Baby Shots Eng

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Baby Shots

Vaccine Type Date Doctor or Date


(circle specific type given) Given Clinic Next Due
1 DTaP/DT/Td

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.

Don’t Miss Opportunities Recommended Childhood


Immunization Schedule
to Vaccinate
Age Shot

Encourage your healthcare provider to give all Birth Hep B


age-appropriate shots to your child at every visit. 2 months DTaP, Hep B, Hib, IPV, PCV,
Immunizations help keep your child safe from Rotavirus
disease and cut down on sick visits to your doctor’s 4 months DTaP, Hib, IPV, PCV, Rotavirus
office. 6 months DTaP, Hib, PCV, Rotavirus*, Flu
Vaccine Type Date Doctor or Date
6-18 months Hep B, IPV (circle specific type given) Given Clinic Next Due
Personal Immunization Record 12-15 months MMR, VZV, PCV, Hib 1 Hep B

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

and Record 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)

LAIV Live Attenuated Influenza Vaccine website at www.cdc.gov/vaccines/recs/schedules/. Date of Birth


MCV Meningococcal Conjugate Vaccine Physician or Clinic
HPV Human Papillomavirus Vaccine

Notice to parents: Please take this card with you when you visit your doctor or clinic
and have them fill in the information.

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