Immunizations for children and Teens

Timely immunizations (also known as “vaccinations”) help to keep your family and the community healthy. Immunizations are a regular part of well-child visits.

Below you’ll find a general list of vaccines that we recommend for children and adults. Some immunizations are given in a single shot, while others require a series of shots over a period of time. Missed doses can often be made up.

Get answers to frequently asked questions about immunizations and find immunization definitions in our glossary.

Name of vaccine Recommendations
Chickenpox (varicella) 2 doses total: given at 12 months and 4 to 6 years if no prior history of chickenpox. Children 4 years and older who have had 1 dose of vaccine need a second dose.
Diphtheria, tetanus, and pertussis (DTaP) 5 doses total: given at 2, 4, 6, 12 to 15 months, and 4 to 6 years. Minimum age: 6 weeks. Not given to children 7 years of age or older.
Haemophilus influenzae type b (Hib) 4 doses total: given at 2, 4, 6, and 12 months. Minimum age: 6 weeks. Generally not given to children 5 years of age and older. Hib is a cause of pneumonia and bacterial meningitis, particularly in children under 5 years of age.
Hepatitis A (HepA) 2 doses total: given at 12 and 18 months. May be given to older patients (no maximum age) with a minimum of 6 months between the 2 doses.
Hepatitis B (HepB) 3 doses total: given at birth, 1 to 2 months, and 6 months. If receiving combined DTap-IPV-HepB vaccine, an extra dose may be given to infants at age 4 months. May be given to older patients.
Human papillomavirus (HPV) 3-dose series for boys and girls starting at age 11 to 12 years. Minimum age: 9 years.The second dose is given 2 months after the first.The third dose is given at least 3 months after the second dose and at least 6 months after the first dose.HPV causes cervical cancer, anal cancer, and some other types of cancer.
Inactivated influenza (flu shot) Annually starting at age 6 months.Doses: Children 6 months to 9 years who are getting a flu shot for the first time or did not receive the H1N1 vaccine last year need 2 shots, given a month apart.
Live intranasal influenza Annually starting at age 2 years for children who do not have asthma or other specific high-risk medical conditions.Doses: Children 6 months to 9 years who are getting a flu shot for the first time or did not receive the H1N1 vaccine last year need 2 shots, given a month apart.
Inactivated poliovirus (IPV) 4 doses total: given at 2, 4, 6 months, and 4 to 6 years. In California, the fourth dose may be given as young as age 12 months. Minimum age: 6 weeks.
Measles, mumps, and rubella (MMR) 2 doses total: given at 12 months and 4 to 6 years. Single-agent vaccines for measles and mumps are no longer available. If given before age 12 months for international travel or a disease outbreak, 2 subsequent doses are still needed. Minimum age: 6 months.
Meningococcal conjugate (MCV) 1 dose: given at 11 to 12 years or older (up to age 21). Booster dose: given at 16 to 21 years to those who got their first dose before age 16.
Pneumococcal conjugate (PCV) 4 doses total: given at 2, 4, 6, and 12 months. Minimum age: 6 weeks. Generally not given to children 5 years of age and older. Given to children 2 years of age and older with special high-risk medical conditions. Pneumococci are a common cause of bacterial meningitis, pneumonia, and ear infections.
Pneumococcal polysaccharide (PPSV23) Given to children 2 years of age and older with special high-risk medical conditions. Pneumococci are a common cause of bacterial meningitis, pneumonia, and ear infections.
Rotavirus (RV) 3 doses total: given at 2, 4, and 6 months. Minimum age: 6 weeks. Maximum age for the first dose is 14 weeks and 6 days. Final dose in the series is given by age 8 months and 0 days.
Tetanus, diphtheria, and acellular pertussis booster for teens and adults (Tdap)Also available: Tetanus and diphtheria (Td) 1 dose: given at age 11 years and older. (Children ages 7 to 10 years who did not get the complete DTaP series will get a Tdap booster.) Proof of vaccination is now required for entry into 7th through 12th grades in the fall of 2012. Vaccinating teens and adults prevents pertussis cough illness (up to 3 months of cough) and also prevents infants from developing whooping cough, a potentially fatal disease.

Remember … Flu shot

ABC Pediatrics Fresno Seasonal Flu Vaccination*

Protect yourself and your family. Get a flu shot.

The seasonal flu is more serious than the common cold and is easily transmitted to others.

Everyone should get a flu shot every year. It can help protect you from getting sick and keep you from spreading the flu to others – especially those at higher risk during flu season, such as pregnant women, the elderly, and people with ongoing health conditions.

The Centers for Disease Control and Prevention recommends that all children 6 months and older and every adult get vaccinated against the flu.

Walk-in Flu Shots: Pediatric flu shots are available on a walk-in basis Monday through Friday, between the hours of 8 a.m. to 5 p.m.

Flu shots will be available throughout the winter. For more information about preventing or treating the flu, visit our website.

* The 2016-2017 vaccination season begins on September 1, 2016.

 

GET THE FACTS!

A. INJECTION VACCINE (Flu Shot)

1) Will not give you the flu.

2) For people 6 months and older, including those with chronic conditions or who have a weakened immune system due to chemotherapy or other conditions

3) An inactivated (dead) vaccine helps boost the immune system into producing vaccine antibodies

4) Highly effective

5) Provides protection in one way:  a) Makes systemic (body) antibodies in the bloodstream

6) Mild reactions may include soreness, redness and swelling where shot is given. Children are more likely to experience fever or muscle aches.

