Keeping track of your child’s immunizations can feel like a complex puzzle, but your pediatrician is here to help. At every visit, it’s important to discuss your child’s vaccination status and ensure they’re up to date on recommended shots. It can be helpful to take a photo of your child’s immunization records to keep on your phone or computer so that you always have it on hand, especially if your child has received care at a multiple clinics or in another state or country.

The chart below illustrates the approximate schedule of recommended vaccines by age group. Parents should ask their pediatrician at every visit if their child is up-to-date on their shots.

Doctors try to limit frequent injection numbers through combination vaccines

When available, many immunizations are given as combination vaccines. Combination vaccines are single shots that contain multiple vaccines. Combination vaccines allow immunizations to be given as one shot so that your child does not have to receive multiple injections. Common combination vaccines are DTaP (Diphtheria, Tetanus, and acellular Pertussis), MMR (Measles, Mumps, Rubella) and Vaxelis (DTaP, Polio, Haemophilus influenzae type B, Hepatitis B).

It is important to note that immunizations are given based on your child’s past immunizations, as well as available supply. Sometimes your pediatrician may recommend a combination vaccine that will give your child an additional dose of an immunization. This occurs commonly and is safe and will limit the number of injections that your child receives.

Newborns to 18 months

Newborn visit (1-2 days after hospital or birth center discharge

• Hepatitis B, Dose 1 of 3 (if not received at birth)
• Respiratory Syncytial Virus (RSV, given during RSV season, if mother was not immunized in pregnancy and if not received at birth)

2 weeks well child visit

• None, if up-to-date on immunization schedule
• RSV, if not already given during current RSV season, needed once

1 month well child visit

• Hepatitis B, Dose 2 of 3
• RSV, if not already given during current RSV season, needed once

2 months well child visit

• DTaP, Dose 1 of 5
• Polio, Dose 1 of 4
• HiB, Dose 1 of 4
• PCV, Dose 1 of 4
• Rotavirus (oral), Dose 1 of 3
• RSV, if not already given during current RSV season, needed once

4 months well child visit

• DTaP, Dose 2 of 5
• Polio, Dose 2 of 4
• HiB, Dose 2 of 4
• PCV, Dose 2 of 4
• Rotavirus (oral), Dose 2 of 3
• RSV, if not already given during current RSV season, needed once

6 months well child visit

• Hepatitis B, Dose 3 of 3
• DTaP, Dose 3 of 5
• Polio, Dose 3 of 4
• HiB, Dose 3 of 4
• PCV, Dose 3 of 4
• Rotavirus (oral), Dose 3 of 3
• Influenza, which is given every year during the flu season. For children, ages 6 months to 8 years, receiving the flu vaccine for the first time, two doses are needed four weeks apart.
• COVID, which is given every year during cold/flu season. For children ages 6 months to 4 years receiving the COVID vaccine for the fist time, two or three doses are needed depending on the product used.
• RSV, if not already given during current RSV season, needed once

9 months well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

12 months well child visit

• PCV, Dose 4 of 4
• Chicken Pox, Dose 1 of 2
• Measles, Mumps, and Rubella, Dose 1 of 2
• Hepatitis A, Dose 1 of 2
• Influenza – if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

15 months well child visit

• DTaP, Dose 4 of 4
• HiB, Dose 4 of 4
• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

18 months well child visit

• Hepatitis A, Dose 2 of 2
• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

Vaccines needed for 2 to 9 year olds

2 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

2 1/2 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

3 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

4 years well child visit

• DTaP, Dose 5 of 5
• Polio, Dose 4 of 4
• Chicken Pox, Dose 2 of 2
• Measles, Mumps, and Rubella, Dose 2 of 2
• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

5 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

6 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

7 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

8 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

9 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

Vaccinations for 10 to 14 year olds

10 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

11 years well child visit

• Tdap, Dose 1 (Booster dose is then needed every 10 years)
• HPV, Doses 1 of 2 (Dose 2 is given 6 months after Dose 1)
• Meningococcal ACWY, Dose 1 of 2
• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

12 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

13 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

14 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

Vaccines in 15 to 21 year olds

15 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

16 years well child visit

• Meningococcal ACWY, Dose 2 of 2
• Discuss with your pediatrician whether your child needs the Meningococcal B vaccine, Dose 1 of 2 (Dose 2 is given 6 months after Dose 1)
• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

17 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

18 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

19 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

20 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year

21 years well child visit

• Influenza, if not already given during the current flu season, needed every year
• COVID, if not already given during the current cold/flu season, needed every year