Here are the screening tests and immunizations for infants from birth to age 2. Although
you and your health care provider may decide that a different schedule is best for
your baby, this plan can guide your discussion.
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Screening
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Who needs it
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How often
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Apgar (measurements done soon after birth -- heart rate, breathing, skin color, muscle
tone, and reflex responses -- to evaluate the newborn's general condition and alertness
at birth.
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All newborns
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1 and 5 minutes after birth
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High lead level
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All children in this age group
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Risk assessment of lead exposure at age 6, 9 and 18 months; risk assessment or blood
test at 12 and 24 months
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Newborn screenings (a series of tests for metabolic, endocrine, hemoglobin, and other
conditions; tests may vary by state)
Tests include hearing loss, congenital hypothyroidism, phenylketonuria, sickle cell
disease, cystic fibrosis, severe heart problems, and severe immunodeficiency
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All newborns. talk with your health care provider about the tests in your state
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Before leaving hospital
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Tooth decay
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Children ages 6 months and older
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Dental exams every 6 months; fluoride supplements from age 6 months to 16 years for
those with low fluoride levels in their water, fluoride varnish should be applied
every 3 to 6 months
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Immunizations
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Who needs it
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How often
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Hepatitis B vaccine
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All infants
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At birth, between ages 1 to 2 months, and a final dose between ages 6 to 18 months
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DTaP (diphtheria, tetanus, acellular pertussis)
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All infants
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At ages 2 months, 4 months, 6 months, between ages 15 to 18 months, and a booster
between ages 4 to 6 years
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Haemophilus influenzae type b conjugate
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All infants
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2-dose series: At ages 2 and 4 months; booster dose between 12 to 15 months
3-dose series: At ages 2,4, and 6 months; booster dose between ages 12 to 15 months
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Inactivated poliovirus
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All infants
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At ages 2 months, 4 months, 6 to 18 months (and a booster at 4 to 6 years)
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Pneumococcal conjugate (PCV13)
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All infants
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At ages 2 months, 4 months, 6 months, and at 12 to 15 months
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Measles, mumps, rubella (MMR)
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All infants
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First dose between ages12 to 15 months (and the second dose between 4 to 6 years,
or before starting kindergarten)
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Chickenpox (varicella)
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Those infants who have not contracted chickenpox
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Between ages 12 to15 months, and the second dose between 4 to 6 years
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Flu (seasonal); trivalent inactivated influenza
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All infants
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At age 6 months, and then annually when the flu vaccine becomes available in the community;
the first year your child gets this vaccine 2 doses are required
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Hepatitis A
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All infants
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Between ages 12 to 23 months, with a second dose at least 6 months after the first
dose
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Rotavirus
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All infants
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2-dose series: At ages 2 months, and 4 months
3-dose series: At ages 2,4, and 6
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