Well Child Visits
Children and teens need regular checkups to make sure their development is on track, talk about nutrition and behavior, and to get the vaccines they need to protect them from dangerous diseases.
Why are childhood vaccines so important?
Dr. Christine Tompkins, Pediatrician
As a mother of three, there are three reasons I think vaccines are so important, and why I have chosen to vaccinate my children on time. Read more about why childhood vaccines are so important.
Newborn visit
- Assess for weight, breastfeeding
- Check bilirubin
- Vaccines
- Hepatitis B (if not given at birth)
- Nirsevimab (Oct-March, if not given previously and mother did not receive RSV immunization during pregnancy)
2-4 week visit
- Monitor infant’s growth, Complete exam
- Assess for jaundice
- Discuss development/safety/home life
- Vaccines
- Hepatitis B (if not given at birth)
- Nirsevimab (Oct-March, if not given previously)
2-month visit
- Monitor infant’s growth, complete exam
- Discuss development/safety/home life
- Vaccines
- DTaP/Hep B/IPV
- Hib (Haemophilus Influenzae type B)
- Nirsevimab (Oct-March, if not given previously)
- PCV20 (Pneumococcal)
- Rotavirus oral (if not given previously)
4-month visit
- Monitor infant’s growth, complete exam
- Discuss development/safety/home life
- Vaccines
- DTaP/Hep B/IPV
- Hib (Haemophilus Influenzae type B)
- Nirsevimab (Oct-March, if not given previously)
- PCV20 (Pneumococcal)
- Rotavirus oral (if not given previously)
6-month visit
- Monitor infant’s growth, complete exam
- Discuss development/safety/home life
- Vaccines
- COVID
- DTaP/Hep B/IPV
- Nirsevimab (Oct-March, if not given previously)
- PCV20 (Pneumococcal)
- Rotavirus oral (if not given previously)
- Seasonal influenza (if Sept-Apr)
- Fluoride varnish if teeth are present
9-month visit
- Monitor infant’s growth, complete exam
- Discuss development/safety/home life
- Vaccines
- COVID (if series not complete)
- Seasonal influenza (if Sept-Apr)
- Update any delayed vaccines
- Fluoride varnish if teeth are present
- Screening: CBC and lead
12-month visit
- Monitor child’s growth, complete exam
- Discuss development/safety/home life
- Vaccines
- COVID (if series not completed)
- Hepatitis A
- Hib (Haemophilus Influenzae type B)
- MMR
- Seasonal influenza (if Sept-Apr)
- Varicella
- Fluoride varnish if teeth are present
- Screening: hemoglobin and lead (if not completed at 9 months)
15-month visit
- Monitor child’s growth, complete exam
- Discuss development/safety/home life
- Vaccines
- COVID (if series not complete)
- DTap
- PCV20 (Pneumococcal)
- Seasonal influenza (if Sept-Apr)
- Fluoride varnish
18-month visit
- Monitor child’s growth, complete exam
- Discuss development/safety/home life, Autism-specific screening
- Vaccines
- COVID (if series not complete)
- Hep A booster
- Seasonal influenza (if Sept-Apr)
- Update any delayed vaccines
- Fluoride varnish
24-month visit
- Monitor child’s growth, complete exam
- Discuss development/safety/home life, Autism-specific screening
- Vaccines
- COVID (if series not complete)
- Seasonal influenza (if Sept-Apr)
- Update any delayed vaccines
- Fluoride varnish
- Screening: hemoglobin and lead
30-month visit
- Monitor child’s growth, complete exam
- Discuss
- Development/safety/home life
- Screen for autism (if not done previously)
- Vaccines
- COVID (if series not complete)
- Seasonal influenza (if Sept-Apr)
- Update any delayed vaccines
- Fluoride varnish
- Screening: hemoglobin and lead (if not done previously)
3 to 4 years (annual well checks)
- Monitor child’s growth, BMI, complete exam
- Measure blood pressure
- Check vision and hearing
- Discuss development/safety/home life
- Vaccines (Kindergarten vaccines can be given as early as age 4)
- COVID (if series not complete)
- Seasonal influenza vaccine (if Sept-Apr)
- Update any delayed vaccines
- Fluoride varnish through age 5
5 to 10 years (annual well checks)
- Monitor child’s growth, BMI, complete exam
- Measure blood pressure
- Check vision and hearing
- Discuss development/school/safety/home life
- Vaccines
- COVID seasonal booster
- Human Papilloma Virus (2-dose series) at age 9 or 10 years
- Seasonal influenza (if Sept-Apr)
- Update any delayed vaccines
- Screening: cholesterol (9-11 years)
11 and 12 years (annual well checks)
- Monitor height/weight, BMI, complete exam
- Measure blood pressure
- Check vision and hearing
- Discuss
- Development/school/safety/home life
- Puberty/sexuality
- Vaccines
- COVID seasonal booster
- HPV (if not given previously)
- Meningococcal
- Seasonal influenza (if Sept-Apr)
- Tdap
- Screening: cholesterol (if not done previously)
13 to 21 years (annual well checks)
- Monitor height/weight, BMI, complete exam
- Measure blood pressure
- Check vision and hearing
- Discuss development/school/safety/home life
- Vaccines
- COVID seasonal booster
- Meningococcal
- Seasonal Influenza vaccine (if Sept-Apr)
- Tdap every 5-10 years
- Screening: cholesterol (if not done previously)
