This paper addresses the issue of bias, particularly age bias, in large-scale language models (LLMs) and visually augmented LLMs (VLMs) in pediatric medical informatics, diagnosis, and decision support. Existing models exhibit poor performance on pediatric question-answering tasks, reflecting the paucity of pediatric research and resource imbalances. To address this issue, we present PediatricsMQA, a novel, comprehensive, multimodal pediatric question-answering benchmark comprised of 3,417 text-based questions spanning seven developmental stages (from fetal to adolescence) and 2,067 visual-based questions containing 634 pediatric images. Evaluation of state-of-the-art open models reveals significant performance degradation in younger age groups, highlighting the need for age-aware methods for equitable AI support in pediatric healthcare.