Your baby’s first checkup happens in the hospital shortly after birth.
Additionally, the American Academy of Pediatrics (AAP)
recommends you take your baby to the doctor for
10 checkups during their first 2 years.

Profile baby
Doctor and baby

The BabyCheckupsGuide

The Baby Checkups Guide is a guide that is designed to help you learn about each checkup, from birth to age 2.

Download your guide here, available in multiple languages:

AT EACHCHECKUP

The doctor or healthcare professional may:

  • Perform a physical exam
  • Check your baby’s growth
  • Assess your baby’s developmental milestones, the behaviors and expected skills at each age
  • Administer CDC*-recommended vaccinations
  • Provide tips and information on how to help keep your baby healthy

*Centers for Disease Control and Prevention

2 x

DID YOU KNOW?

Babies who miss more than half of their checkups may have up to 2x the risk of being hospitalized than babies who attended most scheduled visits.

Smiling baby

Checkup Prep Guides

It is recommended that babies have 10 checkups before the age of 2. Download these single-page guides to help you prepare for those checkups. They’ll tell you what to expect:

  • Developmental milestones your doctor may evaluate
  • Vaccinations your baby may be due for according to the CDC-recommended dosing schedule
  • Topics to ask about

Download your guides here:

  • 2- to 5-day checkup
  • 1-month checkup
  • 2-month checkup
  • 4-month checkup
  • 6-month checkup
  • 9-month checkup
  • 12-month checkup
  • 15-month checkup
  • 18-month checkup
  • 24-month checkup

BabyReminders text program helps keep you on schedule with your baby's 10 checkups before 2 years old!

man with baby
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TOOLS TO HELP YOU STAY ONSCHEDULE

KEEP YOUR
BABY ON
SCHEDULE
WITH CHECKUPS

Hi! It’s time for baby to go back for a 4 month well baby Dr’s visit! Did you make an appointment yet? Reply 1 for Yes or 2 for No.

TEXT4BABY TM*

Get health education, helpful tips, and important well-visit and vaccination reminders delivered to your mobile phone.

*Text4baby – Health information for baby’s first year.

Visit Text4baby to
Download the App

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

Pfizer is a proud sponsor of Text4baby.
Text4baby content is independently developed by Welltok.
Pfizer is not involved in the creation of content provided by Text4baby.

Text4baby is a registered trademark of Welltok, Inc. All rights reserved.

KEEP YOUR
BABY ON
TRACK WITH
VACCINATIONS

Vaccination Calendar

PERSONALIZED VACCINATION CALENDAR

Create a CDC-recommended vaccination schedule personalized for your baby. Download your schedule here, available in multiple languages:

PHYSICAL EXAMS

At each checkup, the doctor may give your baby a complete body exam and alert you to any problems they might detect.

These physical exams may include
checking your baby’s:

  • Weight, length, and head circumference
  • Heartbeat and breathing
  • Hips, legs, arms, back, and spine
  • Eyes
  • Ears and nose
  • Mouth and throat
  • Neck and underarm lymph glands
  • Fontanels (the soft spots on the head)
  • Genitals for hernias or undescended testicles (and the doctor may also check the femoral pulse in the groin for a strong, steady beat)
  • Skin for birthmarks and rashes
  • Stomach to ensure the internal organs feel healthy

The doctor may also perform additional age-specific physical assessments to check to see if your baby is meeting the developmental milestones for their age group.

HELPFUL INFORMATION

Get a detailed explanation of each checkup.

The WHAT TO EXPECT: Guide to Well-Baby Visits and Immunizations offers a thorough description to help you prepare for your baby’s checkups. Download your guide here, available in multiple languages:

Find more information about the AAP schedule.

Look for it here:

AAP.org

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

Crawling baby

BABY’S FIRSTCRAWL!

DEVELOPMENTAL MILESTONES

At each checkup, the doctor may evaluate your baby’s developmental milestones (their behaviors and physical skills). The doctor tracks these expected behaviors and skills appropriate for your baby’s age to check to see if there are any delays or areas for concern. If there are, the doctor should suggest early intervention strategies.

