Missouri Department of Social Services
221 West High Street • P.O. Box 1527 •
Jefferson City, MO 65102-1527
IMMUNIZATIONS (shots) help prevent serious illness. This record will help keep track when your child is immunized. If your child did not get their shots at the age shown, they still need to get that shot. Talk to your PCP about your child's immunizations (shots). Children must have their immunizations (shots) to enter school.
| Age | Shot (Immunization) | Date Received |
|---|---|---|
| Birth | Hep B | |
| 1 month | Hep B | |
| 2 months | DTaP, Hib, IPV, PCV, Rota | |
| 4 months | DTaP, Hib, IPV, PCV, Rota | |
| 6 months | Hep B, DtaP, Hib, IPV, PCV, Influenza, Rota | |
| 12 months | Hib, PCV, MMR, Varicella, Hep A Series | |
| 15 months | DTaP | |
| 18 months | Good time to catch up | |
| 4-6 years | DTaP, IPV, MMR, Varicella | |
| 11-12 years | Tdap or Td, MCV4, HPV | |
| Every Year | Influenza (after 6 months) | |
| Every 10 years | Td Booster (after last DTP/DTaP) |
09/01/07