The Childhood Vaccine Schedule, Explained | Calabasas Pediatrics
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The Childhood Vaccine Schedule, Fully Explained

Every recommended immunization from birth to 18 — what each protects against, and why the timing is designed the way it is.

VaccinesTADr. Tanya Altmann, MD, FAAPUpdated Sep 9, 2026 8 min read
A child receiving a vaccine at the pediatrician
Calabasas PediatricsWELLNESS CENTER
Quick Answer

The CDC and AAP recommend a series of vaccines from birth through age 18 that protect against more than a dozen serious diseases — including hepatitis B at birth; DTaP, polio, Hib, pneumococcal, and rotavirus vaccines in infancy; MMR and chickenpox around 12 months; and Tdap, HPV, and meningococcal vaccines in the pre-teen years. Following the schedule on time protects children when they're most vulnerable.

Based on the CDC/AAP childhood immunization schedule.

Few things do more to protect a child than staying on schedule with vaccines. Here's a plain-language tour of what's recommended, when, and — just as importantly — why the timing matters.

Why the vaccine schedule is timed the way it is

The schedule isn't arbitrary. Each vaccine is given at the age when a child is both most vulnerable to a disease and able to respond well to the vaccine. Some need several doses spaced out to build strong, lasting immunity. Delaying doses leaves a window where a child is unprotected — often during the ages when a disease is most dangerous.

Vaccines in the first 15 months

The busiest stretch of the schedule protects against the illnesses that are most serious for infants:

  • Hepatitis B — starting at birth.
  • DTaP — diphtheria, tetanus, and whooping cough.
  • Hib — a cause of serious bacterial meningitis.
  • Pneumococcal (PCV) and polio (IPV).
  • Rotavirus — an oral vaccine against severe diarrhea.
  • MMR (measles, mumps, rubella) and varicella (chickenpox) — around 12-15 months.

Vaccines for school age and pre-teens

Protection continues as children grow:

  • Boosters of DTaP, polio, MMR, and varicella before kindergarten.
  • Tdap — a whooping-cough booster around age 11-12.
  • HPV — a cancer-preventing vaccine starting at 9-12.
  • Meningococcal (MenACWY) — at 11-12 with a booster at 16.
  • Influenza — every year, for everyone 6 months and older.
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Are vaccines safe? Common concerns, addressed

Childhood vaccines are among the most thoroughly studied and closely monitored medical products we have. Serious reactions are very rare; the common side effects are mild and short-lived — a sore arm, a low-grade fever, or fussiness for a day.

Extensive research involving millions of children has found no link between vaccines and autism. The diseases these vaccines prevent, on the other hand, can cause hospitalization, lasting harm, and death — which is exactly what the schedule is designed to avoid.

How we approach vaccines at Calabasas Pediatrics

We follow the CDC/AAP schedule and believe in it — and we also believe in taking the time to answer your questions. We'll review each vaccine with you, explain what it protects against, and make sure you feel informed and comfortable. You're a partner in your child's care, never rushed.

Why Calabasas families trust our team

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Board-certified pediatricians, including AAP author Dr. Tanya Altmann.

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Unhurried visits

Longer appointments and no rushed waiting rooms — care on your schedule.

Frequently asked questions

Answers to the questions Calabasas parents ask us most.

Why do babies need so many vaccines so early?
Because the diseases they prevent are most dangerous in infancy. The schedule is timed to protect children during the exact window when they're most vulnerable.
Can we spread out or delay vaccines?
We recommend the CDC/AAP schedule because delaying leaves children unprotected longer and doesn't make vaccines safer. We're always happy to talk through your concerns and any specific medical questions.
What are normal side effects after a vaccine?
Most children have mild, short-lived effects — a sore arm or leg, redness at the injection site, a low-grade fever, or being extra sleepy or fussy for a day. Serious reactions are very rare.
Does my child need a flu shot every year?
Yes. Everyone 6 months and older should get an annual flu vaccine, because the virus changes each year and immunity fades over time.
What is the HPV vaccine and when is it given?
HPV is a safe, cancer-preventing vaccine that guards against several HPV-related cancers. It's recommended starting at ages 9-12, before any exposure, for the best protection.
TA
About the author
Dr. Tanya Altmann, MD, FAAP
Founder & Pediatrician, Calabasas Pediatrics Wellness Center

Dr. Tanya Altmann is a UCLA-trained, board-certified pediatrician and a nationally recognized parenting expert. She is the editor of the American Academy of Pediatrics' bestselling Caring for Your Baby and Young Child and author of Baby and Toddler Basics, and a longtime spokesperson helping families make sense of everyday health questions.

Board-Certified PediatricianAAP Author & SpokespersonUCLA-Trained
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