Know How Your Body Operates
and What It Needs at Any Age

Who’s Checking for you Boo?
You are!
You’re your most important advocate! Treat yourself well! For most people, health is an independent lifelong journey and is your greatest wealth! Pay attention to subtle changes and trust your intuition if things seem off. YOU know YOUR body best! Being proactive in caring for yourself and others around you is a must in your health journey. Meals, snacks and what you drink greatly impacts the functionality of your body’s natural defense mechanisms. What you do with your body can also greatly impact your overall health. For instance, exercise contributes to your heart and respiratory health as well as the physical structure of your body. However, physical actions do not replace the necessity to consume healthy beneficial food options to keep your body operating at its best. Annual checkups are necessary to stay on top of your health status. It’s very possible that you can feel great while a disease is brewing and getting ready to take over your body. You should never go by the feeling alone that you’re healthy. Blood work, as a start, will confirm if all is well or if you need to follow up with specific health professionals. If your health is not at optimal level, be proactive in seeking additional help. Modern and western medicine, holistic approaches, and cultural remedies can help you regain control of your body and your life before the worse happens. Don’t be afraid to know your status as well as advocate for yourself and your family whenever an opportunity arises.
Major Body Systems
Your body is comprised of separate systems which include cells, tissues and organs. They function independently of each other but work cohesively as a whole. These systems engage your body in various ways and regulate your overall health. Through these connections, one malfunction in your body’s system can radiate to and effect other parts of your body. When symptoms appear, the root cause can be like finding a needle in a haystack. Having the appropriate awareness and conversations with yourself, your family and medical professionals can really optimize and maintain longevity of your life.
- Integumentary System – skin, hair, nails and glands
- Regulates your body temperature and pain tolerance. Also protects against external forces.
- Skeletal System – bones, cartilage, ligaments, and tendons
- Protects and creates a barrier for your soft tissue internal organs, i.e. ribs protect the heart, skull protects the brain
- Muscular System – skeletal, smooth, and cardiac muscles
- Regulates body movements and facilitates circulation and digestion
- Nervous System – Brain, spinal cord, and peripheral nerves
- Sends signals throughout the body to control movement and memory
- Endocrine System – Glands such as the pituitary, thyroid, adrenal, and pancreas
- Regulates hormone production and levels
- Exocrine System – Glands such as pancreas, mucinous, sweat, mammary, mucosal
- Regulates secretions in the body to maintain proper lubrication across functions
- Cardiovascular (Circulatory) System – Heart, blood vessels, and blood
- Regulates heart and blood functions
- Lymphatic (Immune) System – Lymph nodes, lymphatic vessels, spleen, and thymus
- Regulates absorption of fats, expels excessive fluids and protects against disease
- Respiratory System – Lungs, trachea, bronchi, and diaphragm
- Regulates the air flow throughout your body, including levels in your blood
- Digestive System – Mouth, esophagus, stomach, intestines, liver, pancreas, and gallbladder
- Regulates, breaks down and absorbs nutrients from consumption
- Urinary (Excretory) System – Kidneys, ureters, bladder, and urethra
- Regulates waste and natural liquid balances, i.e electrolytes and other fluid
- Reproductive System – Male (testes, penis) and female (ovaries, uterus, vagina) organs
- Regulates organ functions and prepares body for procreation
Top symptoms to follow up on
with a medical professional
- Unexplained Bleeding: Exterior bleeding is a heightened indicator that something is off in any of your body’s systems and requires immediate medical attention.
- Persistent Fatigue: Chronic tiredness that doesn’t improve with rest may indicate anemia, thyroid disorders, diabetes, or chronic infections.
- Unexplained Weight Loss: Sudden weight loss without lifestyle changes can signal diabetes, digestive disorders, or various cancers.
- Persistent Cough or Hoarseness: A long-lasting cough may reflect asthma, COPD, chronic infections, or early lung cancer.
- New or Growing Lumps: Lumps in the breasts, lymph nodes, or other areas may represent infections or early malignancies that require evaluation.
- Chest Pain or Pressure: Ignoring chest discomfort can lead to missed signs of angina, heart attack, or vascular disease.
- Changes in Bowel Habits: Ongoing diarrhea, constipation, or blood in stool may indicate inflammatory bowel disease or colorectal cancer.
- Skin Changes or Non-Healing Wounds: New moles, color changes, or persistent sores can point to skin cancer or systemic illness.
