Department of Pediatrics and Human Development
College of Human Medicine

Health maintenance visits (also called checkups or physicals) are an important way for us to make sure your child is healthy. At each health maintenance visit we will check your child’s growth and development, screen for common health problems, and talk to you about how to keep your child safe and healthy. We encourage you to bring up any questions or concerns you have about your child at these visits.

Immunizations are another important part of health maintenance visits. Immunizations protect your child from life-threatening diseases. For more about immunizations and why we think they are so important, please click here.

Below is a typical schedule for health maintenance visits and which vaccines are usually given at each visit. This schedule is a guideline and may vary slightly for your child.

Child’s age at visit

Vaccines Given

Number of Injections

2-4 days

None (unless Hep B vaccine not given in hospital)

None

1 month

None

None

2 months

DTaP, Hep B,IPV, HIB, PCV13, Rotavirus

3 (and one by mouth)

4 months

DTaP, IPV, HIB, PCV13, Rotavirus

3 (and one by mouth)*

6 months

DTaP, Hep B, IPV, HIB, PCV13, Rotavirus

3 (and one by mouth)

9 months

None***

None

12 months

MMR, Varivax, HIB, Hep A

4*

15 months

DTaP, PCV13

2

18 months

Hep A

1

24 months

None***

None

3 years

None***

None

4 years

MMR, Varicella, DTaP, IPV

4*

5 years -10 years (annual visits)

None***

None

11 years

TdaP, MCV4, HPV**

3

12-15 years (annual visits)

None***

None

16 years

MCV4

1

17-18 years

None***

None

*May be less depending on availability of combination vaccines
**HPV is recommended for girls 11 years old or older and requires boosters 2 months and 6 months after the initial dose.
***Note that we also recommend the influenza vaccine in the fall/winter yearly for children starting at the age of 6 months.

Key:

  • Hep B: Hepatitis B vaccine
  • DTaP: Diptheria, Tetanus and Pertussis vaccine
  • IPV: Inactivated Polio Vaccine
  • HIB: Hemophilus Influenza B vaccine
  • PCV13: pneumococcal vaccine
  • Rotavirus: rotavirus vaccine
  • MMR: Measles, mumps and rubella vaccine
  • Varicella: varicella (chicken pox) vaccine
  • Hep A: Hepatitis A vaccine
  • TdaP: Tetanus and acellular pertussis
  • MCV4: meningococcal vaccine
  • HPV: Human papilloma virus vaccine