Essential Vaccines for Your 1-Year-Old: What Parents Should Know - Pediatrics

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Vaccine administration


Hello, Doctor.
Thank you for your previous response.
I would like to ask you about vaccination.
My son is currently 1 year and 3 months old and has received all the required vaccinations, including 3 doses of the pneumococcal vaccine.
Are there any other recommended vaccines that require out-of-pocket payment? If he has received the pneumococcal vaccine, does he still need to get the regular pneumonia vaccine? I have heard that the pneumococcal vaccine is more effective when given after the age of 2.
Is that true? Thank you for your response.

Anita, 30~39 year old female. Ask Date: 2007/07/24

Dr. Pei Rensheng reply Pediatrics


Dear Anita: Please refer to the attached response from Dr.
Pei Ren-sheng, Director of the Pediatrics Department at Taoyuan General Hospital, Department of Health.

Reply Date: 2007/07/24

More Info


When it comes to essential vaccines for your 1-year-old, it’s crucial to understand the recommended immunization schedule and the importance of vaccines in preventing serious diseases. At 1 year and 3 months, your child has already received the standard vaccinations, including three doses of the pneumococcal vaccine, which is excellent. However, there are additional vaccines that you might consider, especially if they are not covered by insurance.


Recommended Vaccines for Your Child
1. Varicella (Chickenpox) Vaccine: This vaccine is typically given between 12-15 months of age. If your child has not received this vaccine yet, it is highly recommended. Chickenpox can lead to severe complications, and vaccination helps prevent this.

2. Hepatitis A Vaccine: The hepatitis A vaccine is recommended for children starting at age 1. It is given in two doses, with the second dose administered 6 to 18 months after the first. This vaccine is particularly important if you plan to travel or if your child will be in contact with individuals who may be at risk.

3. Meningococcal Vaccine: While not typically given until later in childhood, some healthcare providers may recommend it earlier, especially if your child is at higher risk due to certain health conditions or living situations.

4. Influenza Vaccine: The flu vaccine is recommended annually for children starting at 6 months of age. Given the age of your child, it’s advisable to ensure they receive this vaccine every year, especially during flu season.


Pneumococcal Vaccine Considerations
Regarding your question about the pneumococcal vaccine, it’s important to note that there are different types of pneumococcal vaccines. The pneumococcal conjugate vaccine (PCV13) is typically given in a series of doses during infancy and early childhood. After the initial series, a pneumococcal polysaccharide vaccine (PPSV23) may be recommended for children at higher risk of pneumococcal disease, usually starting at age 2.
The effectiveness of the pneumococcal vaccine does increase with age, as the immune system matures. However, the initial doses provide significant protection against severe disease, and it is crucial to complete the vaccination series as recommended by your healthcare provider.


Importance of Vaccination
Vaccination is one of the most effective ways to protect your child from serious diseases. While some parents may have concerns about the necessity of certain vaccines, it’s important to understand that vaccines not only protect the individual child but also contribute to community immunity, protecting those who cannot be vaccinated due to medical reasons.


Conclusion
In summary, for your 1-year-old, consider the varicella and hepatitis A vaccines, along with the annual influenza vaccine. Continue to follow up with your pediatrician regarding the pneumococcal vaccine and any other vaccines that may be recommended based on your child’s health and lifestyle. Always keep an open line of communication with your healthcare provider to address any concerns and ensure your child receives the best possible protection against preventable diseases.

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