- Unexplained Bruising: Frequent or unusual bruising may be linked to blood disorders, vitamin deficiencies, or liver problems.
- Persistent Headaches: Recurring or worsening headaches can signal hypertension, neurological conditions, or hormonal imbalances.
- Changes in Vision or Hearing: Gradual or sudden sensory changes may signal nerve damage, infections, or chronic diseases such as diabetes.
- Shortness of Breath: Difficulty breathing can be an early warning sign of heart disease, respiratory illness, or anemia.
- Unusual Pain or Numbness: Pain without clear cause or numbness in limbs may indicate nerve issues, circulation problems, or autoimmune disease
Consumption can fuel you…
or drag down your health meter!
Be mindful of what you take in!
Cancer, cardiac and vital organ diseases are preventable when you stay proactive about your health. There are fade and bad diets everywhere, as well as lifestyle diets. Veganism, whole food, carnivore, vegetarian, pescatarian, Mediterranean, calorie counting, macro counting, etc. all can be beneficial. If your process takes a pause or becomes stagnant, you might need to try something different. What works for one person does not work for another, so you’ll need to find what are the best options and routine for you. Even then, your body will adjust and absorb nutrients differently. Be consistent with your routine but occasionally, shake up your options to keep your body guessing and adjusting to prevent plateaus. People with African ancestry have a higher prevalence of inherited conditions. Below are some tips and schedules to help you monitor your annual health awareness. Also below are some issues to watch out for when monitoring your health.
Health Maintenance
Consumables
- Hydration – Water is paramount in flushing your ecosystem and making sure your blood flows throughout your body properly. A lack of liquids can diminish your operating systems. Dehydration is a real thing and can cause a person to pass out, have a headache, feel overly tired, have dry mouth, and cause lack of elimination and dark urine. Urine is a detector for some health issues but in this context, urine should never be dark or clear. It should never exceed a slight hue of yellow color. Too dark urine can pose questions about your kidney functions or other health issues. Clear urine can signal water toxicity that negatively impact your brain and body cells. Headache, nausea, double vision, vomiting, diarrhea, confusion, muscle weakness or cramping are some associated symptoms. You need to hydrate but not to the point of illness.
- Adding fresh strawberries, lemon, cucumbers or even mint to your water not only hydrates you but supply additional vitamin and nutritional benefits.
- Eat to LIVE, not live to eat – Whole, natural foods such as fresh vegetables, whole grains, legumes and lean cuts of meat such as chicken, fish and turkey are your best options for meals. Limit the amount of sugar and salt you consume as these pose significant health risks in the long term. Heart disease, high blood pressure, stroke, kidney disease, liver disease, dental issues and exposure to diabetes all stim from an over consumption of foods high in sugar and salt. Limit your sweet and savory treat cravings and opt into a natural fruit bowl instead. Adding natural coconut, dark chocolate, a variety of nuts or natural fruit drizzles or compote is both beneficial to your health and satisfies your cravings.
Get Active
- Physical activities such as walking, biking, jogging or sports provides overall health benefits to help keep your heart and lungs functioning properly as well as maintain your physical toned body.
- Creative activities such as painting, drawing, sewing or sculpting help to maintain and stimulate your brain functions properly and help to maintain manual dexterity with your hands.
Family History
Family medical history is just as, if not more, important than ancestry. Share with your healthcare provider if close relatives have had any of the following diseases. You can minimize your chances of shared history by knowing what has afflicted your family and taking actions to reduce your risk.
- diabetes
- hypertension
- stroke
- heart attack
- kidney disease
- cancer
- sickle cell disease
- lupus
Some Health Issues to
Watch Out For
Genetic Blood Disorders
- Hemoglobin Disorders
- Sickle cell disease – from both parents
- causes blood flow issue and pain
- Sickle cell trait – from one parent
- no issues but can pass on to your future children
- Alpha thalassemia – having less than all 4 Hemoglobin genes
- can cause lung issues
- Beta thalassemia – low production of red blood cells
- can cause anemia
- Sickle cell disease – from both parents
- Screening may include:
- Complete blood count (CBC)
- Hemoglobin electrophoresis (specific newborn test)
- detect abnormal hemoglobin variants and can diagnose conditions
- Hemoglobin electrophoresis (specific newborn test)
- Complete blood count (CBC)
- This is especially valuable:
- before pregnancy
- during pregnancy
- if there is a family history
- when unexplained anemia is present
Glucose (Sugar) and Diabetes
- Pre-diabetes – blood sugar levels are higher than normal
- Diabetes 1 – Autoimmune – attacks insulin producing cells in the pancreas
- Diabetes 2 – body is resistant to insulin or pancreas cannot produce enough insulin
- Diabetes 3c – effect of current or prior pancreatic health issues
- Monogenic diabetes – mutation of a single gene
- Diabetes 5 – stems from malnutrition
- Gestational diabetes – pregnancy hormones block insulin creation
Screening may include:
- Hemoglobin A1c
- Fasting glucose
- Oral glucose tolerance test
Monitor:
- A1c
- fasting insulin (selected cases)
- waist circumference
- blood pressure
Chronic Kidney Disease
Early kidney disease often has no symptoms, so screening is particularly important in people with diabetes or hypertension.
