Well-Child Visit Schedule by Age: Assessments, Labs, and Vaccines

Vaccination Schedule

• The American Academy of Pediatrics recommends administering the Hepatitis B vaccine (first dose) before hospital discharge, and if the mother is HBsAg-positive, administering HepB and 0.5 mL HBIG within 12 hours of birth 1, 2
• The Centers for Disease Control and Prevention recommends administering the DTaP vaccine (first dose) at 2 months, with subsequent doses at 4, 6, and 15-18 months, and a fifth dose at 4-6 years 1
• The Centers for Disease Control and Prevention recommends administering the Hib vaccine (first dose) at 2 months, with subsequent doses at 4, 6, and 12-15 months 1
• The Centers for Disease Control and Prevention recommends administering the IPV vaccine (first dose) at 2 months, with subsequent doses at 4, 6-18 months, and a fourth dose at 4-6 years 1
• The Centers for Disease Control and Prevention recommends administering the PCV vaccine (first dose) at 2 months, with subsequent doses at 4, 6, and 12-15 months 1
• The Centers for Disease Control and Prevention recommends administering the Rotavirus vaccine (first dose) between 6-12 weeks of age, with subsequent doses at 4 and 6 months 1
• The Centers for Disease Control and Prevention recommends administering the Influenza vaccine annually, starting at 6 months 1, 6
• The Centers for Disease Control and Prevention recommends administering the MMR vaccine (first dose) at 12 months, and a second dose at 4-6 years 1, 5
• The Centers for Disease Control and Prevention recommends administering the Varicella vaccine (first dose) at 12 months, and a second dose at 4-6 years 1, 5
• The Centers for Disease Control and Prevention recommends administering the Hepatitis A vaccine (first dose) at 12 months, with a second dose 6-18 months later 1
• The Centers for Disease Control and Prevention recommends administering the Tdap vaccine (single dose) at 11 years, and a booster dose at 16 years if at least 4 years have passed since the previous dose 6, 7
• The Centers for Disease Control and Prevention recommends administering the HPV vaccine series (first dose) at 11 years, with subsequent doses at 1-2 and 6 months, and completion by 16 years 6
• The Centers for Disease Control and Prevention recommends administering the Meningococcal conjugate vaccine (first dose) at 11 years, with a booster dose at 16 years if at least 4 years have passed since the previous dose 6

Developmental Screening

• The American Academy of Pediatrics recommends formal standardized developmental screening using validated tools at 9, 18, and 30 months, as clinical observation misses approximately 45% of children eligible for early intervention 3, 4
• The American Academy of Pediatrics recommends correcting for prematurity when assessing development in infants born before 37 weeks gestation through at least 24 months 3, 4

Adolescent Health

• The American Academy of Pediatrics recommends annual depression screening starting at age 11, as suicide is a leading cause of death in adolescents 6
• The American Academy of Pediatrics recommends providing confidential time alone with adolescents, as almost 1 in 4 adolescent boys report being too embarrassed to discuss important health issues when parents are present 6
• The American Academy of Pediatrics recommends conducting comprehensive adolescent examinations, including psychosocial screening and confidentiality, to identify opportunities for early diagnosis of conditions causing significant morbidity and mortality 6