Immunisations for toddlers (1-3 years)

Every toddler in NSW is given a personal health record. 

This is your child’s “blue book”, your 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. 

18-month immunisations

Influenza vaccine

In addition to the above 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 

Health checks are a great opportunity to check in on your child’s health and development and discuss any concerns you might have with a health professional. When your child grows into a toddler, they will have health checks at:

  • 18 months
  • 2 years
  • 3 years.

Bring your toddler’s blue book along to all appointments. Below are some topics that you may like to discuss at these check-ups.

Health and safety

  • healthy eating
  • sleep
  • taking care of your child’s teeth
  • how to be sun smart
  • growth
  • immunisation.

Development

  • your child’s behaviour
  • toilet training
  • encouraging active play.

Family

  • sibling relationships
  • parenting practices
  • their feelings and behaviours
  • going to playgroups or childcare
  • smoking or vaping.