After Visit Summaries

Below you will find after visit summary text for use in your electronic medical records.  These summaries include links to many credible online resources useful in addressing questions about specific vaccine-related issues.

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- Immunizations were addressed at this visit.

- Immunization/Well visit Chart: This chart lists important vaccines/Well Visits; in addition to these vaccinations, children from 6 months to 18 years should get a flu vaccine every fall.

Birth:
Newborn blood screen, Hep B (hepatitis B)

3-5 days:
Well-child visit

7-14 days:
Well-child visit, Newborn blood screen

2 months:
Well-child visit, DTaP (diphtheria, tetanus, acellular Pertussis), Hep B, IPV (polio), Hib (Haemophilus influenzae type b), PCV13 (pneumococcal conjugate, Rotavirus (given by mouth)

4 months:
Well-child visit, DTaP, Hib, IPV, PCV13, Rotavirus (given by Mouth)

6 months:
Well-child visit, DTaP, Hep B, IPV, Hib (if needed), PCV13,Rotavirus (given by mouth)

9 months:
Well-child visit

12 months:
Well-child visit, MMR (measles, mumps, and rubella), but not before 1st birthday, Hep A (hepatitis A), but not before 1st Birthday, Varicella (chickenpox), but not before 1st birthday

15-18 months:
Well-child visit, DTaP, Hib, PCV13

2 years:
Well-child visit, Hep A, PCV13 (for those that have only received PCV7 in the past)

3 years:
Well-child visit

4 years:
Well-child visit

5 years:
Well-child visit, MMR booster (if not already given), Varicella, IPV, DTaP

6 years:
Well-child visit

- Please note: National Guidelines allow some variation in the timing of well-child visits and immunizations. Some clinics will have a schedule that is different than the one above. Children who miss vaccinations on this schedule can get caught up at older ages.

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We discussed immunizations today. I'm happy to discuss any further questions you have. Please feel free to call or email me.

Here is a list of frequently asked questions along with resources that I recommend:

Q: What are the pros and cons of vaccines?
1. Plain Talk About Childhood Immunization: here.doh.wa.gov/materials/plain-talk-about-childhood-immunizations
2. CDC: Vaccines & Immunizations: Infants and Toddlers: http://www.cdc.gov/vaccines/parents/infants-toddlers.html

Q: What are the long term side effects of vaccines?
1. The Children's Hospital of Philadelphia (CHOP): Vaccines and Autism: What you should know: http://www.chop.edu/export/download/pdfs/articles/vaccine-education-center/autism.pdf
2. Immunization Action Coalition: Clear Answers & Smart Advice About Your Baby's Shots: www.immunize.org/catg.d/p2068.pdf

Q: Won't my child be exposed to too many toxins from all of these vaccines?
1. CHOP: Thimerosal: What you should know:
http://www.chop.edu/export/download/pdfs/articles/vaccine-education-center/thimerosal.pdf
2. CHOP: Aluminum in Vaccines: What you should know:
http://www.chop.edu/export/download/pdfs/articles/vaccine-education-center/aluminum.pdf

Q: Why does my child need all of these vaccines at such an early age? Why not delay?
1. CHOP: The Facts About Childhood Vaccines: http://www.chop.edu/export/download/pdfs/articles/vaccine-education-center/vaccines-fact.pdf
2. CDC: Why Immunize?:
www.cdc.gov/vaccines/vac-gen/why.htm
3. Vaccinate Your Baby:
www.vaccinateyourbaby.org/

Q: Haven't we gotten rid of these diseases in this country?
1. CHOP: The Facts About Childhood Vaccines: http://www.chop.edu/export/download/pdfs/articles/vaccine-education-center/vaccines-fact.pdf
2. Washington State Department of Health EpiTrends: www.doh.wa.gov/EHSPHL/epitrends/

Q: Isn't this too many shots at one visit?
1. CHOP: Too Many Vaccines? What you should know: http://www.chop.edu/export/download/pdfs/articles/vaccine-education-center/too-many-vaccines.pdf
2. Vaccine Information Statements: www.cdc.gov/vaccines/pubs/vis/default.htm

Q: Can I separate the MMR vaccine into individual shots?
Plain Talk About Childhood Immunization: here.doh.wa.gov/materials/plain-talk-about-childhood-immunizations

- Immunization/Well visit Chart: This chart lists important vaccines/Well Visits; in addition to these vaccinations, children from 6 months to 18 years should get a flu vaccine every fall.

Birth:
Newborn blood screen, Hep B (hepatitis B)

3-5 days:
Well-child visit

7-14 days:
Well-child visit, Newborn blood screen

2 months:
Well-child visit, DTaP (diphtheria, tetanus, acellular Pertussis), Hep B, IPV (polio), Hib (Haemophilus influenzae type b), PCV13 (pneumococcal conjugate), Rotavirus (given by mouth)

4 months:
Well-child visit, DTaP, Hib, IPV, PCV13, Rotavirus (given by Mouth)

6 months:
Well-child visit, DTaP, Hep B, IPV, Hib (if needed), PCV13, Rotavirus (given by mouth)

9 months:
Well-child visit

12 months:
Well-child visit, MMR (measles, mumps, and rubella), but not before 1st birthday, Hep A (hepatitis A), but not before 1st Birthday, Varicella (chickenpox), but not before 1st birthday

15-18 months:
Well-child visit, DTaP, Hib, PCV13

2 years:
Well-child visit, Hep A, PCV13 (for those that have only received PCV7 in the past)

3 years:
Well-child visit

4 years:
Well-child visit

5 years:
Well-child visit, MMR booster (if not already given), Varicella, IPV, DTaP

6 years:
Well-child visit

- Please note: National Guidelines allow some variation in the timing of well-child visits and immunizations. Some clinics will have a schedule that is different than the one above. Children who miss vaccinations on this schedule can get caught up at older ages.

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