3
Table of Contents
Table of Immunization Requirements (K - 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Table of DTaP Requirements for Day Care and Head Start . . . . . . . . . . . . . . . . . . . . . . 8
Map of DTaP Requirements for Day Care and Head Start . . . . . . . . . . . . . . . . . . . . . . 9
Table of DTaP Requirements for Grades K-12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Map of DTaP Requirements for Grades K-12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Table of MMR Requirements for Day Care, Head Start, and Grades K-12 . . . . . . . . . .12
Map of MMR Requirements for Day Care, Head Start, and Grades K-12 . . . . . . . . . . .13
Table of Second Dose Measles Requirements for Grades K-12 . . . . . . . . . . . . . . . . . .14
Map of Second Dose Measles Requirements for Grades K-12 . . . . . . . . . . . . . . . . . . .15
Table of Polio Requirements for Day Care and Head Start . . . . . . . . . . . . . . . . . . . . . .16
Map of Polio Requirements for Day Care and Head Start . . . . . . . . . . . . . . . . . . . . . . .17
Table of Polio Requirements for Grades K-12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Map of Polio Requirements for Grades K-12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Table of Hib Requirements for Day Care and Head Start . . . . . . . . . . . . . . . . . . . . . . . 20
Map of Hib Requirements for Day Care and Head Start . . . . . . . . . . . . . . . . . . . . . . . . 21
Table of Hepatitis B Requirements for Day Care, Head Start, and Grades K-12 . . . . . .22
Map of Hepatitis B Requirements for Day Care, Head Start, and Grades K-12 . . . . . . .23
Table of Varicella Requirements for Day Care, Head Start and Grades K-12 . . . . . . . . 24
Table of Hepatitis A Requirements for Day Care, Head Start, and Grades K-12 . . . . . .25
Table of College Immunization Requirements for any Vaccine . . . . . . . . . . . . . . . . . . . 26
Map of College Immunization Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Physician Diagnosis of Disease as Evidence of Immunity . . . . . . . . . . . . . . . . . . . . . . . 28
Immunization Documentation Requirements for Day Care, Head Start, K-12,
and College . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Exemptions from Immunization Requirements for Day Care, Head Start, K-12,
and College . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Enforcement of Immunization Requirements for Day Care, Head Start, K-12,and
College . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Requirements for Rubella Susceptibility Testing and Immunization of Specific
Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
HBsAg Screening of Pregnant Women and Reporting Requirements . . . . . . . . . . . . . . 33
Table Pneumococcal Conjugate or Polysaccharide Vaccine Immunization
Requirements For Day Care and Head Start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Map Pneumococcal Conjugate or Polysaccharide Vaccine Immunization
Requirements For Day Care and Head Start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
4
5
FOREWORD
This publication presents state and project immunization policies that were validated in
February 2002. It reflects state laws, regulations, or rule making that impose vaccination
requirements for enrollment and/or attendance in day care, Head Start, kindergarten, grades 1
through 12, colleges and universities. Also reported are policies for pre-marital and hospital
employee screening for rubella susceptibility and the screening of pregnant women for Hepatitis
B surface antigen positivity and the reporting of same.
The policies are vaccine specific and catalogued by state and are presented in both table and
map formats. Because there are many state variances in requirements, narrative descriptions
referencing age and dose requirements are also included.
This information represents the collaborative efforts of immunization program managers and
staff in the 50 states, the District of Columbia, and the Commonwealth of Puerto Rico and staff
from the Centers for Disease Control and Prevention's National Immunization Program.
Dean Mason
Chief, Program Support Branch
Immunization Services Division
National Immunization Program
6
7
Table of Immunization Requirements (K-12)
Required For All Grades Not Required Or Requirements For Specific Grades Noted
State Diphtheria Tetanus Pertussis* Measles Mumps Rubella Hepatitis A Hepatitis B Varicella Polio
Alabama
K
Alaska
Arizona K-3, 7-8
Arkansas 1 dose after 1st bday
K, 7, T K
California
7
Colorado K-4, 7-11
K-1
Connecticut K, 7-8
7
Delaware
Dist. of Col.
