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Recommended Well Visit and Immunization Schedule

The schedule below is based on recommendations by the American Academy of Pediatrics. North River Pediatrics is committed to delivering high quality medical care. We believe that periodic well check-ups are an integral part of that commitment. We recommend frequent check-ups during infancy and yearly beginning at three years. We feel these visits are important to assess growth and development, and to offer advice regarding safety and emotional issues that are an important part of a healthy childhood. Please note that after age 3 years, insurance carriers will only pay for one well visit every 365 days, so please check eligibility with your carrier if there are any questions.

Recommended Immunization Schedule

2 months
4 months
6 months
12 months
15 months
4 years
16-18 years

Vaccine Information Sheets

DTaP (Diphtheria, Tetanus, and Pertussis) - Daptacel, Infanrix, Tripedia

Flu Shot (Influenza (Flu) Vaccine) - Fluzone, Fluvirin, Fluarix

Hep A (Hepatitis A) - Havrix, Vaqta

Hep B (Hepatitis B) - Engerix-B, Recombivax HB

Hib (Haemophilus Influenzae Type b) - PedvaxHIB, ActHIB, Hiberix, HibTITER

HPV Gardasil-9 (Human Papillomavirus) - Gardasil-9

IPV (Polio) - Ipol

Meningococcal ACWY (Meningococcal ACWY Vaccines) - Menomune, Menactra, Menveo

MMR (Measles, Mumps, and Rubella) - M-M-R II

MMRV (Measles, Mumps, Rubella & Varicella) - ProQuad

Multiple Vaccines (DTaP, Hib, Polio, Or DTaP & Polio) - Pentacel, Kinrix

PCV13 (Pneumococcal Conjugate) - Prevnar 13

PPV (Pneumococcal Polysaccharide)

Rotavirus (Rotavirus) - RotaTeq, Rotarix

TdaP (Tetanus, Diphtheria, Pertussis) - Boostrix, Adacel

Varicella (Chickenpox) - Varivax

Meningococcal (Serogroup B - Men B) (Serogroup B Meningococcal (Men B)) - Trumenba

FLU VACCINE:  The American Academy of Pediatrics recommends that all children who will be older than 6 months of age during the flu season (November-March), and their contacts should receive a yearly flu vaccine. (The vaccine is not approved for use in children under the age of 6 months.)

For children under the age of 9 years, the first year they receive the vaccine, they must have 2 vaccines one month apart. 

HEPATITIS A:  Hepatits A vaccine is now included in the vaccines given to all children prior to age 2. If you have an older child who was 2 years old prior to the currrent recommendation, we recommend they receive the 2 shot series (6-12 months apart) prior to graduating from high school.

Menactra (meningococcal vaccine):  It is now recommended that teens have 2 doses of Menactra prior to high school graduation.

More Vaccine Articles

ASDs Family Handout—Vaccines (Some parents of children with autism spectrum disorders (ASDs) may worry about a possible link between vaccines and ASDs. In fact, one recent survey said that 54% of parents of children with ASDs thought ASDs were caused by immunizations. The consensus of health professionals based on scientific research is that there is no evidence that vaccines cause ASDs. Despite these scientific data, parents continue to worry that vaccines may cause children at risk for ASDs to develop symptoms at the time many childhood vaccinations are given. Some common questions that parents have include).

Chickenpox Vaccine (Please see the related Vaccine Information Statement, The Chickenpox Vaccine: What You Need to Know)

DTaP (Diphtheria, Tetanus, and Pertussis Vaccines): What You Need to Know (VIS) (Diphtheria, tetanus, and pertussis are serious diseases caused by bacteria. Diphtheria and pertussis are spread from person to person. Tetanus enters the body through cuts or wounds. Click here for the more info.) 

Haemophilus influenzae Type b (Please see the related Vaccine Information Statement, Haemophilus Influenzae Type b (Hib) Vaccine: What You Need to Know

Haemophilus influenzae type b (Hib): What You Need to Know (VIS) (Haemophilus influenzae type b (Hib) disease is a serious disease caused by bacteria. It usually affects children under 5 years old. It can also affect adults with certain medical conditions.) 

Hepatitis A Vaccine (VIS) (Hepatitis A is a serious liver disease. It is caused by the hepatitis A virus (HAV). HAV is spread from person to person through contact with the feces (stool) of people who are infected, which can easily happen if someone does not wash his or her hands properly. You can also get hepatitis A from food, water, or objects contaminated with HAV.) 

