Childhood Immunization Record

My child's name is __________________________. My child's birthday is _________________.

My child's doctor is __________________________. The doctor's phone number is _____________________.

Other shots

Depending on where you live and your child's health, your doctor may talk with you about other shots.

Missed doses: If your child has missed any shots, talk to your doctor about the best way to make them up.

Travel: If you are traveling or if you live outside of the United States, your child may get other shots. Talk to your doctor several months before your trip.

Availability: Shots may sometimes not be available or may be in short supply. In this case, talk with your doctor about the best thing to do for your child.

Reactions: List any reactions your child has had to vaccines.

Print out a copy of your child's schedule and keep it up to date. It is very important to keep accurate records of your child's shots. When you enroll your child in day care or school, you may need to show proof of vaccinations. Also, your child may need the record later in life for college, employment, or travel. Take the schedule with you when you visit your doctor. Your doctor may need to change the schedule based on your child's special needs. Keep the record in a safe place with other important documents, and never throw it away. It is an important part of your child's lifelong medical records.

Put notes on your calendar to remind you when a shot is coming up. You also may want to ask your doctor to send you notices when shots are due.

This information is based on the immunization schedule prepared by the Advisory Committee on Immunization Practices (ACIP) and other medical organizations. It is based on your child's birth date. See the schedule on the U.S. Centers for Disease Control and Prevention's website at www.cdc.gov/vaccines/imz-schedules/index.html to learn more.

Some diseases or treatments for disease affect the immune system. For children with these diseases or children receiving these treatments, the schedule may need to be modified. Your child's health, environment, and lifestyle may also affect the shot schedule. Always talk to your doctor about the best schedule for your child.