K-12
Florida PK, K-3, 7-11
PK, K
Georgia New Entrants New Entrants, 6
Hawaii K, New Entrants
Idaho
Illinois
5-9
Indiana
K-2
Iowa K
Kansas
Kentucky 6
Louisiana New Entrants New Entrants New Entrants New Entrants New Entrants New Entrants New Entrants
Maine
Maryland
K K
Massachusetts K-5, 7-9 K-2, 7-9
Michigan New Entrants New Entrants New Entrants New Entrants New Entrants New Entrants New Entrants 2002-03 school year New Entrants
Minnesota K, 7
Mississippi
Missouri
K-4, 7-9
Montana
Nebraska
Nevada
New Hampshire
New Jersey K-1, 6
New Mexico K-1
7 K
New York K K
North Carolina New Entrants
North Dakota K-1
Ohio K-2
Oklahoma K-3, 7-10 K-3, 7-11 K-3
Oregon K-3, 7-8 K-1, 7-8
Pennsylvania New entrants, K-1
Puerto Rico
Rhode Island K-7 K, 7
South Carolina K-4, 7-11 K-1
South Dakota
Tennessee K
Texas
Utah K-2
Vermont
7-9
Virginia K, 6
Washington K-4
West Virginia New Entrants New Entrants New Entrants New Entrants
Wisconsin K-4, 7-11
K
Wyoming K-2, 7-10
*Pertussis vaccine is only required through age 6 years
8
Diphtheria, Tetanus, and Acellular Pertussis* Immunization
Requirements for Day Care (DC) and Head Start (HS)
2001-02 School Year
State Grade Dosage Requirements and Comments
Alabama DC, HS Age appropriate
Alaska DC, HS Less than or equal to 6 years of age appropriate up to 4 doses
Arizona DC, HS 4 doses or age appropriate
Arkansas DC, HS Age appropriate
California DC, HS 4 doses for 2-4 years of age
Colorado DC, HS <18 months: age appropriate; >18 months: 4 doses
Connecticut DC, HS <18 months: age appropriate; >18 months: 4 doses
Delaware DC, HS 4 doses, 5 if 4th dose is before 4th birthday
Dist. of Col. DC, HS 4 doses prior to 4 years of age; 5 doses after 4th birthday
Florida DC, HS Age appropriate
Georgia DC, HS Age appropriate
Hawaii DC, HS 4 doses or age appropriate
Idaho DC, HS DC: 4 doses or age appropriate; HS: 4 doses diphtheria and tetanus
Illinois DC, HS 3 doses by age one year; 4 doses if 24 months of age or older
Indiana DC, HS 2-6 years of age: 4 doses; 6-23 months: 3 doses
Iowa DC 3 doses
Kansas DC, HS 4 doses, 5th dose if 4th dose before 4th birthday
Kentucky DC, HS DC: Age appropriate; HS: 4 doses with last booster after 4th birthday
Louisiana DC; HS Age appropriate
Maine DC, HS Age appropriate
Maryland DC, HS <6 years of age: 4 doses; 7 years of age or older: 3 doses Td
Massachusetts DC, HS 4 doses; a
g
e a
pp
ro
p
riate
Michigan DC, HS Age appropriate
Minnesota DC, HS Under 15 months: age appropriate; 15 months - 4 years: 4 doses; >4 years: 5 doses
Mississippi DC, HS Age appropriate
Missouri DC, HS Age appropriate
Montana DC, HS 4 doses before age 4; +1 dose after age 4
Nebraska DC, HS Age appropriate up to 4 doses
Nevada DC, HS Age appropriate
New Hampshire DC, HS Age appropriate; booster 8-12 months after 3rd dose
New Jersey DC, HS 4 doses or age appropriate; or any 5 doses
New Mexico DC, HS 4 doses if begun before 7 years of age with 1 dose after 4 years of age; 3 doses Td if begun after 7 years of age
New York DC, HS 3 doses age appropriate
North Carolina DC, HS 5 doses: 4 doses by 19 months of age; booster dose after 4 years of age and before school entry