Routine monitoring may include:
- Creatinine
- Estimated GFR
- Urine albumin
- Urine protein
- Blood pressure
High Blood Pressure and Hypertension
Regular monitoring includes:
- Blood pressure
- Kidney function
- Urine protein
- Cholesterol
- Electrolytes
Because hypertension often develops earlier and can be more severe, home blood pressure monitoring can be a useful complement to office measurements.
Heart Disease
Routine blood work:
- Lipid panel
- A1c
- Kidney function
Risk factors to monitor:
- LDL cholesterol
- HDL cholesterol
- Triglycerides
- Blood pressure
- Weight and waist circumference
- Physical activity
- Smoking status
Stroke Prevention
Because hypertension and diabetes are more common, stroke prevention focuses on controlling:
- blood pressure
- diabetes
- cholesterol
- smoking
- sleep apnea, lack of breathing, when present
Vitamin D
Vitamin D is essential for calcium absorption and maintaining healthy bones. Vitamin D also maintains healthy brains, skin and overall immunity. People with darker skin often produce less vitamin D from sunlight because higher melanin reduces UV-driven vitamin D synthesis.
Testing is reasonable if there are:
- weak or fragile bones or bone pain, i.e osteoporosis, rickets or osteomalacia
- muscle weakness
- limited sun exposure
Routine screening for everyone is not universally recommended, but targeted testing is appropriate in many situations.
Autoimmune Disease
Some autoimmune diseases are more common or more severe among African Americans. Systemic lupus erythematosus is an autoimmune illness where the immune system attacks healthy cells in your body. Possible testing (when symptoms suggest) may include:
- ANA
- CBC
- Kidney function
- Urinalysis
- Complement levels
- Disease-specific antibody tests
These tests are not recommended as routine screening in people without symptoms.
Cholesterol
Recommended monitoring:
- Total cholesterol
- LDL
- HDL
- Triglycerides
Frequency depends on age and cardiovascular risk.
Sleep Health
African Americans have higher rates of obstructive sleep apnea, especially when obesity or hypertension is present. Evaluation is appropriate if there is:
- loud snoring
- daytime sleepiness
- witnessed pauses in breathing
- difficult-to-control blood pressure
Cancer Screening
Symptoms That Should
Prompt Medical Evaluation
Many cancers cause no symptoms early on, but it’s generally a good idea to seek medical evaluation for symptoms such as:
- Unexplained weight loss
- A lump that is new or growing
- Blood in the stool or urine
- A persistent cough or coughing up blood
- Difficulty swallowing that doesn’t improve
- Persistent hoarseness
- Unusual or persistent bleeding
- A change in a mole’s size, shape, or color
- Ongoing fatigue without an obvious explanation
- Pain that is persistent and unexplained
- Any unusual symptom or change in normal daily habits
These symptoms can have many causes other than cancer, but they warrant assessment, especially if they persist.
One reassuring point is that many of the most common cancers are also among the most treatable when detected early. Routine preventive care, age-appropriate screening, avoiding tobacco, limiting alcohol, maintaining a healthy weight, staying physically active, and protecting your skin from excessive ultraviolet exposure can all reduce cancer risk or improve the chances of finding cancer at an earlier, more treatable stage.
