At a 5-month-old well-child visit, today the infant should receive which immunizations?

At a 5-month-old well-child visit, today the infant should receive which immunizations?

• A. DTaP, IPV, Hib, and Var
• B. DTaP, IPV, Hib, Prevnar, and Hep B
• C. DTaP, IPV, Hib, Prevnar
• D. DTaP, OPV, and Hib

Answer: (C)

At five months, the immunizations due align with the vaccines given at the 2-, 4-, and 6-month visits. DTaP, IPV, Hib, and PCV13 (Prevnar) are the vaccines routinely administered by this age, and they are commonly given together in the same visit. Rotavirus is usually completed by the 4-month visit (or by 6 months for some schedules), so it is not typically given at a five-month visit. Varicella is not due until around 12 months, and the Hepatitis B final dose is scheduled for 6–18 months, so it wouldn’t be given now. OPV is not part of the current U.S. schedule. Therefore, the best choice is the combination of DTaP, IPV, Hib, and Prevnar.

At five months, the immunizations due align with the vaccines given at the 2-, 4-, and 6-month visits. DTaP, IPV, Hib, and PCV13 (Prevnar) are the vaccines routinely administered by this age, and they are commonly given together in the same visit. Rotavirus is usually completed by the 4-month visit (or by 6 months for some schedules), so it is not typically given at a five-month visit. Varicella is not due until around 12 months, and the Hepatitis B final dose is scheduled for 6–18 months, so it wouldn’t be given now. OPV is not part of the current U.S. schedule. Therefore, the best choice is the combination of DTaP, IPV, Hib, and Prevnar.