When evaluating a developmental milestone, the doctor:

  • Observes child’s behaviors
  • Asks you about your baby’s age-related accomplishments (like sitting up and rolling over)
  • Asks about how you and your baby are doing, and about their feeding, sleeping, and development

Each baby is different and may achieve milestones at a different pace.

HELPFUL INFORMATION

Find more information on how to help give your baby a healthy start.
Learn more about your baby’s milestones during their first two years, and get tips on feeding, sleeping, and other healthy habits.

HealthyChildren.org

This website is neither owned nor controlled by Pfizer.
Pfizer does not endorse and is not responsible for the content or services of this site.

VACCINATIONS

The CDC-recommended dosing schedule below helps protect children against 16 childhood diseases by the age of 2. The doctor or healthcare professional should administer CDC-recommended vaccinations. These vaccinations are typically given at the end of your baby’s checkup. To get your own copy of the schedule, visit CDC.gov, your online source for credible health information and the official website of the CDC, or download the schedule here, available in multiple languages:

The CDC website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

Block baby

HELPFUL INFORMATION

Learn why childhood vaccines matter.

Explore these resources for more information about the importance of keeping your baby up to date, available in multiple languages:

CDC: Why Are Childhood
Vaccines So Important?

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

VACCINES MAY BE AVAILABLE AT NO COST

Vaccines for your baby are considered a preventive care service and may be available at no charge.

The Affordable Care Act (ACA)* requires new health insurance plans to cover preventive care services. Patients who visit a doctor who is a part of their health plan will not pay a deductible, copayment, or coinsurance cost.

If you do not have insurance or are enrolled in Medicaid, the Vaccines for Children (VFC)* program may be able to help. The VFC program is a program paid for by the government that provides vaccines at no cost to children who might not otherwise be vaccinated because they are not able to pay. The vaccines are given for free. But there might be other costs, such as payment for the visit or other services.

*These websites are neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of these sites.

WHAT YOU CAN EXPECT FROMEACH CHECKUP

  • A physical exam
  • A developmental assessment of your baby’s behavior and physical skills, or milestones
  • The administration of CDC-recommended vaccinations based on the schedule
  • The opportunity to ask questions and discuss concerns about your baby’s health with their doctor
Mom and baby
Mom and baby

WHY YOU CAN COUNT ON EACH CHECKUPFROM BIRTH TO AGE 2

FIRST CHECKUP AT BIRTH

Your baby receives their first checkup in the hospital, right after he or she is born. It includes a physical exam and vaccinations, and other items listed below. This is not a complete list, and some items may depend on your baby’s development. Download a helpful guide to this visit at the bottom of this section.

Stethoscope icon

AGE-SPECIFIC ASSESSMENTS

  • A hearing test
  • A blood test to help identify rare but sometimes serious conditions babies are sometimes born with (including ones that can be easily treated if they are diagnosed early)
  • A screening for jaundice
  • A screening for congenital heart disease (heart disease that a baby is born with)
Bandaid icon

VACCINATIONS

HepB

HepB=hepatitis B.

Speech bubble

TOPICS TO DISCUSS

At this checkup:

  • Transitioning home from the hospital
  • How/what to feed your baby
  • Sleep habits
  • Signs of illness
  • Safety at home and in the car

At the next checkup:

  • Any concerns that you have about your baby
  • How you and your family are adjusting
  • Feeding your baby
  • Home, crib, and car safety

Well-Visit Resources

Prepare for your appointment
with a 1-page guide:

Learn about the CDC-recommended vaccinations for this checkup here, available in multiple languages:

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

2TO5

DAY
CHECKUP

Now that you’ve been home with your baby for a few days, you probably have questions. Your baby’s checkups are the perfect time to discuss topics like sleep and eating habits or any health concerns you may have for you or your baby. Download a helpful guide to this visit at the bottom of this section.

At your baby's second checkup, here's some of what you might expect, depending on your baby's development.

