it depends on which country
The shots that a 4 year old need in the US are DTaP, MMR, IPV and Varicella. These immunizations are administered between the ages of 4 and 6 years old.
Yes. You always need shots when you're going out of state.
you need to be updated in your shots and get a passport for the united states post office
A valid passport is essential to travel to the Philippines. In addition any recommended immunization vaccine shots should be taken.
Philippines citizens need visas to enter China and Qatar.
No, there is no need for them to go to Paris.
italian international passport holder nid visa four visit philippines
Well its a first world, developed country so I don't think you'd need any. Maybe you do but I don't really know.
immunizations
Yes, you don't
Children should receive immunizations at regular intervals in order to keep them healthy and disease-free. From the hepatitis B series shots to the immunizations for mumps and rubella, you will find that your child benefits greatly from these things. Before taking your child to get their immunizations, you will want to first talk with their doctor to set up a schedule so that they get their shots at the right times. You need to make sure that they are kept up-to-date on all of their vaccinations so that they are healthy when they go off to school. As stated before, the first step is to take your child to the doctor to find out what types of immunizations they need in order to be healthy and prevent illness. Your doctor will be able to do blood tests to see what they are immune to and what types of vaccinations they need if they do not have them already. Keep in mind that all vaccinations need to be repeated after a few years, so keeping an immunization chart and schedule at home is one of the best ways to ensure that your children get their shots when they truly need them. In many cases, schools will not allow kids to attend who do not have their immunization shots. Because of this, it makes a lot of sense to bring your kids to their pediatrician to get the vaccinations that they need. In certain cases, the school itself will be able to provide these types of immunizations for free if you simply take the child to the school nurse. When you have your child vaccinated, you can feel more comfortable with him being around other kids in the classroom. They are protected from some of the more contagious conditions out there, such as chicken pox or measles. By speaking with your child's doctor, you will be able to figure out what vaccinations your kids need and the schedule that they should keep in order to go back for their booster shots every few years so that they are kept up-to-date on everything that you get for them in the doctor's office.
You don't need any immunizations to go to the Galapagos Islands. There's no danger of contagious diseases on this Archipelago.