New parents are often surprised by the number of vaccines that pediatricians recommend during a baby's first year of life. Most infants will receive multiple injections at each routine visit to the doctor. You might feel overwhelmed keeping track of which vaccinations your baby is receiving. This schedule, as recommended by both the American Academy of Pediatrics and the Centers for Disease Control and Prevention, gives you an overview of the typical vaccine layout so you know what to expect at each visit.
Newborns receive the first of three hepatitis B (HepB) vaccines soon after birth. Hepatitis B shots given to newborns within 12 hours of birth are the most effective, according to the Centers for Disease Control and Prevention. Hepatitis B spreads through blood and body fluids.
Your child's doctor will administer the second hepatitis B injection between 1 and 3 months of age, according to the CDC. You might notice that your baby runs a low-grade fever after the hepatitis B vaccination. Sometimes the injection site becomes sore.
At 2 months, your child's doctor will administer the second hepatitis B vaccine if your baby did not receive it at 1 month old. Two-month-olds also receive their first DTaP injection, which protects against diphtheria, tetanus and pertussis; the IPV vaccine, which protects against polio; the Haemophilus influenzae type b (Hib) vaccine; the pneumococcal vaccine (PCV); and the first rotavirus (RV) vaccine, which is a liquid given by mouth rather than an injection, according to KidsHealth.org.
Four-month-olds receive their second rotavirus vaccine, the second DTaP injection, the second Hib vaccine, the second PCV injection and the second IPV injection.
At the six-month appointment, doctors administer the third DTaP vaccine, the third Hib injection and the third PCV vaccine. At 6 months old, babies receive their third and final rotavirus vaccine; however, if the vaccine brand administered to your baby at 2 and 4 months old is Rotarix, this third dose is not given, according to the American Academy of Pediatrics. Children also receive the third hepatitis B and IPV injections anytime between 6 and 18 months of age, says the American Academy of Pediatrics. Children 6 months and older receive the influenza vaccine seasonally.
As long as a minimum of six months have passed since the previous DTaP injection, babies can have their fourth DTaP vaccine as early as 12 months, states the American Academy of Pediatrics. Between 12 and 15 months of age, the doctor will administer the MMR vaccine, which protects against measles, mumps and rubella; the Varicella vaccine, which protects against chickenpox; the fourth Hib injection; and the fourth PCV vaccine. Children also receive two hepatitis A (HepA) vaccines between 12 and 23 months.
- Centers for Disease Control and Prevention: Immunization Schedules for Infants and Children in Easy-to-read Formats
- American Academy of Pediatrics: Recommended Immunization Schedule for Persons Aged 0 Through 6 Years
- KidsHealth: Rotavirus
- Centers for Disease Control and Prevention: Hepatitis B - Fact Sheet for Parents