Immunization Requirements 2016-17 School Year
3 year olds and 4 year olds (PRE K) ✓HIB and PCV not routinely administered to children ≥ 5 years of age.
- 4 doses of DTP, DTaP, DT
- 3 doses of Polio
- 1 dose of MMR1 on/after 1st birthday
- 3 doses of HIB with the 3rd dose given on/after 1st birthday and at least 2 months since dose #2 OR 1 dose on/after 15 months of age
- 4 doses of PCV2 with one given after 1st birthday OR 1 dose on/or after 24 months of age
- 3 doses of Hepatitis B1
- 1 dose of Varicella1 on/after 1st birthday (if the child has NOT had chickenpox)
- 2 doses of Hepatitis A1 on/after 1st birthday (must allow 18 months between doses)
Kindergarten – Sixth Grade ✓Ages 7 years and older, 3 doses of DTP containing vaccine with one dose on/after 4th birthday.
- 5 doses of DTP, DTaP, DT with one on/after 4th birthday OR 4 doses if one dose is on/after the 4th birthday
- 4 doses of Polio with one on/after 4th birthday OR 3 doses if one dose is on/after 4th birthday
- 2 doses of MMR1 on/after 1st birthday
- 3 doses of Hepatitis B1
- 2 doses of Varicella1 on/after 1st birthday (if the child has NOT had chickenpox)
- 2 doses of Hepatitis A1 on/after 1st birthday (must allow 18 months between doses)
Seventh Grade
- 3 doses of DTP, DTaP, DT, Td, Tdap with one on/after 4th birthday, AND 1 dose of Tdap within the last 5 years. Td is acceptable in lieu of Tdap if a contraindication to pertussis exists.
- 4 doses of Polio with one on/after 4th birthday OR 3 doses if one dose is on/after 4th birthday
- 2 doses of Measles1, 1 dose of Mumps1 and 1 dose of Rubella1 on/after 1st birthday
- 3 doses of Hepatitis B1,3
- 2 doses of Varicella1,4 on/after 1st birthday (if the child has NOT had chickenpox)
- 1 dose of Meningococcal
Eighth – Twelfth Grade
- 3 doses of DTP, DTaP, DT, Td, Tdap5 with one on/after 4th birthday, AND 1 dose of Tdap is required within the last 10 years. Td is acceptable in lieu of Tdap if a contraindication to pertussis exists.
- 4 doses of Polio5,6 with one on/after 4th birthday OR 3 doses if one dose is on/after 4th birthday
- 2 doses of Measles1, 1 dose of Mumps1 and 1 dose of Rubella1 on/after the 1st birthday
- 3 doses of Hepatitis B1,3
- 2 doses of Varicella1,4 on/after 1st birthday (if the child has NOT had chickenpox)
- 1 dose of Meningococcal
This chart summarizes the vaccine requirements in Title 25 Health Services, §§ 97.61-97.72 of the Texas Administrative Code. This chart is not intended as a substitute for consulting the Texas Administrative code, which has other provisions and details. http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=5&ti=25&pt=1&ch=97&sch=B&rl=Y
***All vaccine doses administered up to and including 4 days before the minimum interval of age will satisfy school entry immunization requirements
1 Serologic confirmation of immunity to Measles, Mumps, Rubella, Hepatitis B, Hepatitis A, or Varicella or serologic evidence of infection is acceptable in place of vaccine.
2 Other schedules may apply.
3 2 doses of adult formulation Hepatitis B (Recombivax) administered to a child 11-15 years old are acceptable if manufacturer and mL are clearly documented.
4 Two doses of Varicella are required if student received the first dose on or after 13 years of age. Previous Chickenpox illness may be documented with a written statement from a physician, school nurse, or the child's parent or guardian containing wording such as: "This is to verify that (name of student) had Varicella disease
(chickenpox) on or about (date) and does not need Varicella vaccine." This written statement will be acceptable in place of any and all Varicella vaccine doses required.
5 Doses of DTaP/Polio administered the month of or prior to the 4th birthday are acceptable for students in 11th -12th grade(students enrolled in school prior to 8/1/04).
6 Polio vaccine is not required for students 18 years or older.
DSHS Region 7
S:\IMM\AUDITNEW\SchoolRequirements
Revised 03/04/2014
NOTE: This Reference Guide is subject to change depending on immunization requirements.
Notes
- All vaccine doses administered less than or equal to four days before the minimum interval or age shall be counted as valid.
- Does not need a dose of Polio after the 4th birthday if 4 doses of clearly documented combination of IPV and OPV were received before 4 years of age.
- HIB and PCV7 are not recommended for children 5 years of age or older.
- Polio is not required for age 18 and above.
Religious and conscientious exemptions can be requested by mail or online:
Mailing Address:
Immunization Branch
Department of State Health Services
Immunization Branch (MC 1946)
P.O. Box 149347
Austin, TX 78714-9347
Hand Delivery:
Department of State Health Services
Immunization Branch (MC 1946)
1100 West 49th Street
Austin, TX 78756
Secure online request form for exemption affidavit:
https://webds.dshs.state.tx.us/immco/affidavit.shtm
For more information regarding immunizations and exemptions:
http://www.dshs.state.tx.us/immunize/default.shtm
Religious and Conscientious Exemptions will be valid for only two years. These students may be excluded from school in times of emergency or epidemics declared by the commissioner of public health.
Medical Exemptions must be signed by an MD or DO. In the statement it must state that the vaccine required is medically contraindicated or poses a significant risk to the well being of the child or any member of the child’s household. Unless it is written in the statement that a lifelong condition exists, the exemption is valid for only one year from the date signed by the physician, not the date you receive it.