Research has shown that low birth weight is linked to infant mortality as well as longer term outcomes. This paper examines the medium term outcomes that may link low birth weight to adult disadvantage using a national longitudinal sample with a large sample of siblings (Add Health). Results show strong effects on several educational outcomes, including early grade repetition, receipt of special education services, and reports of a learning disability. Results for longer term outcomes are suggestive, though less robust and small in magnitude. Overall, the results suggest that medium term educational disadvantages associated with low birth weight are not driven by family level unobservables and do not accumulate into large long-term disadvantage.