*G+D Milestones + Immunizations*

Question 1

Birth

Answer 1

Immunizations: Hep B

Question 2

2 Months

Answer 2

Immunizations: Hep B, rotavirus, DTaP, Hib, PCV13, IPV (same series as 6 months)

Question 3

3 Months

Answer 3

3 months = 3 letters: “coo”

• Making “cooing” sounds
• Smiling at people
• Emit distinct cries for diff. needs
• Recognize familiar voices
• Express diff. pleasure + displeasure sounds (giggles vs. cries)

Question 4

4 Months

Answer 4

Immunizations: Rotavirus, DTaP, Hib, PCV13, IPV

Question 5

6 Months

Answer 5

6 months = 6 letter word “babble”

• Babble + repeat syllables (“ma”, “da”, “ba”)
• Creating gurgling sounds
• Giggle + laugh more
• Notice + recognize sounds
• Uses voice to express pleasure + displeasure
• Take turns making sounds

Immunizations: Hep B, rotavirus, DTaP, Hib, PCV13, IPV (same series as 2 months)
- Influenza yrly started @ 6 months

Question 6

9 Months

Answer 6

9 month = 9 letter word “imitation”

• Imitate speech sounds, non-speech, actions, gestures
• Recognize their own name
• Shift gaze to objects being spoken about
• String together longer series of sounds/syllables (“ma-ma-ma”, “da-da-da”)

Immunizations: Hep B, rotavirus, DTaP, Hib, PCV13, IPV

Question 7

12 Months (1 yr old)

Answer 7

12 months = 1-2 words “Understand Me”

• Communicate w/ 1-2 (or more) words
• Begin to understand words, requests, phrases, instructions, etc.
• Answer simple questions nonverbally
• Recognize short familiar words for objects (ball, shoe, dog, cut, etc.)

Immunizations: Hib, PCV13, MMR, VAR, Hep A

Question 8

15 Month

Answer 8

Immunizations: DTaP

Question 9

18 Months

Answer 9

18 months = 18 words

• Speak w/ a vocabulary of 18+ words
• Repeat words overheard in a conversation
• Recognize + point to familiar objects + people in pictures/books
• Understand simple questions + follow simple commands
• Point to body parts when prompted

Immunizations: Hep A

Question 10

2 Years (24 Months)

Answer 10

2 years = 2 word phrases = 2 step directions

• Use 2 word phrases to talk about things
• Follow 2-step directions (“pick up your ball and give it to me”
• Use vocab of 50+ words
• Speak well enough to be understood by caregiver @ least half of the time
• Use gestures + words for pretend play
• Make animal sounds (“moo”)

Question 11

3 Years

Answer 11

3 Years = 3 word phrases

• Use 3 word phrases to talk about things
• Speak w/ vocabulary of 200+ words
• Understand + use pronouns
• Speak well enough for caregiver to understand most of the time
• Understand spatial concepts (“in”, “under”)
• Use plurals (“socks”, “shoes”)

Question 12

4 Years

Answer 12

4 years = 4 or more word sentences

• Use 4+ word sentences + use about 4 sentences @ a time to tell stories
• Understand + ask “how?” + “why?”
• ID colors
• Express own ideas + feelings
• Speak well enough for caregiver to understand most of the time
• Group I next by categories (ie: food)

Immunizations: DTaP, IPV, MMR, VAR yrly influenza

Question 13

11 Years Old

Answer 13

Tdap, meningococcal, HPV (after age 9) + annual influenza

Question 14

16 Years

Answer 14

Immunizations: meningococcal + annual influenza

Question 15

65 Years

Answer 15

Immunizations: yearly influenza + pneumococcal @ 65 y/o