Immunisations for preschoolers (3-5 years)

Every preschooler in NSW is given a personal health record. 

This is your child’s “blue book”, the essential guide to tracking their growth, development, immunisations, and health checks from birth to age five.

The best way to protect your child from serious, preventable diseases is to give immunisations on time and in line with the recommended NSW Immunisation Schedule. This schedule ensures that your child is provided with the earliest protection. 

All immunisations on this schedule are free if your child is eligible for Medicare benefits. Evidence of your child’s immunisation status must be provided for enrolment at childcare, preschool, and school. 

4-year-old immunisations

Protection for the above four diseases is generally provided in a combined DTPa/IPV vaccination.

Influenza

In addition to the above 4-year-old vaccinations, it is also recommended that your child is vaccinated against influenza, more commonly known as the flu, every year. Getting the flu vaccine each year protects your child from the types of flu expected to be the most common that season. 

See the Influenza factsheet for more information.

Children aged 6 months to <5 years are eligible for a free influenza (flu) vaccination every year*.

*Some providers may charge an administration or consultation fee.

Health Checks

Your child will have their last two blue book health checks at three and four years old. However, you can still check in with the child and family health service until they reach age five. These checks are a great opportunity to check in on your child’s health and development and discuss any concerns you might have. Bring your preschooler’s blue book along to all appointments. 

Some topics you may like to discuss are listed below.

Health and safety

  • healthy eating for families
  • immunisations
  • dental hygiene
  • sun safety
  • growth
  • sleep
  • for boys: a testes check.

Development

  • supporting and managing your child’s developing independence
  • toilet training
  • regular reading to build literacy skills
  • encouraging active play
  • your child’s feelings and behaviours.

Family

  • sibling relationships
  • parenting practices
  • going to childcare or preschool
  • smoking or vaping in the household.