Stethoscope icon

AGE-SPECIFIC ASSESSMENTS

  • Check to see how the umbilical stump is healing
  • Check for newborn jaundice
Star image

DEVELOPMENTAL MILESTONES

  • Startles with sound
  • Focuses on objects within 8 to 15 inches
  • Cries with discomfort; calms to adult voice
Bandaid icon

VACCINATIONS

HepB (if not already received)

HepB=hepatitis B.

RSV Immunization†

RSV=respiratory syncytial virus

†If mother didn't receive an RSV vaccine during pregnancy, or received it within 14 days of baby's birth, it is recommended to give the baby (8 months or younger) one dose of RSV antibody during their first RSV season.

Speech bubble

TOPICS TO DISCUSS

At this checkup:

  • How you and your family are adjusting
  • Feeding strategies
  • Counting wet and dirty diapers
  • Sleep habits and safe sleep
  • Signs of illness
  • Safety at home and in the car
  • What to do if you have questions after office hours

At the next checkup:

  • Any concerns that you have about your baby
  • How you and your family are adjusting
  • Feeding your baby
  • Home, crib, and car safety

Well-Visit Resources

Prepare for your appointment
with a 1-page guide:

Learn about the CDC-recommended vaccinations for this checkup here, available in multiple languages:

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

1

MONTH CHECKUP

Getting on the right schedule for your baby is a learning process, because every baby is different. You may have questions about your baby’s health, and their 1-month checkup is your chance to share what’s been on your mind. Download a helpful guide to this visit at the bottom of this section.

This is not a complete list and some details may vary, depending on your baby’s development.

Stethoscope icon

AGE-SPECIFIC ASSESSMENTS

  • Test your baby’s newborn reflexes
  • Check the umbilical site
  • Check your baby’s tongue movements to make certain they’re not restricted by a lip or tongue tie
Star image

DEVELOPMENTAL MILESTONES

  • Briefly lifts the head during tummy time
  • Brings hands to face
  • Focuses on your face
Bandaid icon

VACCINATIONS

HepB

HepB=hepatitis B.

Speech bubble

TOPICS TO DISCUSS

At this checkup:

  • How you and your family are adjusting
  • Use of pacifiers
  • Using vitamin D drops, if breastfeeding
  • When to call the doctor
  • Helping your baby fall asleep on their own

At the next checkup:

  • Feeding your baby
  • Getting back to work or school
  • Good sleep habits
  • Home, crib, and car safety

Well-Visit Resources

Prepare for your appointment
with a 1-page guide:

Learn about the CDC-recommended vaccinations for this checkup here, available in multiple languages:

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

2

MONTH CHECKUP

Taking care of your new baby can be exhausting and often quite challenging. But each smile makes it worth it. Wondering what you can expect at your baby’s 2-month checkup? Here’s a quick look at what you might expect, depending on your baby’s development and the doctor’s discretion. You can also download a helpful guide to this visit at the bottom of this section.

Stethoscope icon

AGE-SPECIFIC ASSESSMENTS

Not applicable

Star image

DEVELOPMENTAL MILESTONES

  • Smiles in response to a smile
  • Vocalizes in ways besides crying
  • Turns head toward a sound
  • Notices their hands
  • Can hold head up
  • Kicks energetically when lying on back
Bandaid icon

VACCINATIONS

  • HepB
  • RV
  • DTaP
  • Hib
  • PCV
  • IPV

HepB=hepatitis B; RV=rotavirus vaccine; DTaP=diphtheria, tetanus, and pertussis; Hib= haemophilus influenzae type b; PCV=pneumococcal conjugate vaccine; IPV=inactivated polio vaccine.

