{"id":108687,"date":"2026-02-21T11:16:07","date_gmt":"2026-02-21T19:16:07","guid":{"rendered":"https:\/\/www.seattleschild.com\/?p=108687"},"modified":"2026-02-21T11:16:07","modified_gmt":"2026-02-21T19:16:07","slug":"childhood-immunization-schedule-guide","status":"publish","type":"post","link":"https:\/\/www.seattleschild.com\/childhood-immunization-schedule-guide\/","title":{"rendered":"A Parent\u2019s Guide to the Childhood Immunization Schedule"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">February can feel like one big cycle of colds, missed days of school, and viruses running through the family. Hang in there! Spring is coming, and usually brings fewer flus and colds. Keeping our children safe from serious illness is a crucial job for parents. Immunizing them against infections and diseases is a proven, safe, and effective way to do that. Following a recommended vaccination schedule against contagious diseases protects them now and sets our kids up for a healthier future. Here\u2019s a look at immunization recommendations.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">I\u2019ll start by reiterating that there is robust evidence to support the safety, effectiveness, and necessity of vaccines. The American Academy of Pediatrics (AAP) <\/span><a href=\"https:\/\/www.healthychildren.org\/English\/safety-prevention\/immunizations\/Pages\/Recommended-Immunization-Schedules.aspx?_gl=1*1jnnuqn*_ga*MTU0NTc4NjUzNy4xNzY3NzMwNjE0*_ga_FD9D3XZVQQ*czE3Njg3NzUxMDIkbzQkZzAkdDE3Njg3NzUxMDIkajYwJGwwJGgw\"><span style=\"font-weight: 400;\">recommends a vaccine schedule<\/span><\/a><span style=\"font-weight: 400;\"> for when and how many doses children in the U.S. receive. Navigating the schedule might look complex at first glance, but it&#8217;s helpful to know it\u2019s based on the times when vaccines work best with children\u2019s immune systems and when they are most vulnerable to certain diseases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">I consider the <\/span><a href=\"https:\/\/www.aap.org\/\"><span style=\"font-weight: 400;\">AAP<\/span><\/a><span style=\"font-weight: 400;\"> a trusted resource for parents who have questions on immunizations, along with discussing vaccines with your child\u2019s provider. Let\u2019s look at the vaccine schedule to better understand how you are protecting your child and why it\u2019s recommended to start vaccines at these times. <\/span><\/p>\n<h3>Vaccines recommended at birth<\/h3>\n<ul>\n<li><b>Hepatitis B<\/b><span style=\"font-weight: 400;\"> is the first vaccine most babies receive, with the first dose within 24 hours of birth. Why? People who are infected with hepatitis B as a baby have a 90% chance of developing serious, chronic conditions like liver damage and liver cancer in their lifetime.<\/span><\/li>\n<li><b>Respiratory syncytial virus (RSV)<\/b><span style=\"font-weight: 400;\">\u00a0is extremely common overall and is the top cause of hospitalization for babies, so the vaccine is recommended at birth and sometimes for pregnant mothers who can pass protective antibodies on to babies. <\/span><\/li>\n<\/ul>\n<h3>Vaccines for babies at 2 months<\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Diphtheria, tetanus and acellular pertussis (DTaP) vaccine<\/b><span style=\"font-weight: 400;\"> prevents serious illness from these three diseases.<\/span><\/li>\n<\/ul>\n<p style=\"padding-left: 40px;\"><span style=\"font-weight: 400;\">We hear about DTaP, what\u2019s it all about? Before we had a vaccine, diphtheria killed 1 out of every 5 kids who were infected. Awful, I know. Pertussis, also known as \u201cWhooping Cough,\u201d is characterized by a severe cough caused by bacteria damaging the airways. Babies with pertussis may need hospitalization and are at risk of death.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p style=\"padding-left: 40px;\"><span style=\"font-weight: 400;\">Tetanus\u00a0is caused by bacteria already present in the soil or dust, usually from a cut or puncture wound. You can\u2019t protect kids from getting cuts and scrapes out there, but you can protect them from a painful disease with a tetanus vaccine. <\/span><\/p>\n<ul>\n<li><span style=\"box-sizing: border-box; margin: 0px; padding: 0px;\"><em><strong>Haemophilus influenzae<\/strong><\/em><strong>\u00a0type B (Hib) vaccine\u00a0<\/strong>prevents several types of illness, some life-threatening, including ear infections, lung infection, and\u00a0<a href=\"https:\/\/www.healthychildren.org\/English\/health-issues\/conditions\/head-neck-nervous-system\/Pages\/Meningitis.aspx\" target=\"_blank\" rel=\"noopener\">meningitis<\/a>.<\/span><\/li>\n<li><b>Polio (IPV) vaccine\u00a0<\/b><span style=\"font-weight: 400;\">prevents a disease that causes death and paralysis. Polio\u00a0outbreaks still occur in the U.S., so unvaccinated children are at risk.