Immunizations & Milestones

• Eating regularly

• Sleeping a lot

• Immunization: Hep B #1 should be given at the birthing center. If not, can be given at first visit

• Jerky, arm thrusts

• Bringing hands near eyes and mouth

• Moves head from side to side during tummy time

• Keeps hands in tight fists

• Head still needs support

• Immunization:  Hepatitis B

• Begins to smile and recognize parent/people/faces

• Self-soothing behavior (sucking on hands)

• Coos and gurgles

• Pays attention to sounds

• Gets fussy when bored

• Immunization:  DTaP, Hepatitis B, Polio, HiB, PCV13, Rotavirus (can give DTaP and Polio in combination with Hib or Hepatitis B)

• Smiles, especially at people

• Responds to affection and expresses happiness or sadness

• Likes to play and may get fussy when play stops

• Babbles

• Cries to express different needs (hunger, pain, being tired)

• Holds head unsupported, and may be able to roll from tummy to back.

• Immunization:  DtaP, Polio, HIB, PCV13, Rotavirus

• Begins to sit without support

• Begins to stand and support weight on legs

• Responds to own name

• Begins to say consonant sounds

• Curious and likes to look at self in a mirror

• Immunization:  DTaP, Hep B, Polio, HIB, PCV13, Rotavirus. Third dose of Hep B needs to be given 6 months from the first dose (usually at 6-month visit)

• Clingy with familiar adults, and may be afraid of strangers

• Has favorite toys

• Understands “no”

• Plays peek-a-boo

• Enhanced fine motor skills

• Pulls up to stand and holds on while standing, and crawls

• Immunization:  No routine vaccines given unless the child is behind

• Has favorite people and things

• Hands you a book for when they want to hear a story

• Helps you dress them

• Responds to simple spoken requests

• Makes sounds that appear more like speech

• Starts to use things correctly (drinks from a cup, etc)

• Follows simple directions

• Walks while holding on to furniture

• Immunization: Hepatitis A, Varicella, MMR (Varicella and MMR can be given in combination)

• Able to say three to five words

• Point to one body part

• Able to walk alone and begin to run

• Climb on furniture

• Imitate activities such as housework

• Immunization: Hepatitis B, Influenza Type B, Pneumococcal conjugate, Poliovirus, Influenza (IIV), Measles, mumps, rubella (MMR), Varicella, Hepatitis A, Diphtheria, Tetanus, Acellular pertussis

• Likes to play with others

• May have tantrums

• Plays pretend and likes to explore

• Can say several words and follows 1-step commands

• Can scribble on their own

• Eats with a spoon

• Immunization: Hep A (second dose must be 6 months after 1^st dose with allowable 4-day grace period)

• Copies others and gets excited when with other children

• Shows increased independence and sometimes defiant behavior

• Says sentences with two to 4 words

• Repeats words heard in conversations

• Sorts shapes and colors, and can build towers of blocks

• Can kick and throw a ball

• Immunization:  visit routinely do not have vaccines unless the child is behind

• Takes part in group activities

• Can play on playground equipment, like beams, slides, ladders, and other play equipment

• Holds a pencil as if to print

• Copies drawings of circles, dots, small lines and swirls

• Can cut paper with safety scissors

• Turn book pages one at a time

• Immunization:  visit routinely do not have vaccines unless the child is behind

• Copies adults and kids

• Shows empathy for crying friends

• Shows affection

• Shows a wide range of emotions

• Knows first and last name, age, and sex

• Knows the names of friends

• Understands quantities (two is more than 1)

• Immunization:  visit routinely do not have vaccines unless the child is behind

Immunizations: DTaP, Polio, Varicella and M-M-R

Immunizations: No routine vaccines given unless the child is behind

Immunizations: MCV4, TdaP, HPV (HPV can be given as early as 9. If started at age 15 or older, there are 3 vaccines in the series)

Immunizations: No routine vaccines given unless the child is behind
 

Immunizations: MCV4 and eligible for MenB

Immunizations: Second MenB (given 6 months after the first)