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Two Month Visit

Around 2 months, your baby will flash you a real smile and start to show some real head control! At this visit, we start to track your baby’s develop with a standardized screen and discuss strategies to encourage further development. We will also lay out the road map for our vaccination schedule.

What should my two-month old be doing?

All babies develop at different rates.  Please do not be discouraged or worried, if your child has not achieved the following milestones by 2 months.

At this age, your child should:

  • Lift chest momentarily when on tummy
  • Hold head steady when seated with support
  • Discover hands and fingers
  • Grasp with some control
  • Smile and Coo with increasing frequency
  • Follow objects by moving head from side to side
My baby is receiving four vaccines, is this really alright?

Although the immune system is still developing, it is quite sophisticated. Every day your child is exposed to hundreds of antigens (the active parts of vaccines). When we give your child the vaccines, we are simply controlling a few of the antigens that he will see on that given day to provide protection against dangerous illnesses. If you would like more information on this topic, may we refer you to the wonderful video “Vaccines – Separating Facts from Fear” provided by Children’s Hospital of Philadelphia.

What type of vaccine reaction should I expect?

Most babies do not have a reaction to the vaccines.  A small percentage may develop a low-grade fever (under 101) or fussiness during the 24 hours after the administration of the vaccine.  If this occurs, please provide a dose of acetaminophen (Tylenol) as directed on our Acetaminophen dosing chart. For more information on potential reactions to specific vaccines, please click on the Vaccine Information Sheets provided on the Centers for Disease Control website.

How much Tylenol should my baby take after his vaccines?

Most babies will not have a reaction to the vaccines.  If your child is irritable or develops a fever of >101, please consult the Dosing Tylenol Chart for the dose.

What vaccines and/or screening tests should I expect at this visit?

At this visit your child will receive the Pentacel vaccine (Dtap,polio and Hib), the Prevnar vaccine (pneumococcal) and an oral vaccine that protects against rotavirus.