Speech bubble

TOPICS TO DISCUSS

At this checkup:

  • Taking care of yourself
  • Interacting with your baby
  • How long to exclusively breastfeed before starting solid foods
  • Having a daily routine for your baby
  • Signs of illness
  • Whether your baby is getting enough tummy time

At the next checkup:

  • Changes in feeding habits
  • Sleeping through the night
  • Home, crib, and car safety

Well-Visit Resources

Prepare for your appointment
with a 1-page guide:

Learn about the CDC-recommended vaccinations for this checkup here, available in multiple languages:

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

4

MONTH CHECKUP

Now that your baby is a few months older, you and your baby may be celebrating moments and milestones like rolling over, reaching, grabbing, and giggles. These milestones matter and may vary, depending on your baby’s development. So it's important to check in with their doctor to track your baby's development. Download a helpful guide to this visit at the bottom of this section.

Here’s what you might expect at your baby’s 4-month checkup.

Stethoscope icon

AGE-SPECIFIC ASSESSMENTS

  • Standard physical assessment
Star image

DEVELOPMENTAL MILESTONES

  • Supports self on elbows/wrists during tummy time
  • Rolls from tummy to back
  • Holds head up when in your arms or even when held upright
  • Pays attention to small objects and tries to reach for everything they see
  • Mixes up those breathy coos with some consonants and other sounds
Bandaid icon

VACCINATIONS

  • RV
  • DTaP
  • Hib
  • PCV
  • IPV

RV=rotavirus vaccine; DTaP=diphtheria, tetanus, and pertussis; Hib= haemophilus influenzae type b; PCV=pneumococcal conjugate vaccine; IPV=inactivated polio vaccine.

Speech bubble

TOPICS TO DISCUSS

At this checkup:

  • Taking time for yourself and your partner
  • When to start solid foods
  • Teething remedies
  • Sleep training
  • How to encourage active play and development

At the next checkup:

  • Feeding habits
  • Home, crib, and car safety
  • Cleaning your baby’s teeth
  • Teaching your baby

Well-Visit Resources

Prepare for your appointment
with a 1-page guide:

Learn about the CDC-recommended vaccinations for this checkup here, available in multiple languages:

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

6

MONTH CHECKUP

Now that your baby is 6 months old, there will be a lot to check on and check in with your baby’s doctor about. What’s in store for this essential checkup? See below for more details. You can also download a helpful guide to this visit at the bottom of this section. Keep in mind, this is not a complete list, and some details may depend on your child’s development.

Stethoscope icon

AGE-SPECIFIC ASSESSMENTS

  • Check gums for signs of teeth
Star image

DEVELOPMENTAL MILESTONES

  • Plays with toes
  • Brings things to their mouth
  • Passes objects from one hand to another
  • Rolls over in both directions
  • Sits assisted with good head control
  • Laughs
  • Interacts with the baby in the mirror
  • Babbles
  • Holds a bottle during feedings
Bandaid icon

VACCINATIONS

  • HepB
  • RV
  • DTaP
  • Hib
  • PCV
  • IPV
  • flu vaccine (if flu season)
  • COVID-19‡


HepB=hepatitis B; RV=rotavirus vaccine; DTaP=diphtheria, tetanus, and pertussis; Hib= haemophilus influenzae type b; PCV=pneumococcal conjugate vaccine; IPV=inactivated polio vaccine; COVID-19=coronavirus disease 2019

‡Number of doses recommended depends on your child's age and type of COVID-19 vaccine used

Speech bubble

TOPICS TO DISCUSS

At this checkup:

  • Signs that your baby is ready for solid foods
  • Cleaning your baby’s teeth
  • Teething
  • Sleeping habits and safety
  • Home and other safety
    • Gates on stairs
    • Don’t leave baby alone in tub
    • Continue to use rear-facing car seat
    • Lock up poisons

At the next checkup:

  • Good sleeping habits
  • Establishing a routine
  • Disciplining and teaching your baby

Well-Visit Resources

Prepare for your appointment
with a 1-page guide:

Learn about the CDC-recommended vaccinations for this checkup here, available in multiple languages:

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

9

MONTH CHECKUP

By 9 months, your baby might be picking up a new skill each day. At the 9-month checkup, there are no vaccinations, unless your baby needs to catch up on a previously missed dose. But you can still count on the doctor tracking your baby’s growth and development, including some of the ones listed below (not a comprehensive list). Download a helpful guide to this visit at the bottom of this section.