Most Common Cancers
Among adults, the cancers diagnosed most often include:
| Cancer Type | Notes |
|---|---|
| Breast cancer | The most commonly diagnosed cancer in women worldwide. Many cases are highly treatable when found early. Routine mammography remains important, and women with significant family histories may benefit from earlier or additional screening such as ultrasounds. Black women are more likely to develop aggressive forms of breast cancer at younger ages. Men also are susceptible to breast cancer, although not common, and should check themselves as well. |
| Ovarian cancer | Ovarian cancer is an overgrowth of cells in your ovaries. They can invade and destroy healthy tissue throughout your body. There are often no symptoms at first. It is sometimes called a “silent” cancer because early symptoms can be subtle and nonspecific. |
| Prostate cancer | One of the most common cancers in men. Many cases grow slowly. Many experts recommend beginning discussions about screening earlier than average, often around age 45 or even age 40 for those with strong family histories. African American men have higher incidences, earlier onset on average, and higher mortality from prostate cancer. |
| Lung cancer | Common in both men and women, especially with smoking history, though it also occurs in nonsmokers, by way of secondhand inhalation of nearby current smokers. Small cell lung cancer often causes few symptoms until advanced and has a high likelihood of spreading. It can double in size rapidly. Often spreads early to the brain, liver, or bones and usually requires prompt treatment. |
| Colorectal cancer | One of the leading cancers in both men and women. Screening has significantly improved early detection and can be very treatable if found early. Advanced disease is much harder to cure. Follow standard screening recommendations (often beginning around age 45 for average-risk adults), though those with a strong family history may need earlier screening. |
| Melanoma | Less common than many other skin cancers but more likely to spread if not treated early. |
| Bladder cancer | More common in older adults and men. |
| Non-Hodgkin lymphoma | A group of blood cancers with many subtypes and varying behavior. Acute myeloid leukemia can progress over days to weeks. Typically requires urgent evaluation and treatment. Acute lymphoblastic leukemia also progresses quickly and is more common in children but also occurs in adults. |
| Pancreatic cancer | Frequently discovered after it has rapidly spread because early symptoms are often subtle. One of the most challenging cancers to treat. |
| Liver cancer | Often develops in people with chronic liver disease and may be advanced at diagnosis. |
| Brain cancer | Glioblastoma is the most aggressive and primary brain tumor in adults. It can grow quickly and cause symptoms over a relatively short period. |
| Cholangiocarcinoma | Bile duct cancer is a rare disease that forms in the tubes that carry bile from the liver and gallbladder to the small intestine. It’s often diagnosed late because symptoms may not appear until the disease is advanced. |
| Esophageal cancer | A rare but aggressive disease that affects the muscular tube that moves food from your throat to your stomach. It may progress without obvious symptoms until swallowing becomes difficult. |
*These cancers account for a large proportion of cancer-related deaths because some are often diagnosed at later stages or are particularly aggressive.
Preventative Healthcare Testing
Recommendations
At regular intervals, depending on age and risk:
| Test | Typical Frequency |
|---|---|
| Blood pressure | Every healthcare visit or at least annually |
| Height/weight/BMI | Annually |
| Vision | Every 1–2 years or as needed |
| Hearing | Periodically, more often with age |
| Cholesterol | Every 4–6 years or more often if indicated |
| Diabetes screening | Every 3 years starting around age 35–45, earlier if at increased risk |
| Colon cancer screening | Starting around age 45 for average risk |
| HIV | At least once for most adults, with repeat testing based on risk |
| Hepatitis C | Once for most adults, with repeat testing based on risk |
| Skin examination | As clinically indicated |
| Dental examination and cleaning | Every 6 months |
| Eye examination | Every 1–2 years (more often with diabetes or eye disease) |
| Substance screening | Periodically |
| Mental health screening | Periodically |
Routine Blood Work
Throughout Adulthood
Many healthy adults do not need an extensive blood panel every year. Testing is typically tailored to age, medical history, medications, and risk factors. A clinician may recommend some of the following tests periodically, but you can advocate for yourself to have a full or specific panel completed. Certain tests may not be in your annual testing range and come at an additional cost. Do what’s best for you.