North Dakota DC, HS Age appropriate
Ohio DC, HS 4 doses
Oklahoma DC, HS Age appropriate
Oregon DC, HS 4 doses or age appropriate for diphtheria and tetanus; pertussis not required
Pennsylvania DC, HS Age appropriate
Puerto Rico DC, HS Age appropriate
Rhode Island DC, HS DC: age appropriate, HS: 4 doses
South Carolina DC, HS Age appropriate
South Dakota DC, HS Age appropriate for all children entering early childhood programs
Tennessee DC, HS Age appropriate for all attendees
Texas DC, HS Age appropriate up to 4 doses with 1 dose after 4th birthday
Utah DC, HS Age appropriate
Vermont DC, HS Age appropriate
Virginia DC, HS 3 doses minimum or age appropriate
Washington DC, HS Age appropriate
West Virginia DC Age appropriate
Wisconsin DC, HS 5-11 months: 2 doses; 12-23 months: 3 doses; 2-4 years of age: 4 doses
Wyoming DC, HS 4 doses for all children over 18 months of age
*Pertussis vaccine is only required through age 6 years
9
ALASKA
CALIFORNIA
IDAHO
OREGON
MONTANA
WYOMING
UTAH
COLORADO
ARIZONA
NEW
MEXICO
TEXAS
OKLAHOMA
NEBRASKA
SOUTH
DAKOTA
NORTH
DAKOTA
MINNESOTA
WISCONSIN
IOWA
ILLINOIS
OHIO
IN
KENTUCKY
WV
VIRGINIA
NO.
CAROLINA
GEORGIA
FL
ALABAMA
MS
MISSOURI
ARKANSAS
LA
NEVADA
HAWAII
MICHIGAN
PENNSYLVANIA
NJ
NEW
YORK
CT
MA
VT
NH
MAINE
TENNESSEE
CAROLINA
SO.
MD
DE
RI
KANSAS
WASH
DC.
WASHINGTON
Required for Day Care and Head Start
PUERTO
RICO
Required for Day Care Only
10
Diphtheria, Tetanus, and Acellular Pertussis*
Immunization Requirements For Grades K-12
2001-02 School Year
State Grade Dosage Requirements and Comments
Alabama K-12 4 doses, 1 dose after 4th birthday; 10 year Td booster
Alaska K-12 At least 4 doses; 1 dose after 4th birthday
Arizona K-12 4 doses; 5 doses if 4th dose before 4th birthday; 10 year Td booster
Arkansas K-12 3 doses, 1 dose after 4th birthday
California K-12 4 doses, 4th dose after 2nd birthday
Colorado K-12 5 doses for new entrants; if a dose has been given after 4
th
birthday, then 4 doses
Connecticut K-12 4 doses, 1 dose after 4th birthday
Delaware K-12 4 doses; 5 doses if 4th dose before 4th birthday
District of Columbia K-12 5 doses thru 6 years of age unless 4th dose given after 4th birthday; 3 doses after 6 years of age
Florida K-12 5 doses unless 4th dose after 4th birthday, then 4 doses
Georgia K-12 3 doses, 1 dose after 4th birthday
Hawaii K-12 5 doses; or 4 doses if 4th dose given after 4th birthday; 3 doses Td if started after 7 years of age
Idaho** K-12 4 doses DT; pertussis not required
Illinois K-12 4 doses; 1 dose after 4
th
birthday for kindergarten entry; 3 doses for other grades; 10 year Td booster
Indiana K-12 K-1: 4 doses; grades 2-12: 3 doses
Iowa K-12 3 doses, 1 dose after 4th birthday
Kansas K-12 4 doses, 1 dose after 4th birthday; 3 doses Td if completed after 7 years of age
Kentucky K-12 4 doses, 1 dose after 4th birthday; 3 doses if 3rd dose after 7 years of age; 10 year Td booster
Louisiana New Entrants 4-5 doses, 1 dose after 4th birthday
Maine** K-12 Age appropriate
Maryland K-12 4 doses: 3 doses Td if 7 years of age or older