Stethoscope icon

AGE-SPECIFIC ASSESSMENTS

  • Routine finger-stick to test for anemia, sometimes referred to as low blood (this may be done later in the year instead)
Star image

DEVELOPMENTAL MILESTONES

  • Gets into a sitting position, sits unassisted
  • Pulls up to stand or stands holding onto someone/something
  • Works to get a toy that’s out of reach, and objects if you take a toy away
  • Responds to their name
  • Laughs, squeals with delight
  • Copies sounds and gestures
  • Points and uses other gestures to communicate
Bandaid icon

VACCINATIONS

None, unless your child missed previous vaccines or needs a flu vaccine.

Speech bubble

TOPICS TO DISCUSS

At this checkup:

  • Patience with your baby
  • Teaching your baby what to do and what not to do
  • Use “no” only when they could get hurt or hurt others
  • Bedtime routine
  • Checking on your baby if they awaken at night
  • Keeping your baby in a high chair while in the kitchen
  • Home safety

At the next checkup:

  • Bedtime routine
  • Cleaning your baby’s teeth
  • Discipline and teaching
  • Feeding
  • Home, crib, and car safety

Well-Visit Resources

Prepare for your appointment
with a 1-page guide:

Learn about the CDC-recommended vaccinations for this checkup here, available in multiple languages:

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

12

MONTH CHECKUP

The 12-month checkup is a big milestone appointment. At this checkup you might expect the doctor to assess your baby’s growth and development as they transition into toddlerhood. Your baby may be taking their first steps or even starting to say a word or two. Download a helpful guide to this visit at the bottom of this section.

This is not a complete list and may vary depending on your baby’s individual development.

Stethoscope icon

AGE-SPECIFIC ASSESSMENTS

  • Quick finger-stick test for lead levels and iron stores in your baby’s blood
  • Check number of teeth and look for signs of decay
Star image

DEVELOPMENTAL MILESTONES

  • Pulls self up to stand and cruise
  • Uses a few gestures to get needs met
  • Uses fingers to feed themselves
  • Responds to their name, or to words like “no” or “bye-bye”
  • Says a word or two, or even several, with meaning
  • Tries to imitate words you say
  • Plays games like peekaboo or patty-cake
Bandaid icon

VACCINATIONS

  • HepB
  • Hib
  • PCV
  • IPV
  • MMR
  • Varicella
  • HepA

HepB=hepatitis B; Hib= haemophilus influenzae type b; PCV=pneumococcal conjugate vaccine; IPV=inactivated polio vaccine; MMR=measles, mumps, rubella; HepA=hepatitis A.

Speech bubble

TOPICS TO DISCUSS

At this checkup:

  • Praising your child for good behavior
  • Screen time
  • Including your baby in family mealtimes
  • Continuing a calm bedtime routine that includes reading
  • Home and other safety
    • Rear-facing car seat
    • Keep poisons, medications, small objects out of reach
    • Gates at top and bottom of stairs
  • Teeth cleaning

At the next checkup:

  • Good sleep habits and crib safety
  • Speech development
  • Temper tantrums and behavior
  • Home and car safety

Well-Visit Resources

Prepare for your appointment
with a 1-page guide:

Learn about the CDC-recommended vaccinations for this checkup here, available in multiple languages:

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

15

MONTH CHECKUP

Your toddler may be achieving a number of impressive milestones. This checkup is a great opportunity to ask the doctor all of your toddler-related questions, including how to deal with tantrums and discipline. Download a helpful guide to this visit at the bottom of this section.

Here’s what you might expect at your baby’s 15-month checkup. This is not a complete list, and some details may depend on your child’s development.

