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Infant and Child Vaccines

Infant and Childhood Vaccines

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Infant and Childhood Vaccines

Immunizations help prevent the spread of diseases and help keep Montanans of all ages healthy. There are recommended vaccines from the Advisory Committee on Immunization Practices for infants, children, adolescents and adults. This webpage contains information and resources for parents/guardians and providers about the recommended vaccines for infants and children.

For Parents

Why vaccinate?

Vaccines protect your child from serious and deadly diseases. Mothers give their baby short term protection against some diseases before birth; however, as babies grow they need protection against more diseases. The vaccine schedule is designed to protect children against 14 infectious diseases, by age two, before they are likely to be exposed to potentially serious diseases. Talk to your healthcare provider if you have questions and check to make sure your child is up-to-date on all their vaccinations More information about reasons to vaccinate.

Vaccine Safety

Vaccines are very safe and effective in preventing serious diseases. Vaccines, like any other medicine, can have side effects. Many people who get vaccines have no side effects at all. Some people report having very mild side effects, like a sore arm from a shot. The most common side effects are usually mild. Common side effects can include: pain, redness, or swelling at the injection site, fever, or headache. More information about vaccine safety.

Recommended Immunization Schedule

Infant and Child Vaccines

Hepatitis B Vaccine
The hepatitis B vaccine protects your child against hepatitis B disease. Hepatitis B is a contagious liver disease and the infection can range from a very mild illness to a serious condition requiring hospitalization. All babies should get the first shot of hepatitis B vaccine before they leave the hospital to reduce the risk of getting the disease from the mom or family members. Some people may not know they are infected with hepatitis B. This vaccine is a one time series of three doses. Learn more about the hepatitis B vaccine.

Rotavirus (RV) Vaccine
The rotavirus vaccine protects your child against rotavirus. Rotavirus causes severe diarrhea and vomiting. Diarrhea and vomiting can lead to dehydration (loss of body fluid), which can be very dangerous, especially for babies and young children. The vaccine is a one times series of either two or three doses (depending on the brand of vaccine). Learn more about the rotavirus vaccine.

Diphtheria, tetanus, pertussis (DTaP) Vaccine
The DTaP vaccine protects your child against three diseases: diphtheria, tetanus and pertussis. Diphtheria can cause a thick covering in the back of the nose or throat that can lead to difficulty breath, heart failure and paralysis. Tetanus can cause painful muscle stiffness and lockjaw. Pertussis (whopping cough) is a highly contagious disease that can cause violent coughing and often makes it hard to breathe. This vaccine is a one time series of five doses. Learn more about diphtheria, tetanus, and pertussis vaccine.

Hib Vaccine
The hib vaccine protects your child against a serious illness caused by the bacteria Haemophilus influenzae type b. The most common type of Hib disease is meningitis. This is an infection of the covering of the brain and spinal cord. Hib disease can also cause throat swelling and join, skin, lung and bone infection. This vaccine is a one time series of 4 doses. Learn more about the hib vaccine.

Pneumococcal (PCV) Vaccine
The pneumococcal vaccine protects your child against pneumococcal disease. There are many types of pneumococcal disease and symptoms depend on the part of the body that is infected. Pneumococcal pneumonia (lung infection) is the most common serious form. This vaccine is a one times series of four doses. Learn more about the pneumococcal vaccine.

Polio (IPV) Vaccine
The polio vaccine protects your child against poliovirus. Poliovirus is very contagious and spreads through contact with the stool of an infected person and droplets from a sneeze or cough. Poliovirus can cause lifelong paralysis. This vaccine is a one time series of four doses. Learn more about the polio vaccine.

Measles, mumps, rubella (MMR) Vaccine
The MMR vaccine protects your child against three diseases: measles, mumps and rubella. Measles is a serious respiratory disease that causes a rash and fever. Measles spreads when an infected person breaths, coughs or sneezes. Mumps is a contagious disease caused by a virus. There is no treatment for mumps, and it can cause long-term health problems. Rubella “German measles” is a disease caused by a virus. The infection is usually mild with a fever and a rash. This vaccine is a one time series of two doses. Learn more about the measles, mumps, rubella vaccine.

Varicella (Chickenpox) Vaccine
The varicella vaccine protects your child against chickenpox disease. Chickenpox can cause a itchy rash of blisters and a fever. Chickenpox can be serious and even life-threatening for babies, adults and people with weakened immune symptoms. This vaccine is a one time series of two doses. Learn more about the varicella vaccine.

