Information about Vaccines for Children, Adolescents, and Adults
This section contains information to help people of all ages make informed decisions about vaccinations.
Considering delaying vaccines or an "alternative schedule" such as Dr. Bob's?
You may want to read this: Fact or Fiction - Delayed Schedule (Immunize for Good web site)
Vaccinate Your Baby Frequently Asked Questions Videos (Vaccinate Your Baby web site)
Jeff Gordon Explains Why You Need Pertussis Vaccine (Sounds of Pertussis web site)
Parents - Learn about
Thimerosal (National Network for Immunization Information web site),
Aluminum in Vaccines (Children's Hospital of Philadelphia web site),
Too Many Shots Too Soon? (Vaccinate Your Baby web site)
Parents - Are Your Kids Up-To-Date on Their Shots?
Helpful Vaccine Information
Why Vaccinating is so Important
Who Needs Vaccines and When
Detailed information on vaccines for parents: Parent's Guide to Childhood Immunizations (CDC web site)
Flu Vaccine The Flu: A Guide for Parents
Vaccines for Babies Birth through 12 Months
- Babies need a series of shots or immunizations beginning with hepatitis B vaccine (57k.pdf) before they leave the hospital.
- In the first six months of life babies need:
- 3 doses of DTaP (51k.pdf) shots to protect against diphtheria, tetanus (lockjaw), and pertussis (whooping cough)
- 3 doses of IPV (57k.pdf) (inactivated polio vaccine) shots to protect against polio
- 3 doses of Rotavirus (605.5k.pdf) vaccine drops to protect against rotavirus disease (vomiting, diarrhea and dehydration)
- 3 doses of PCV (57k.pdf) (pneumococcal conjugate vaccine) to protect against meningitis and blood infections caused by Streptococcus pneumoniae bacteria
- 2 or 3 doses of Hib (57k.pdf) (Haemophilus influenzae type B) shots to protect against disease caused by the Hib bacterium such as meningitis
- 3 doses of hepatitis B vaccine (57k.pdf) to protect against liver disease caused by hepatitis B virus, including the dose given at birth
- This doesn't mean your baby will need shots for each dose, because combination vaccines can be used.
- Baby shots are usually given at the baby’s regular check-ups at 2, 4, and 6 months, but they can be started anytime.
- If your baby is six months or older he or she needs influenza vaccine during the flu season which is usually October through March.
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On-Time Immunization Matters, Especially for Babies
- It is important for babies to stay on schedule with immunizations, because they are not protected from the diseases until they have their shots.
- The OK BY ONE Schedule (188k.pdf) is a simplified schedule to complete the infant immunizations in just 4 visits and it is easy to remember!
- All you have to remember is that your baby needs shots at 2,4, 6, and 12 months of age.
- Make A Schedule for Your Child (CDC web site) is a program that lets you make a personal schedule based on your baby's birth date and lists the actual calendar dates when your baby is due for shots.
5 Tips to Make Sure Your Baby Gets the Right Immunization at the Right Time
- Every time your baby gets an immunization, always book the appointment for the next immunization if you can - even if it's months away.
- As soon as you know the date of your baby's next immunization appointment, write it on your calendar.
- Ask you doctor or nurse for a State of Oklahoma Official Vaccination Record to make it easy to keep track of all the vaccines your baby has had so far.
- Take your baby's record with you every time so that your doctor or nurse can keep it up-to-date.
- Keep your baby's vaccination record in a safe place. You may need it later on if you change doctors, move to another state, and to enroll your child in daycare or school.
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Vaccines for Toddlers Age 1 to 2
- When your baby reaches one year of age, he or she needs
- MMR vaccine (62.1k.pdf) 1st dose to protect against measles, mumps, and rubella (German measles) which can cause pneumonia, encephalitis, deafness, blindness, and mental retardation
- Varicella vaccine (49.1k.pdf) 1st dose to protect against chickenpox
- DTaP (51k.pdf) (diphtheria, tetanus and pertussis vaccine) 4th dose
- PCV (57k.pdf) (pneumococcal conjugate vaccine) 4th dose
- Hib (57k.pdf) (Haemophilus influenzae type B vaccine) 3rd or 4th dose
- Hepatitis A vaccine (49.1k.pdf) to protect against liver disease caused by the hepatitis A virus- 1st dose
- At 18 months, your toddler can receive the 2nd dose of Hepatitis A vaccine. The 2nd dose is due 6 to 18 months after the 1st dose.
- Make sure your toddler completes his or her immunizations before age two so they have the best protection.
- Don’t worry if your child is behind on shots, he or she can get back on schedule and catch up.
- Ask your doctor or clinic to make sure you have a complete record.
- If you have any questions or concerns about vaccines ask your doctor or visit one of the web sites listed in “Where To Find More Information” below.
Vaccines for Children Ages 4 to 6
- DTaP (51k.pdf) and Polio (57k.pdf) boosters and second doses of MMR (62k.pdf) and Varicella (chickenpox) are due at age 4 to 6 years or before starting kindergarten.
- These boosters can be given as early as 4 years of age.
- Remember August is the busiest month of the year for clinics that give immunizations, but, you don’t have to wait until July or August to get these boosters.
- Your child can receive these boosters anytime after the 4th birthday.
- If your child is behind on shots, it’s not too late; he or she can get back on schedule and catch up.