Stethoscope icon

AGE-SPECIFIC ASSESSMENTS

  • Dental check
Star image

DEVELOPMENTAL MILESTONES

  • Understands simple commands
  • Shakes their head “no”
  • Uses a sippy cup
  • Enjoys looking at books
  • Points to get what they want and to show you something interesting
  • Picks up and moves toys intentionally
  • Says 2 to 3 words
Bandaid icon

VACCINATIONS

  • HepB
  • DTaP
  • Hib
  • PCV
  • IPV
  • MMR
  • Varicella
  • HepA

HepB=hepatitis B; DTaP=diphtheria, tetanus, and pertussis; Hib= haemophilus influenzae type b; PCV=pneumococcal conjugate vaccine; IPV=inactivated polio vaccine; MMR=measles, mumps, rubella; HepA=hepatitis A.

Speech bubble

TOPICS TO DISCUSS

At this checkup:

  • Teaching your child words by reading and naming objects
  • Bedtime routine and timing
  • Distracting your child when tantrums occur
  • Patience with messy mealtimes
  • Setting rules and limits to teach your child

At the next checkup:

  • Toilet training
  • Setting limits and using “time-out”
  • Reading with your child

Well-Visit Resources

Prepare for your appointment
with a 1-page guide:

Learn about the CDC-recommended vaccinations for this checkup here, available in multiple languages:

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

18

MONTH CHECKUP

Now that your little one is 18 months old, they may be busy putting new skills to use, like taking on the stairs or talking up a storm. The word “no” may also have found a familiar place in your home. There’s lots to cover at this month’s checkup. Download a helpful guide to this visit at the bottom of this section.

The information below is not a complete list, and you should speak with your baby’s doctor for additional information.

Stethoscope icon

AGE-SPECIFIC ASSESSMENTS

  • Standard physical assessment
Star image

DEVELOPMENTAL MILESTONES

  • Says as many as 10 to 20 words
  • Scribbles on their own
  • Understands simple commands
  • Walks upstairs while holding your hand
  • Runs
  • Helps undress themselves
  • Eats with a spoon
  • Points to at least 1 body part
  • Starts to pretend-play
Bandaid icon

VACCINATIONS

  • HepB
  • DTaP
  • IPV
  • HepA

HepB=hepatitis B; DTaP=diphtheria, tetanus, and pertussis; IPV=inactivated polio vaccine; HepA=hepatitis A.

Speech bubble

TOPICS TO DISCUSS

At this checkup:

  • Setting rules and limits
    • Teaching your child not to hit and bite
  • Describing things using simple words
  • Continuing to use a car seat in the back seat
  • Watching your child closely on the stairs; continuing to use gates
  • Toilet-training readiness signs

At the next checkup:

  • Toilet training
  • Discipline and teaching
  • Speech development

Well-Visit Resources

Prepare for your appointment
with a 1-page guide:

Learn about the CDC-recommended vaccinations for this checkup here, available in multiple languages:

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.

24

MONTH CHECKUP

Your 2-year-old may be showing signs that they’re ready for the potty. Is it time to ditch the diapers? You can ask the doctor at this checkup, and you can download a helpful guide to this visit at the bottom of this section. Here’s some of what you can expect from their 24-month checkup, depending on your baby’s development.

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AGE-SPECIFIC ASSESSMENTS

  • Dental exam to see if it’s time to visit a dentist
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DEVELOPMENTAL MILESTONES

  • Says more than 50 words
  • Puts 2 to 4 words together in a sentence
  • Repeats words
  • Follows 2-step commands
  • Copies adults and older kids
  • Sings
  • Jumps with both feet, kicks or throws a ball
  • Names or identifies many body parts
  • Names familiar people
  • Scribbles lines and “circles” with crayons
  • Stacks 4 or more blocks
  • Plays pretend
  • Plays alongside other kids
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VACCINATIONS

HepA

HepA=hepatitis A.

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TOPICS TO DISCUSS

At this checkup:

  • Setting rules and limits; using time-outs
  • Toilet-training readiness signs and progress
  • Reading and playing over watching TV
  • Limiting screen time
  • Sharing and getting along with others
  • Getting ready for preschool
  • Home and car safety

Well-Visit Resources

Prepare for your appointment
with a 1-page guide:

Learn about the CDC-recommended vaccinations for this checkup here, available in multiple languages:

This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site.