Hepatitis A Vaccine
The hepatitis A vaccine protects your child against the hepatitis A virus. Hepatitis A is a contagious liver disease and is transmitted through person-to-person contact or through contaminated food and water. This vaccine is a one time series of two doses. Learn more about the hepatitis A vaccine.

Influenza Vaccine
The influenza or "flu" vaccine protects your child against influenza viruses. Influenza is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness. Serious outcomes of influenza infection can result in hospitalization or death. Everyone 6 months of age and older is recommended to get a vaccine. This vaccine is administered annually. Learn more about the influenza vaccine.

Additional Vaccine Information

Paying for Vaccines

All children in Montana are eligible to receive low or no cost vaccines through their health plan or the Vaccines for Children Program (VFC). The VFC program provides vaccines for children in Montana ages 18 years and younger, who are uninsured, Medicaid-eligible, American Indian or Alaska Native. Learn more about the VFC Program.

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For Providers

What can you do to ensure your patients get fully vaccinated?

  • Use every opportunity to vaccinate your infant and child patients. Ask about vaccination status every time parents/guardians bring their children in.

  • Patient reminder and recall systems such as automated postcards, phone calls, and text messages are effective tools for increasing office visits.

  • Educate parents about the diseases that can be prevented by infant and child vaccines. Parents may know very little about measles, pneumococcal or rotavirus.

  • Implement standing order policies so that patients can receive vaccines without a physician examination or individual physician order.

Recommended Immunization Schedule

Infant and Child Vaccines

Hepatitis B Vaccine
The hepatitis B vaccine protects children against hepatitis B disease. Children need three to four doses of hib vaccine, depending on the brand of vaccine. The first dose is routinely given at 2 months, the second at 4 months, the third at 6 months (if needed), and the last at 12–15 months.

Rotavirus (RV) Vaccine
The rotavirus vaccine protects children against rotavirus. Children need two to three doses of rotavirus vaccine, depending on the brand of vaccine. The first dose is routinely given at 2 months, the second at 4 months, and the third (if needed) at 6 months.

Diphtheria, tetanus, pertussis (DTaP) Vaccine
The DTaP vaccine protects children against three diseases: diphtheria, tetanus and pertussis. Children need five doses of the DTaP vaccine. The first dose is routinely given at 2 months, the second at 4 months, the third at 6 months, the fourth at 15–18 months, and the fifth at 4–6 years.

Hib Vaccine
The hib vaccine protects children against a serious illness caused by the bacteria Haemophilus influenzae type b. Children need three to four doses of Hib vaccine, depending on the brand of vaccine. The first dose is routinely given at 2 months, the second at 4 months, the third at 6 months (if needed), and the last at 12–15 months.

Pneumococcal (PCV) Vaccine
The pneumococcal vaccine protects children against pneumococcal disease. Children need four doses of PCV vaccine. Some children need an additional dose of PPSV. The first dose is routinely given at 2 months, the second at 4 months, the third at 6 months, and the fourth at 12-15 months.

Polio (IPV) Vaccine
The polio vaccine protects children against poliovirus. Children need four doses of IPV vaccine. The first dose is routinely given at 2 months, the second at 4 months, the third at 6-18 months, and the fourth at 4-6 years.

Measles, mumps, rubella (MMR) Vaccine
The MMR vaccine protects children against three diseases: measles, mumps and rubella. Children need two doses of MMR vaccine. The first dose is routinely given at 12-15 months and the second at 4-6 years.

Varicella (Chickenpox) Vaccine
The varicella vaccine protects children against chickenpox disease. Children need two doses of varicella vaccine. The first dose is routinely given at 12-15 months and the second at 4-6 years.

Hepatitis A Vaccine
The hepatitis A vaccine protects children against the hepatitis A virus. Children need two doses of hepatitis A vaccine. The first dose is routinely given at age 1 year and the second 6-12 months later.

Influenza Vaccine
Routine annual influenza vaccination of all persons aged ≥6 months without contraindications is recommended. Use the resources below for more information about vaccinating adolescents in your practices.

Provider Resources

Provider Education

Resources to Share with Parents

Additional Materials

Looking Ahead

Children grow up fast! By following the recommended schedule and fully immunizing your child by age two, you protected your child against 14 vaccine-preventable diseases. If your child missed a vaccine, now is a good time for your child to catch-up. Learn more about the vaccines your child needs at every age.

Childcare and School Immunization Requirements

Is your child starting childcare or school? There are certain vaccines that are required to attend childcare and school. Learn about which vaccines your child needs to attend.- (link to childcare and school resources page).

Preteen and Teen Vaccines

There are four vaccines recommended for your (soon-to-be) preteen and teen. Learn more about these vaccines on the MT TeenVax webpage.