 

B. Flu Shot Common Side Effects and Self Care                                                            

Children and adolescents may experience mild reactions:

>  Soreness, redness, or swelling where the shot was given

>  Fever or body aches

>  Children are more likely to experience aches or fever because they have not had much exposure to flu viruses

> Self-care:  1)  Ice to injection site if pain, redness or swelling 2) Over the counter analgesics for pain, fever 3)  If these problems occur, they usually begin soon after the shot and last 1 to 2 days.

 

C. Flu Vaccine Reminders

>  Symptoms usually do not last long and go away on their own

>  Contact Dr. Shahinfar if experiencing an allergic reaction that includes a rash

>  Seek immediate medical attention if: shortness of breath or swelling of the lips or tongue

 

NASAL FLU VACCINE (FluMist)

On June 28, 2016, the Centers for Disease Control Advisory Committee on Immunization Practices recommended that FluMist , the nasal spray influenza vaccine, not be used for the upcoming 2016-2017 flu season.

 

For more information to help you prepare for flu season, call us.

 

 

Immunization for Children and Teens

At ABC Pediatrics Fresno, we provide preventive care to help you stay well. Following screening and immunization guidelines can help you and your family plan your care. These guidelines are for generally healthy people. You and Dr. Shahinfar will make a prevention plan that may be different, based on your individual needs.

At ABC Pediatrics Fresno, preventive care is an essential part of your children’s health. Preventive Care includes immunizations and screenings to detect possible diseases and help you stay well, such as:

  • immunizations for children from birth to 18 years
  • obesity screening and counseling for children

Immunizations and screening tests are important preventive care services that your children receive during checkups and other office visits.

Immunizations for children and Teens

Timely immunizations (also known as “vaccinations”) help to keep your family and the community healthy. Immunizations are a regular part of well-child visits.

Below you’ll find a general list of vaccines that we recommend for children and adults. Some immunizations are given in a single shot, while others require a series of shots over a period of time. Missed doses can often be made up.

Get answers  to frequently asked questions about immunizations and find immunization definitions in our glossary.

Name of vaccine Recommendations
Chickenpox (varicella) 2 doses total: given at 12 months and 4 to 6 years if no prior history of chickenpox. Children 4 years and older who have had 1 dose of vaccine need a second dose.
Diphtheria, tetanus, and pertussis (DTaP) 5 doses total: given at 2, 4, 6, 12 to 15 months, and 4 to 6 years. Minimum age: 6 weeks. Not given to children 7 years of age or older.
Haemophilus influenzae type b (Hib) 4 doses total: given at 2, 4, 6, and 12 months. Minimum age: 6 weeks. Generally not given to children 5 years of age and older. Hib is a cause of pneumonia and bacterial meningitis, particularly in children under 5 years of age.
Hepatitis A (HepA) 2 doses total: given at 12 and 18 months. May be given to older patients (no maximum age) with a minimum of 6 months between the 2 doses.
Hepatitis B (HepB) 3 doses total: given at birth, 1 to 2 months, and 6 months. If receiving combined DTap-IPV-HepB vaccine, an extra dose may be given to infants at age 4 months. May be given to older patients.
Human papillomavirus (HPV) 3-dose series for boys and girls starting at age 11 to 12 years. Minimum age: 9 years.The second dose is given 2 months after the first.The third dose is given at least 3 months after the second dose and at least 6 months after the first dose.HPV causes cervical cancer, anal cancer, and some other types of cancer.
Inactivated influenza (flu shot) Annually starting at age 6 months.Doses: Children 6 months to 9 years who are getting a flu shot for the first time or did not receive the H1N1 vaccine last year need 2 shots, given a month apart.
Live intranasal influenza Annually starting at age 2 years for children who do not have asthma or other specific high-risk medical conditions.Doses: Children 6 months to 9 years who are getting a flu shot for the first time or did not receive the H1N1 vaccine last year need 2 shots, given a month apart.
Inactivated poliovirus (IPV) 4 doses total: given at 2, 4, 6 months, and 4 to 6 years. In California, the fourth dose may be given as young as age 12 months. Minimum age: 6 weeks.
Measles, mumps, and rubella (MMR) 2 doses total: given at 12 months and 4 to 6 years. Single-agent vaccines for measles and mumps are no longer available. If given before age 12 months for international travel or a disease outbreak, 2 subsequent doses are still needed. Minimum age: 6 months.
Meningococcal conjugate (MCV) 1 dose: given at 11 to 12 years or older (up to age 21). Booster dose: given at 16 to 21 years to those who got their first dose before age 16.
Pneumococcal conjugate (PCV) 4 doses total: given at 2, 4, 6, and 12 months. Minimum age: 6 weeks. Generally not given to children 5 years of age and older. Given to children 2 years of age and older with special high-risk medical conditions. Pneumococci are a common cause of bacterial meningitis, pneumonia, and ear infections.
Pneumococcal polysaccharide (PPSV23) Given to children 2 years of age and older with special high-risk medical conditions. Pneumococci are a common cause of bacterial meningitis, pneumonia, and ear infections.
Rotavirus (RV) 3 doses total: given at 2, 4, and 6 months. Minimum age: 6 weeks. Maximum age for the first dose is 14 weeks and 6 days. Final dose in the series is given by age 8 months and 0 days.
Tetanus, diphtheria, and acellular pertussis booster for teens and adults (Tdap)Also available: Tetanus and diphtheria (Td) 1 dose: given at age 11 years and older. (Children ages 7 to 10 years who did not get the complete DTaP series will get a Tdap booster.) Proof of vaccination is now required for entry into 7th through 12th grades in the fall of 2012. Vaccinating teens and adults prevents pertussis cough illness (up to 3 months of cough) and also prevents infants from developing whooping cough, a potentially fatal disease.