Which set of vaccines is due at the 4–6 year well-child visit?

• A. MMR, Varicella, HepA, HepB
• B. DTaP, IPV, MMR, Varicella; influenza annually
• C. DTaP, Hib, HepB, PCV
• D. DTaP, IPV, HepB, PCV

Answer: (B)

At age 4–6 years, the vaccines you should be focusing on are those that complete the standard early childhood series: the final dose of DTaP, the final dose of IPV, and the second doses of MMR and Varicella. In addition, influenza vaccine should be given annually if it’s flu season. DTaP protects against diphtheria, tetanus, and pertussis; IPV protects against polio; MMR covers measles, mumps, and rubella; Varicella prevents chickenpox. The other vaccines listed aren’t routinely due at this visit: Hib and PCV are typically completed earlier in infancy, HepB is usually finished by around 6–18 months, and HepA is started after 12 months with another dose later. The annual influenza vaccine is the one that can be added each year.