Massachusetts K-12 K: >5 doses unless 4th after 4th birthday; Grades 1-12: >4 doses, or >3 doses of Td; Grades 10-12: Td booster
Michigan New Entrants 4 doses, 1 dose after 4th birthday; 3 doses Td if started after age 7; 10 year Td booster for all 6
th
grade beginning 2002-03 school year
Minnesota K-12 5 doses unless 4th dose after 4th birthday; Td booster at 11+ years of age for grades 7 - 12
Mississippi K-12 4 doses, 1 dose after 4th birthday; 3 doses Td after 7 years of age
Missouri K-12
K-2: 4 doses, last dose after 4th birthday; Grades 3-12: 3 doses, last dose after 4th birthday
Montana K-12 4 doses, 1 dose after 4th birthday; 3 doses Td if started after 7 years of age
Nebraska K-12 3 doses
Nevada K-12 4 doses, 1 dose after 4th birthday
New Hampshire K-12 4 doses, 1 dose after 4th birthday; 10 year Td booster
New Jersey K-12 4 doses, 1 dose after 4th birthday or any 5 doses; 3 doses Td for 7 years of age or older
New Mexico K-12 4 doses, 1 dose after 4th birthday; 3 doses Td for 7 years of age or older
New York**,*** K-12 3 doses diphtheria only; T and P not required; NYC: 4 doses of DTP required
North Carolina K-12 5 doses: 1 dose after 4th birthday and before school entry; 3 doses Td for 7 years of age or older
North Dakota K-12 4 doses, 1 dose after 4th birthday; 3 doses Td for 7 years of age or older
Ohio K-12 4 doses; 3 doses if 3rd dose after 6 years of age
Oklahoma K-12 K-2: 5 doses unless 4th dose given after age 4 years; Grades 6-12: 3 doses
Oregon** K-12 5 doses DT unless 4th dose given after 4th birthday; pertussis not required
Pennsylvania** K-12 4 doses DT with 1 dose on or after 4th birthday for original entry in K or 1; 3 doses T and D for all other grades; pertussis not required
Puerto Rico K-12 5 doses
Rhode Island K-12 5 doses, unless 4
th
dose after age 4 years: 3 doses Td if 7 years of age or older; Td booster 7
th
grade as of 8/1/99
South Carolina K-12 3 doses, 1 dose after 4th birthday
South Dakota K-12 4 doses, 1 dose after 4th birthday; 3 doses Td for 7 years of age and older
Tennessee K-12 4 doses
Texas** K-12 4 doses DT, 1 dose after 4th birthday; 10 year Td booster; pertussis not required
Utah K-12 5 doses if born after 7/1/86; 4 doses if 4th dose after 4th birthday
Vermont** K-12 3 doses with 6 months between 2nd and 3rd dose; 10 year Td booster; pertussis not required
Virginia K-12 3 doses, 1 dose after 4th birthday
Washington K-12 4 doses, 1 dose after 4th birthday; 3 doses Td for age 7 or older
West Virginia New Entrants 3 doses, 1 dose after 4th birthday
Wisconsin K-12 4 doses, 1 dose required after 4
th
birthday for kindergarten entry
Wyoming K-12 4 doses, new entrants must have 1 dose after 4th birthday
*Pertussis vaccine is only required through age 6 years **No pertussis vaccine required ***No tetanus toxoid required
11
ALASKA
CALIFORNIA
IDAHO
OREGON
MONTANA
WYOMING
UTAH
COLORADO
ARIZONA
NEW
MEXICO
TEXAS
OKLAHOMA
NEBRASKA
SOUTH
DAKOTA
NORTH
DAKOTA
MINNESOTA
WISCONSIN
IOWA
ILLINOIS
OHIO
IN
KENTUCKY
WV
VIRGINIA
NO.
CAROLINA
GEORGIA
FL
ALABAMA
MS
MISSOURI
ARKANSAS
LA
NEVADA
HAWAII
MICHIGAN
PENNSYLVANIA
NJ
NEW
YORK
CT
MA
VT
NH
MAINE
TENNESSEE
CAROLINA
SO.
MD
DE
RI
KANSAS
WASH
DC.
