox
14 and 15 yearsWell-child visit
16 yearsWell-child visit MCV booster
17 yearsWell-child visit

A vaccination schedule is planned with recommendations for which vaccines your children should get and when they should get them. Vaccines are one of the most important ways to prevent children from getting some dangerous diseases. By exposing you to germs in a controlled way, vaccines teach your body to recognize and fight them. Government vaccine recommendations are just that - recommendations. You arenat forced to get them. But state laws require your kids to have certain vaccines before they can go to daycare, school, or college, with some exceptions. Vaccines protect not just your child, but everyone they come in contact with. The more people who get vaccinate, harder it is for disease to spread. Before they are approved for use and added to the schedule, vaccines go through years of testing to make sure they work and that they are safe. The government keeps track of any reports of side effects to make sure no problems come up.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Are vaccines dangerous?

Watching your child get shot isn't easy. It's even harder if you have fears or concerns about the safety or necessity of vaccine. Millions of parents immunize their kids each year without concern. Yet some parents have heard rumors that vaccines can cause serious health problems. So, how can parents get facts about vaccine safety? Your child's healthcare provider is your first source of reliable information. Healthcare providers are bind by law to give you write information on the benefits and risks of each vaccine suggested for your child. Reading this material can help you make accurate decision. Another source of in - depth information on vaccine safety is the CDC. Yes. All Vaccines are fully tested before being approved for use by FDA. Vaccines contain dead or weakened forms of disease - causing viruses or bacteria. These cause the body to make antibodies and other beneficial responses that protect child from that disease. Many of these diseases still thrive in other parts of the world. Travelers can and do bring these viruses back to the US. Without protection of vaccines, these diseases could easily spread here again. Some children have minor side effects from getting the vaccine, like slight fever or swelling at the injection site. The risk of death or serious side effects is so small that it is hard to document. Claims that vaccines cause Autism or other diseases have been carefully Research and disprove. Rumors persist that the increase in Autism in children is caused by thimerosal. This is a preservative added to vaccines. But thimerosal was removed from all vaccines in Sweden in 1995. And the frequency of Autism has continued to increase there. Thimerosal has also been nearly removed in the US, where autism rates also keep increasing, as they have throughout the world. After thorough review, in 2004, the Institute of Medicine rejected the idea that vaccines had any relationship with Autism. Many studies have been done to evaluate the safety of multiple vaccines. None has shown that multiple vaccines cause problem.Sss Children are exposed to many foreign substances every day with no harmful effects. Scientists say that tiny amount of viruses or bacteria in vaccines is not enough to harm children. What can be harmful, though, is delaying children's vaccines needlessly. Recommendations were developed by the American Academy of Pediatrics to help reduce risk for sudden infant death syndrome and other sleep - related deaths in infants up to 12 months old. Aap says that making sure your child is fully immunized can help reduce the risk of SIDS. No evidence has been found linking vaccines to the cause of SIDS. Most of your children's vaccines are complete between birth and age 6. Many vaccines are given more than once, at different ages, and in combinations. This means that you need to keep a careful record of your child's shots. Although your healthcare provider's office will also keep track, people change healthcare providers and records get lose.


Vaccines and Immunizations

A vaccine is a type of medicine that is usually given to you as shot with a needle. Medicine in shot protects your body from one or more diseases. When you get this medicine, your body learns how to fight disease so that you will not get sick from it, refer to as immunization. Vaccines benefit people who get them because they prevent them from getting diseases or infections that could make them sick or even kill them. They also benefit vulnerable, unvaccinated people around them because it reduces the spread of diseases and infection if most people are vaccinated and are not contracting them in the first place. Yes. Vaccines are very safe. If any side effects occur from vaccinations, they are very minor, such as soreness when you receive shot, fussiness, or low - grade fever. Serious side effects, like allergic reactions, are very rare, and doctors are trained to treat them. Some vaccines can be taken by mouth or sprayed into your nose. Talk to your doctor to see whether this is an option. Most of the time, you will need to shoot with a needle. It may sting for a moment and be a little sore, but it is much better than taking the risk of getting sick. Putting cool, wet wash cloth where you get your shot can help make it feel better. Some vaccines take more than one dose to give you full protection. Other vaccines stop working after a while, so you need to get them again. Make sure that you get every dose of all of your vaccines. This is the only way to make sure that you are protected from disease. Babies and young children need to be vaccinated because they are more at risk for diseases. These diseases can also be much more serious for infants and young children. Talk to your children's doctor about what vaccines they need. You can also look at these charts that tell you what vaccines your child needs based on how old they are.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Sources

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

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