Baby Shots Eng
Baby Shots Eng
Baby Shots Eng
2 DTaP/DT/Td
3 DTaP/DT/Td
4 DTaP/DT/Td
5 DTaP/DT/Td
1 Tdap/Td
1 Hib
2 Hib
3 Hib
4 Hib
1 IPV
2 IPV
3 IPV
4 IPV
5 IPV
1 MMR/MMRV
2 MMR/MMRV
1 Varicella
2 Varicella
1 Rotavirus
2 Rotavirus
3 Rotavirus
1 PCV
2 PCV
4052 Bald Cypress Way, Bin A11
3 PCV Tallahassee, FL 32399-1719
4 PCV
Phone: 850-245-4342
Fax: 850-922-4195
1 MCV www.ImmunizeFlorida.org
2 MCV Immunizing Florida. Protecting Health.
1 HPV
2 HPV
3 HPV
10/13
This form is available printed separately as DH 686, Stock Number 5740-000-0686-5
Protect your child.
Use this card for keeping up-to-date with your 12-23 months Hep A (2 doses) 2 Hep B
child’s shots and carry it in your wallet for easy 15-18 months DTaP 3 Hep B
reference. Make sure your doctor writes your 4-6 years DTaP, IPV, MMR, VZV 1 Hep A
child’s shots on this immunization record at every 11-12 years Tdap, HPV (3 doses), MCV 2 Hep A
Other
visit. 13-18 years Consult with your healthcare
Other
provider
Key to Immunization Schedule * May not be necessary depending on brand.
Other
Shot Diseases
What Your Child Needs For Protection Please fold on dotted line
Against Serious Childhood Diseases 1 *Flu (IIV/LAIV)
Hib Haemophilus influenzae type B
2 *Flu (IIV/LAIV)
Hep A Hepatitis A This schedule indicates the recommended ages Yearly *Flu (IIV/LAIV)
Hep B Hepatitis B for routine administration of currently licensed Yearly *Flu (IIV/LAIV)
MMR Measles-Mumps-Rubella childhood vaccines. Any dose not given at the Other
VZV Varicella (chickenpox) recommended age should be given at the next Other
DTaP Diphtheria-Tetanus-Pertussis visit, when possible. If your child has not had Other
(whooping cough) shots or is behind in getting them, make an All children ages 6 months through 8 years who receive influenza vaccine for the first
time should be given 2 doses. Children who receive only one dose in the first year of
DT Diphtheria-Tetanus appointment now. For additional information vaccination should receive two doses in their second year of vaccination.
*Seasonal
Td Tetanus-Diphtheria regarding the vaccination schedule, contact your
healthcare provider or County Health Department Please fold on dotted line
Tdap Tetanus-Diphtheria-Pertussis
(for a complete County Health Department listing
(whooping cough)
visit: www.FloridasHealth.com/chdsitelist.htm).
IPV Inactivated Polio Vaccine Immunization Record
PCV Pneumococcal Conjugate Vaccine For complete immunization schedules visit the Name
IIV Inactivated Influenza Vaccine Centers for Disease Control and Prevention (CDC) (Last, First, MI)
Notice to parents: Please take this card with you when you visit your doctor or clinic
and have them fill in the information.