<\/span><\/li>\n<li><b>Pneumococcal vaccine\u00a0<\/b><span style=\"font-weight: 400;\">prevents disease caused by bacteria that can cause ear infections, pneumonia and sometimes sepsis, an overwhelming infection.<\/span><\/li>\n<li><b>Rotavirus (RV) vaccine<\/b><span style=\"font-weight: 400;\"> stops the highly infectious virus that is the main cause of diarrhea in children.<\/span><\/li>\n<\/ul>\n<h3>Immunizations at 6 months<\/h3>\n<ul>\n<li><b>COVID-19 <\/b><b>vaccine,<\/b><span style=\"font-weight: 400;\"> which we know is safe and effective. Children younger than 2 years old are at the highest risk for severe COVID-19 and hospitalization. The AAP recommends the COVID vaccine for all young children aged 6 months through 23 months. Beyond that age, it recommends the vaccine for children and teens with risk factors for COVID or whose parents want COVID vaccine protection.<\/span><\/li>\n<li><b>Influenza (flu) vaccine <\/b>is <span style=\"font-weight: 400;\">for an unpredictable disease. You don\u2019t know if your child will have a mild case, missing a few days of school, or a severe flu that needs hospital care. Annual flu shots are recommended for everyone.<\/span><\/li>\n<\/ul>\n<h3>Vaccines for toddlers (12\u201318 months)<\/h3>\n<ul>\n<li><b>Varicella vaccine<\/b><span style=\"font-weight: 400;\"> prevents &#8220;chickenpox,&#8221; and the <\/span><b>Hepatitis A vaccine<\/b><span style=\"font-weight: 400;\">\u00a0provides lifelong protection from a serious liver disease.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Measles, mumps, and rubella (MMR) vaccine<\/b><span style=\"font-weight: 400;\"> protects most people for life for these diseases with serious consequences.\u00a0<\/span><\/li>\n<\/ul>\n<p style=\"padding-left: 40px;\"><span style=\"font-weight: 400;\">Since we\u2019ve recently had another outbreak of measles here, I\u2019ll say a little more on measles. Nearly 1 out of every 3 children under the age of 5 who catches measles ends up in the hospital. The measles virus is quite contagious; it can remain in the air for up to two hours. It incubates for 10 to 14 days, so an infected person could spread it widely before the rash even appears. The vaccine lasts a lifetime with 97% protection against the virus, protecting you and your community.<\/span><\/p>\n<h3>Vaccines for school-age kids and teens<\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Meningococcal vaccines<\/b><span style=\"font-weight: 400;\"> protect older kids from a fast-acting disease that is life-threatening if it&#8217;s not caught and treated early, within a few hours. Infections are spread in saliva through close contact, such as coughing or kissing.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Human papillomavirus (HPV)<\/b><span style=\"font-weight: 400;\"> prevents\u00a0six types of cancer. Vaccinating kids against HPV when they are ages 9-12 years will allow them to build strong immunity against the virus before they are exposed to it. Here\u2019s my <\/span><a href=\"https:\/\/www.seattleschild.com\/guide-to-the-hpv-vaccine-ask-the-pediatrician\/\"><span style=\"font-weight: 400;\">guide to the HPV vaccine.<\/span><\/a><\/li>\n<li><b>Tetanus, diphtheria, and pertussis booster:<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">The protection your teen got from their childhood vaccine starts to wear off around age 11. They will need a booster <\/span><span style=\"font-weight: 400;\">vaccine every 10 years as an adult as well.<\/span><\/li>\n<\/ul>\n<h3>Catch-up immunizations: What parents should know<\/h3>\n<p><span style=\"font-weight: 400;\">Children and teens can catch up on recommended immunizations if there are doses or vaccines you missed, check with your provider. <\/span><span style=\"font-weight: 400;\">Immunization helps protect your child now from serious illness and can protect health over a lifetime.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Navigating immunization schedules and recommendations <\/p>\n","protected":false},"author":1209,"featured_media":108688,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"ep_exclude_from_search":false,"footnotes":""},"categories":[53,109],"tags":[2500,2413,2499,2357,2501,2502],"class_list":["post-108687","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-sponsored-content","tag-baby","tag-health","tag-kids-health","tag-parenting-advice","tag-school-age","tag-teen"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.0 (Yoast SEO v26.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Childhood Immunization Schedule: What Parents Need to Know<\/title>\n<meta name=\"description\" content=\"Learn the childhood immunization schedule, why vaccines matter, and how they protect kids from serious illness.\" \/>\n<meta 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