| Complete Exam |
Date |
Lab/screening tests |
Results |
Immunizations |
Date Given |
| 2 weeks |
|
|
|
|
|
| 2 months |
|
|
|
*DTaP (Diphtheria-Tetanus-acellular Pertussis) #1 |
|
| |
|
|
|
Hib (Haemophilus influenzae type b) #1
*IPV (Polio) #1
PCV7 (Pneumococcal Conjugate) #1
*HBV (Hepatitis B) #1
Rotavirus #1 (oral)
***DTaP, IPV, and HBV are combined |
|
| 4 months |
|
|
|
*DTaP #2
Hib #2
*IPV #2
PCV7 #2
*HBV #2
Rotavirus #2 |
|
| 6 months |
|
|
|
*DTaP #3
Hib #3
*IPV #3
PCV7 #3
*HBV #3
Rotavirus #3
Influenza (Flu) |
|
| 9 months |
|
|
|
Influenza (if not already vaccinated) |
|
| 12 months |
|
Hemoglobin Blood Lead (if indicated) |
|
MMR (Measles-Mumps-Rubella) #1
Varicella (chicken pox)
Hep A (Hepatitis A)
Influenza (if not already vaccinated) |
|
| 15 months |
|
|
|
PCV7 #4
HIB #4
Influenza (if not already vaccinated) |
|
| 18 months |
|
|
|
DTaP #4
Hep A #2
Influenza (if not already vaccinated) |
|
| 2 years |
|
Hemoglobin Blood Lead (if indicated) |
|
Influenza (if not already vaccinated) |
|
| 3 years |
|
Vision screen |
|
Influenza (if not already vaccinated) |
|
| 4 years |
|
Vision screen
Hearing screen
Cholesterol (if indicated)
Blood Lead (if indicated) |
|
Influenza (if not already vaccinated) |
|
| 5 years |
|
Vision screen
Hearing screen
Urinalysis |
|
DTaP # 5
IPV #4
MMR #2
Varicella #2 |
|
| 6, 7, 8, 9, 10 years |
|
Vision/hearing |
|
|
|
| 11 years |
|
Vision/hearing |
|
Tdap (Tetanus-diphtheria-pertussis)
Meningococcal HPV (Human Papillomavirus) (3-vaccine series)
|
|
| 12, 13, 14, 15, 16, 17 years |
|
Vision/hearing Hemoglobin (for females, if indicated)
Urinalysis (if indicated) |
|
Meningococcal (if not already vaccinated) HPV series (if not already vaccinated) |
|
| 18 years |
|
Vision/hearing
TB skin test (if indicated)
Pelvic exam (for females, if indicated)
Hemoglobin (for females, if indicated) |
|
Meningococcal (if not already vaccinated)
HPV series (if not already vaccinated) |
|
| 19, 20, 21+ years |
|
Vision/hearing
Hemoglobin (for females, if indicated)
Pelvic exam (for females, if indicated) |
|
Td (when 10 years past previous dose)
Meningococcal(if not already vaccinated)
HPV series (if not already vaccinated) |
|