Grow Up Healthy!

What milestones*

have I reached?

How tall am I?

What immunizations 

do I need?†

* Milestones adapted from Caring for your baby and young child: 

Birth to age 5, Fifth Edition, edited by Steven Shelov and Tanya 

Remer Altmann © 1991, 1993, 1998, 2004, 2009 by the American 

Academy of Pediatrics and Bright Futures: Guidelines for health 

supervision of infants, children, and adolescents, Third Edition, 

edited by Joseph Hagan, Jr., Judith S. Shaw, and Paula M. Duncan, 

2008, Elk Grove Village, IL: American Academy of Pediatrics.

This is not an exhaustive list of milestones from 0-6 years. See 

more at www.cdc.gov/Milestones

†

 If your child has any medical conditions that put him at risk for 

infections or is traveling outside the United States, talk to your 

child’s doctor about additional vaccines that he may need.

vaccines: www.cdc.gov/vaccines milestones: www.cdc.gov/milestones growth charts: www.cdc.gov/growthcharts 

Varicella

(Chickenpox)

DTaP

IPV

Influenza

(Yearly)

MMR

4–6 years

Influenza

(Yearly)

2–3 years

MMR

Varicella

Hep A

DTaP

Hib

PCV

Influenza

(Yearly)

12–15 months

Influenza

(Yearly)

Hep A

18–23 months

Hep B

RV 

(if brand 

indicated)

DTaP

Hib

PCV

IPV

Influenza

(Yearly)

6months

RV

DTaP

Hib 

PCV

IPV

4months

Hep B

(at birth and 

at 1–2 months)

RV

DTaP

Hib PCV

IPV 

Birth–2 months

Last updated December 2016

CS272886-C

56”

55”

54”

53”

52”

50”

49”

 4feet

47”

46”

45”

44”

43”

42”

41”

40”

39”

38”

37”

 3feet

35”

34”

33”

32”

31”

30”

29”

28”

27”

26”

25”

 2feet

23”

22”

21”

20”

19”

18”

17”

16”

15”

14”

13”

 1foot

6 years

Listens and pays attention

Has mature pencil grasp

Prints some letters and numbers

Balances on one foot

5 years

Wants to be like friends 

Speaks very clearly

Tells a story using full sentences

Can print some letters and numbers 

Hops; may be able to skip 

Likes to sing, dance, or act 

4 years

Tells stories

Cooperates with other children

Enjoys doing new things

Uses scissors with supervision

Catches a bounced ball most 

of the time

Understands the idea of “same” and 

“different”

3 years

Shows concern for a crying friend

Can name most familiar things

Talks well enough for strangers to 

understand most of the time

Turns book pages one at a time

Runs easily

Plays pretend with dolls, animals, 

and people

2 years

Gets excited when with 

other children

Says sentences with 2 to 4 words

Follows two step instructions 

such as “Pick up your shoes and 

put them in the closet.”

Builds tower of 4 or more blocks

Kicks a ball

Points to things in a book

19-23 months

Plays mainly beside other 

children

Follows two-step commands

Plays simple make-believe games

Throws ball overhand

Knows names of familiar people and 

body parts

18 months

Points to show others 

something interesting

Says several single words

Points to one body part

May walk up steps and run

Shows affection to familiar people

Eats with a spoon

 15 months

Imitates what you are doing

Drinks from a cup 

Scribbles on his own

Walks well

May be afraid of strangers

12 months

Cries when mom or dad leaves

Says “mama” and “dada” 

Copies gestures (for example, waves 

“bye bye”)

Repeats sounds or actions to get 

attention

May stand alone 

6 months Knows familiar faces

Responds to own name

Responds to other people’s 

emotions and often seems happy

Brings more to mouth

Rolls over in both directions

Strings vowel sounds together when 

babbling (“ah”, “eh”, “oh”)

4 months Babbles with expression

Likes to play with people

Reaches for toy with one hand

Brings hands to mouth

Responds to affection

When lying on stomach, pushes up 

to elbows

Birth–

2 months Recognizes caregiver’s voice

Starts to smile

Calms down when rocked, 

cradled or sung to

Begins to follow things 

with eyes

Coos, makes gurgling sounds
Birth through 24 months

Birth through 24 months

2 through 20 years

2 through 20 years

GIRLS

BOYS

DTaP protects against diphtheria, tetanus, and pertussis.

Hib protects against Haemophilus influenzae type b.

Hep A protects against Hepatitis A.

Hep B protects against Hepatitis B.

Influenza protects against flu.

IPV protects against polio.

MMR protects against measles, mumps, and rubella.

PCV protects against pneumococcal disease.

RV protects against rotavirus.

Varicella protects against chickenpox.

Growth Charts

Vaccines Protect Kids