WASHINGTON
DTP K-12
PUERTO
RICO
K-12 Pertussis not Required
DTP New Entrants Only
K-12 Diphtheria Only
12
Measles, Mumps, and Rubella (MMR)
Immunization Requirements For Day Care (DC)
Head Start (HS) and Grades K-12
2001-02 School Year
State Grade Dosage Requirements and Comments
Alabama DC, HS, K-12 1 dose after 1
st
birthday
Alaska DC, HS, K-12 1 dose of MMR after 1st birthday; DC, HS - age appropriate
Arizona DC, HS, K-12 1 dose after 1st birthday
Arkansas DC, HS, K-12 DC, HS: 1 dose MMR after 1st birthday; K-12: 2 doses MCV with 1 dose after 1st birthday and 1 dose each rubella and
mumps
California DC, HS, K-12 1 dose after 1st birthday; mumps not required at 7 years of age or older
Colorado DC, HS, K-12
1 dose after 1st birthday; required at 15 months of age
Connecticut DC, HS, K-12 1 dose after 1st birthday
Delaware DC, HS, K-12 Measles after 15 months; mumps and rubella after 12 months of age
Dist. of Col. DC, HS, K-12 1 dose after 15 months of age
Florida DC, HS, K-12 1 dose after 1st birthday
Georgia DC, HS, K-12 1 dose after 1st birthday
Hawaii DC, HS, K-12 1 dose after 1st birthday
Idaho DC, HS, K-12 HS, K-12: 1 dose after 1st birthday; DC: 1 dose after 15 months of age
Illinois DC, HS, K-12 1 dose after 12 months of age
Indiana DC, HS, K-12 1 dose after 1st birthday
Iowa* K-12 1 dose MR after 15 months of age; mumps not required
Kansas DC, HS, K-12 1 dose after 1st birthday
Kentucky DC, HS, K-12 MMR after 1st birthday
Louisiana DC, HS, New Entrants (K-12) 1 dose after 1st birthday
Maine DC, HS, K-12 1 dose after 1st birthday
Maryland DC, HS, K-12 1 dose after 1st birthday
Massachusetts DC, HS, K-12 1 dose after 1st birthday
Michigan DC, HS, New Entrants (K-12) 1 dose after 1st birthday, all 6
th
grade beginning 2002-03 school year
Minnesota DC, HS, K-12 1 dose after 1st birthday
Mississippi DC, HS, K-12 1 dose after 1st birthday
Missouri DC, HS, K-12 1 dose after 1st birthday
Montana DC, HS, K-12 1 dose after 1st birthday
Nebraska DC, HS, K-12 1 dose after 1st birthday
Nevada DC, HS, K-12 1 dose after 1st birthday
New Hampshire DC, HS, K-12 1 dose after 1st birthday
New Jersey DC, HS, K-12 1 dose after 1st birthday
New Mexico DC, HS, K-12 1 dose after 1st birthday
New York DC, HS, K-12 1 dose after 1st birthday
North Carolina DC, HS, K-12 1 dose after 1st birthday
North Dakota DC, HS, K-12 1 dose after 1st birthday
Ohio DC, HS, K-12 1 dose after 1st birthday
Oklahoma DC, HS, K-12 1 dose after 1
st
birthday; DC, HS, K-11: 2 doses age appropriate
Oregon DC, HS, K-12 1 dose after 1st birthday
Pennsylvania DC, HS, K-12 DC, HS: 1 dose after 1st birthday; K-12: 2 doses
Puerto Rico DC, HS, K-12 1 dose after 1st birthday
Rhode Island DC, HS, K-12 1 dose after 1st birthday
South Carolina DC, HS, K-12 1 dose after 1st birthday
South Dakota DC, HS, K-12 1 dose after 1st birthday
Tennessee DC, HS, K-12 1 dose after 1st birthday
Texas DC, HS, K-12 1 dose after 1st birthday
Utah DC, HS, K-12 1 dose after 1st birthday
Vermont* DC, HS, K-12 K-12: 1 dose MR after 1st birthday, mumps not required; DC, HS: age appropriate
Virginia DC, HS, K-12 1 dose after 1st birthday
Washington DC, HS, K-12 1 dose after 1st birthday
West Virginia* DC, K-12 1 dose MR after 1st birthday; mumps not required
Wisconsin DC, HS, K-12 1 dose after 1st birthday
Wyoming DC, HS, K-12 1 dose on or after 12 months of age
*Mumps not required
MCV = Measles-Containing Vaccines
13
ALASKA
CALIFORNIA
IDAHO
OREGON
MONTANA
WYOMING
UTAH
COLORADO
ARIZONA
NEW
MEXICO
TEXAS
OKLAHOMA
NEBRASKA
SOUTH
DAKOTA
NORTH
DAKOTA
MINNESOTA
WISCONSIN
IOWA
ILLINOIS
OHIO
IN
KENTUCKY
WV
VIRGINIA
NO.