| Test | Purpose |
|---|---|
| Complete blood count (CBC) | Anemia, infection, blood disorders |
| Comprehensive metabolic panel (CMP) | Kidney, liver, electrolytes, glucose |
| Lipid panel | Cholesterol and cardiovascular risk |
| Hemoglobin A1c | Diabetes screening and monitoring |
| Thyroid-stimulating hormone (TSH) | Thyroid disorders (when indicated) |
| Urinalysis | Kidney and urinary health (when indicated) |
| Iron studies | Iron deficiency or overload (when indicated) |
| Vitamin B12 | Deficiency in at-risk individuals |
| Vitamin D | Selected individuals based on risk or symptoms |
| HIV and hepatitis screening | Per age and risk recommendations |
| STI testing | Based on sexual activity and risk |
Routine Testing for Girls and Women
Girls
- Vision
- Hearing
- Development
- Autism screening
- Lead testing (where recommended)
- Hemoglobin screening (selected ages)
Teen Girls
- STI testing (if sexually active)
- Pregnancy testing when appropriate
- Mental health screening
- Lipid screening
- Diabetes screening (if risk factors)
Women
- Cervical cancer
- Pap test beginning at age 21
- HPV testing according to age and guideline interval
- Breast cancer
- Mammography beginning around age 40–50 depending on individual risk and national guidelines
- Bone health
- Bone density screening around age 65 or earlier if risk factors
- Additional routine tests
- Blood pressure
- Cholesterol
- Diabetes screening
- Colon cancer screening (starting around age 45 for average risk in many guidelines)
- Hepatitis C (once for most adults)
- HIV screening
- Depression screening
Routine Testing for Boys and Men
Childhood
- Vision
- Hearing
- Development
- Autism screening
- Lead screening (where recommended)
- Hemoglobin screening
Teen Boys
- STI screening (if sexually active)
- Lipid screening
- Mental health screening
- Diabetes screening if risk factors
Men
- Blood pressure
- Cholesterol
- Diabetes screening
- Colon cancer screening
- Hepatitis C
- HIV
- Additional routine tests
- Prostate – Routine PSA testing for everyone is not universally recommended. However, decisions are usually individualized. Discussion about PSA screening generally begins around:
- Age 40 (very high risk)
- Age 45 (higher risk)
- Age 50 (average risk)
- Abdominal aortic aneurysm
- One-time ultrasound for many men ages 65–75 who have ever smoked.
- Prostate – Routine PSA testing for everyone is not universally recommended. However, decisions are usually individualized. Discussion about PSA screening generally begins around:
Preventive Care Beyond Blood Tests
Good preventive health also includes:
- Regular physical activity (at least 150 minutes/week for most adults)
- Strength training at least twice weekly
- Healthy nutrition
- Adequate sleep
- Sunscreen and skin protection
- Seat belt use and appropriate protective gear
- Tobacco avoidance
- Moderate or no alcohol use
- Annual medication reviews
- Advance care planning in later adulthood
Lifetime Preventive Healthcare Timeline
| Life Stage | Wellness Visits | Blood/Lab Tests | Vaccines | Screening |
|---|---|---|---|---|
| Preconception | Health assessment | CBC, blood type, HIV, hepatitis B/C, STI testing, immunity (rubella/varicella), thyroid (if indicated), diabetes (if indicated), genetic carrier screening | Update MMR, varicella, influenza, COVID-19, Tdap if needed | Family history, medications, nutrition |
| Pregnancy | Monthly then more frequent | Prenatal labs, glucose screening, CBC, Rh testing, GBS, STI screening | Influenza, Tdap (each pregnancy), COVID-19 as recommended, RSV (during eligible pregnancies where recommended) | Ultrasounds, fetal genetic screening |
| Birth | Newborn exam | Newborn blood spot screening, bilirubin | Hepatitis B | Hearing, congenital heart disease |
| Infancy (0–2 years) | Frequent well-child visits | Hemoglobin (selected ages), lead (where recommended) | Routine infant vaccines | Growth, vision, hearing, development |
| Childhood | Annual | As indicated | Routine childhood boosters | Vision, hearing, dental |
| Teens | Annual | Lipids (once), STI screening if sexually active | HPV, Tdap, meningococcal | Mental health, substance use |
| Adults (18–39) | Every 1–3 years (or annually if preferred/risk factors) | Cholesterol, diabetes screening (based on age/risk), HIV, hepatitis C once, STI testing as indicated | Influenza annually, Td/Tdap every 10 years, COVID-19 per guidance | Blood pressure, skin, dental, eye exams |
| Midlife (40–64) | Annual | Routine labs based on risk | Continue adult schedule | Mammograms (women), colorectal screening, cervical screening, prostate discussion (men) |
| Older Adults (65+) | Annual | CBC and metabolic testing as clinically indicated | Shingles, pneumococcal, RSV (eligible adults), influenza annually | Bone density, vision, hearing, fall risk, cognition, memory, mental health |
Pregnancy Check Ups
Mother and baby go through a series of testing prior to birth. Testing includes diseases possibly passed on from parents to children through generational blood line and any diseases that are communicable at the time of birth, if necessary.