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Vaccines for Adolescents Age 11-12 (511.6k.pdf)
- Tdap (A booster dose for protection against diphtheria, tetanus, and pertussis [whooping cough]). By the time children reach 11 to 12 years of age immunity to tetanus, diphtheria, and pertussis has started to wane.
- MCV (Meningococcal conjugate vaccine)
- HPV vaccine (Human papillomavirus vaccine protects against the virus that causes 70% of cervical cancer in women.
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Vaccines for All Adults
Adults don't like to think about it, but they need immunizations too.
Immunity to tetanus, diphtheria, and pertussis (whooping cough) wanes over time and other vaccines are needed based on age and activities.
- Tdap - One dose of Tdap (tetanus, diphtheria, acellular pertussis) vaccine should be substituted for one dose of Td.
- Td (tetanus (122.8k.pdf) and diphtheria (129.3k.pdf)) booster is recommended for all adults every 10 years.
- Hepatitis B vaccine is recommended for adults at risk.
- MMR (measles [71k.pdf] mumps [69.8k.pdf] rubella [71.2k.pdf]) vaccine for adults who have never had these diseases. Some adults born after 1956 may not be immune to these diseases because the vaccines were not required when they entered school and the diseases were not circulating as widely because vaccines were coming into use.
- Varicella (chickenpox) vaccine for adults who have never had chickenpox.
Vaccines for Pregnant Women
- Pregnant women need vaccines for two reasons:
- to protect themselves, and to
- to protect the baby.
- What vaccines do women need before, during, and after pregnancy?
- This information sheet - Immunizations and Pregnancy (CDC web site) - explains why Tdap and influenza vaccines are especially important for pregnant women and their babies.
- This chart lists the routinely recommended adult vaccines and shows when they should be given: before, during, or after pregnancy - Immunizations and Pregnancy Chart (CDC web site).
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Vaccines for Adults Age 50 and Older
Adults 50 years of age and older are at high risk for complications form influenza.
Influenza vaccine is recommended yearly.
Adults 60 and Older
Shingles (100k.pdf) Herpes zoster vaccine
Vaccines for Adults Age 65 and Older
Pneumococcal (89k.pdf) polysaccharide vaccine (PPV)
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Where to Get Immunizations in Oklahoma
Children and adolescents with health insurance are strongly encouraged to visit their regular doctor to obtain vaccinations.
Children and adolescents can receive vaccines from:
- Their regular doctor,
- Any county health department in the state, and
- Other public clinics such as Indian Health Service and tribal clinics and community health centers.
Adults can receive vaccines from their regular doctor. County health departments also offer MMR, Td, Tdap, influenza, and pneumococcal vaccine to adults.
Oklahoma's Immunization Requirements
Two laws established vaccine requirements in Oklahoma:
- The Child Care Facilities Licensing Act, Title 10, Oklahoma Statutes, Sections 411-415 - for children attending childcare facilities
- The Immunization Act of the Oklahoma School Code (10.2k.pdf) Title 70, Oklahoma Statutes, Sections 1210.191 – 1210.193 for children attending elementary, middle, and high school both public and private schools and Sections 3243 & 3244 for students in college or post-secondary educational institutions.
- The regulations for enforcing the laws for childcare, preschool, elementary, middle and high school are established by the Oklahoma State Board of Health.
- Implementation of the requirements for colleges or post-secondary schools is the responsibility of the governing bodies or board of regents for each public or private post-secondary institution.
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Vaccine Side Effects
Although vaccines are very safe, they do sometimes cause reactions or side effects. Most of the time the side effects are mild such as soreness or redness where the shot was given or a low-grade fever. These reactions usually last only a day or two.
Vaccine Safety Information
- Vaccine safety is important to all of us and we all have a part in ensuring vaccine safety, including parents, vaccine recipients, doctors, nurses, medical assistants, government agencies, vaccine manufacturers, and the local and national community.
Parents and Vaccine Recipients Responsibilities to Ensure Vaccine Safety
- Read the Vaccine Information Statements
- Ask questions so you understand the risks of the diseases and the benefits and risks of the vaccines.
- Take the Vaccine Information Statements home with you;
- You will have them for reference if you need to know what vaccine side effects to expect and what side effects need immediate medical attention.
- Keep a personal record of vaccines that you and your children have received.
- Take these records with you to all health-care visits to ensure that you and your children are kept up-to-date on vaccines and so you or your child do not get extra doses of vaccine.
- Report severe or unusual reactions to vaccines to your health care provider.
- These reactions will be reported to the Vaccine Adverse Event Reporting System which is a nationwide system for tracking adverse events following immunizations.
- The system will work only if reactions are reported.
- Making decisions about vaccination based on reliable information can seriously effect your child's life, your life, and the lives of many other people in your community.
- Use web sites that comply with good information practices for vaccine safety web sites.
- The World Health Organization (WHO) publishes a list of the sites that comply with good information practices.
- The following sites located in the United States are on the WHO list of web sites that comply with good information practices:
The entire list may be found at the WHO web site: Vaccine Safety Net
Vaccine Safety Issues and Resources
The Road to Safe and Effective Vaccines (Program for Appropriate Technology in Health - PATH web site)
Information About Vaccines and Autism (National Network for Immunization Information web site)
Information About Thimerosal and Vaccines (National Network for Immunization Information web site)
Concerns About Vaccine Safety (National Network for Immunization Information web site)
Where to Find More Information
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