| AGE DUE | DATE GIVEN
|
|
| 2 months | DPT #1 Inactivated Polio Vaccine #1 H influenzae B (Hib) Hepatitis B |
___________ ___________ ___________ ___________
|
| 4 months | DPT #2 IPV #2 H influenzae B #2 (Hib) Hepatitis B #2 |
___________ ___________ ___________ ___________
|
| 6 months | DPT #3 IPV #3 H influenzae B #3 (Hib) Hepatitis B #3 |
___________ ___________ ___________
|
| 12 months | Tine test of PPD | ___________
|
| 15 months | Measles, Mumps, Rubella
#1 (MMR) H influenzae B Booster #4 (Hib) |
___________ ___________
|
| 18 months | DPaT #4 Varicella(Chicken Pox) |
___________ ___________ ___________
|
| 4-6 years | DTaP #5 IPV #4 Measles, Mumps, Rubella #2 (MMR) |
___________ ___________
|
| 16 years | DT Booster (and then every 10 years) | ___________ |
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