Hepatitis B Vaccine (VIS) (Hepatitis B is a serious disease that affects the liver. It is caused by the hepatitis B virus. Hepatitis B can cause mild illness lasting a few weeks, or it can lead to a serious, lifelong illness. )

Hepatitis B Vaccine: What Parents Need to Know (Newborns who don’t get the vaccine at birth should get all 3 doses as soon as possible at the recommended intervals.) 

Hepatitis C (About 4 million Americans are infected with Hepatitis C virus (HCV), and many do not even know it. Anyone can get infected with HCV, including children.) 

HPV (Human Papillomavirus) Vaccine: What You Need to Know (HPV vaccine prevents infection with human papillomavirus (HPV) types that are associated with many cancers, click here for more informationa) 

Immunizations: What You Need to Know (Vaccines are effective. Vaccines save lives.) 

Influenza Vaccine (Inactivated or Recombinant) (VIS) (Influenza (“flu”) is a contagious disease that spreads around the United States every year, usually between October and May.) 

Meningococcal ACWY Vaccines — MenACWY and MPSV4 (VIS) (Meningococcal disease is a serious illness caused by a type of bacteria called Neisseria meningitidis. It can lead to meningitis (infection of the lining of the brain and spinal cord) and infections of the blood. Meningococcal disease often occurs without warning — even among people who are otherwise healthy.) 

Meningococcal Disease—Information for Teens and College Students (There are 3 types of meningococcal vaccines available in the United States that may protect against certain serotypes. Two types of meningococcal vaccines are given to teens and young adults.) 

MMR (Measles, Mumps & Rubella) Vaccine: What You Need to Know (VIS) (Measles, mumps, and rubella are serious diseases. Before vaccines they were very common, especially among children. Click here for more information.) 

Pneumococcal Conjugate Vaccine: What You Need to Know (VIS) (Vaccination can protect both children and adults from pneumococcal disease.)

Pneumococcal Infections (Pneumococcus is a type of bacteria that can attack different parts of the body and cause many serious infections including) 

Polio Vaccine (VIS) (Vaccination can protect people from polio. Polio is a disease caused by a virus. It is spread mainly by person-to-person contact. It can also be spread by consuming food or drinks that are contaminated with the feces of an infected person.) 

Protect Yourself and Help Protect Your Baby: Information for New Moms on the Tdap Vaccine (Congratulations on your new baby! Your baby is the greatest gift you will ever receive. One of your biggest jobs as a parent is to keep your child safe and healthy. One way do this is to make sure your children get all the immunizations they need to protect them from different diseases. But did you know that there is an immunization that you as a parent should get to keep your children safe?) 

Rotavirus Vaccine: What You Need to Know (VIS) (Rotavirus is a virus that causes diarrhea, mostly in babies and young children. The diarrhea can be severe, and lead to dehydration. Vomiting and fever are also common in babies with rotavirus. Click here for more information.) 

Seasonal Influenza (Flu) (All flu viruses cause a respiratory illness that can last a week or more. Flu symptoms include ) 

Td (Tetanus, Diphtheria) VIS (Tetanus and diphtheria are very serious diseases. They are rare in the United States today, but people who do become infected often have severe complications. Td vaccine is used to protect adolescents and adults from both of these diseases.) 

Tdap (Tetanus, Diphtheria, and Pertussis): What You Need to Know (VIS) (Tetanus, diphtheria, and pertussis are very serious diseases. Tdap vaccine can protect us from these diseases. And, Tdap vaccine given to pregnant women can protect newborn babies against pertussis.) 

Varicella (Chickenpox) Vaccine (VIS) (Chickenpox (also called varicella) is a common childhood disease. It is usually mild, but it can be serious, especially in young infants and adults.) 

Your Child’s First Vaccines: What You Need to Know (VIS) (The vaccines covered on this statement are those most likely to be given during the same visits during infancy and early childhood. Other vaccines (including measles, mumps, and rubella; varicella; rotavirus; influenza; and hepatitis A) are also routinely recommended during the first five years of life.)

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North River Pediatrics
3369 NE Stephens St Suite 100 | Roseburg, OR 97470 |
(541) 677-6116 | Fax: (541) 957-5181 | DIRECTIONS