Before Pregnancy (Preconception)
Pregnancy planning can include the following healthcare recommendations:
Blood tests
- Blood type and Rh factor
- Antibody screen
- Complete blood count (CBC)
- Iron studies (if anemia risk)
- Rubella immunity
- Varicella immunity
- Hepatitis B
- Hepatitis C (many guidelines)
- HIV
- Syphilis
- Gonorrhea and chlamydia (risk-based or age-based)
- Thyroid function (if symptoms or risk factors)
- Diabetes screening (if risk factors)
- Vitamin D (sometimes)
- Genetic carrier screening (optional but increasingly common)
Common carrier screening includes:
- Cystic fibrosis
- Spinal muscular atrophy (SMA)
- Hemoglobin disorders (sickle cell disease, thalassemia)
- Expanded carrier screening (hundreds of inherited disorders)
First Prenatal Visit (6–12 weeks)
Standard tests usually include:
Blood
- CBC
- Blood type
- Rh factor
- Antibody screen
- HIV
- Hepatitis B
- Hepatitis C
- Syphilis
- Rubella immunity
- Varicella immunity (if unknown)
- Blood sugar screening (if high risk)
- Hemoglobin electrophoresis (selected populations)
Urine
- Urinalysis
- Urine culture
- Protein
- Glucose
STI testing
- Gonorrhea
- Chlamydia
Optional
- Genetic carrier screening
- Non-invasive prenatal testing (NIPT)
During Pregnancy
First Trimester
- NIPT (optional but commonly offered)
- First-trimester ultrasound
- Nuchal translucency screening
Second Trimester
Blood tests may include:
- Maternal serum AFP
- Quad screen (if NIPT not performed)
Ultrasound:
- Detailed anatomy scan (18–22 weeks)
Around 24-28 Weeks
Standard:
- Glucose tolerance test
- CBC
- Repeat antibody screen (Rh-negative mothers)
Third Trimester
Around 28 Weeks
If Rh-negative:
- Rh immune globulin (not a vaccine)
Around 35-37 Weeks
Screening for:
- Group B Streptococcus (vaginal/rectal swab)
Risk-based repeat testing:
- HIV
- Syphilis
- Gonorrhea
- Chlamydia
During Delivery
Mother may receive:
- CBC if indicated
- Blood type confirmation if needed
- Blood crossmatch if hemorrhage risk
Baby’s Umbilical cord blood check:
- Blood type
- Rh factor
- Coombs test (if indicated)
After Birth
Mother testing typically include:
- CBC (if blood loss or anemia suspected)
- Blood pressure monitoring
- Diabetes follow-up (if gestational diabetes)
- Depression screening
- Thyroid testing (if indicated)
Newborn testing, usually within the first 1–2 days, typically include:
- Blood panel screens for dozens of rare conditions, including:
- Phenylketonuria (PKU)
- Congenital hypothyroidism
- Sickle cell disease
- Cystic fibrosis
- Maple syrup urine disease
- Medium-chain acyl-CoA dehydrogenase (MCAD) deficiency
- Many metabolic disorders
- Hearing screen
- Universal newborn hearing screening.
- Critical congenital heart disease screening
- Pulse oximetry
- Bilirubin
- To assess jaundice
Standard Vaccine Schedule
Birth through Adulthood
*This is based broadly on the routine U.S. schedule.
Birth
- Hepatitis B
2 Months
- DTaP
- IPV (polio)
- Hib
- Pneumococcal
- Rotavirus
4 Months
Dose 2:
- DTaP
- IPV
- Hib
- Pneumococcal
- Rotavirus
6 Months
Dose 3:
- DTaP
- IPV
- Hepatitis B
- Pneumococcal
- Influenza (annual option, beginning at 6 months)
- COVID-19 (optional, depending on current recommendations)
12–15 Months
- MMR
- Varicella
- Hepatitis A
- Hib booster
- Pneumococcal booster
15–18 Months
- DTaP booster
4–6 Years
- DTaP
- IPV
- MMR
- Varicella
11–12 Years
- Tdap
- HPV series
- Meningococcal ACWY
16 Years
- Meningococcal booster
Adults
Routine:
- Influenza annually
- COVID-19 (per current guidance)
- Td/Tdap every 10 years
Age/risk based:
- Shingles (typically age 50+)
- RSV (older adults and certain high-risk groups)
- Pneumococcal vaccine (older adults and certain medical conditions)
- Hepatitis A/B
- MMR (if not immune)
- Varicella (if not immune)
- HPV (through age recommendations if not previously vaccinated)
- Meningococcal (special risk groups)


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