CAROLINA
GEORGIA
FL
ALABAMA
MS
MISSOURI
ARKANSAS
LA
NEVADA
HAWAII
MICHIGAN
PENNSYLVANIA
NJ
NEW
YORK
CT
MA
VT
NH
MAINE
TENNESSEE
CAROLINA
SO.
MD
DE
RI
KANSAS
WASH
DC.
WASHINGTON
Day Care, Head Start and K-12
PUERTO
RICO
K-12 Mumps not Required
Day Care, Head Start, New Entrants K-12
Day Care, Head Start- Measles and Rubella,
No Mumps Required
14
Second Dose Measles
Immunization Requirements For Grades K-12
2001-02 School Year
State Grade Dosage Requirements and Comments
Alabama K-12 Required prior to school entry
Alaska* K-12 2 doses MMR after 1
st
birthday required prior to entry
Arizona K-3, 7-8 Required for K-12; phase in all grade levels by 2000-2005 school year
Arkansas K-12 2 MCV: 1st dose on/after 1st birthday and 2nd dose after 28 days
California
7
Required for entry into Grade 7 effective July 1, 1999
Colorado K-1, 7-12 Required for students in grades listed
Connecticut
K, 7
Required prior to entry
Delaware K-12 K: after 4th birthday; grades 1-12: new entrants
Dist. of Col.* K-1, 7-12 2nd dose after 4th birthday
Florida K-6, 7-11 Required prior to entry
Georgia K & 6 Required prior to entry; new entrants
Hawaii K-12 Required prior to entry
Idaho
Illinois K-12 Required prior to entry
Indiana
K-2, 6-12
Required prior to entry to grade 6; all new enterers for K or grade 1
Iowa K-5 Required prior to entry as of 7/3/91
Kansas* K-12 MMR required prior to entry
Kentucky K, 6 Required prior to entry in grade 6, or if born after 10/1/90 and entering K
Louisiana New Entrants Required prior to entry
Maine K-8 Required Fall 1997
Maryland K-12 Required prior to entry
Massachusetts
K-12
Required prior to entry
Michigan
New Entrants
2
nd
Dose required at least 28 days or more after 1
st
dose; all 6
th
grade beginning 2002-2003 school year
Minnesota* 7-12 MMR required prior to entry
Mississippi K-12 Required prior to entry
Missouri
K-11
Required prior to entry
Montana* 6 or 7 MMR required prior to entry
Nebraska
K -12
July 2001 2
nd
dose at least 28 days after first dose (on or after 1
st
birthday)
Nevada K-1 Required prior to entry
New Hampshire 7-12 Required prior to entry
New Jersey K-1 Required prior to entry; and all students born after 1/1/90
New Mexico New Entrants Required for school entry at 4-6 years of age
New York K-12 All students born after 1/1/85
North Carolina K-1 Required prior to entry
North Dakota* K-9 MMR required prior to entry
Ohio
7
Required prior to entry
Oklahoma K-11
2 doses MMR on or after 1
st
birthday
Oregon K-3, 7-8 Phase in all grade levels by 2005-2006 school year
Pennsylvania K-12 Required prior to entry
Puerto Rico* K-12 Required prior to entry
Rhode Island K-12 MMR required prior to entry
South Carolina K-12 Required prior to entry
South Dakota K-12 Required prior to entry
Tennessee* K-12 Required prior to entry
Texas K-12 Required by age 12 years and 1 month for those born on or after 9/1/78
Utah K-12 Required prior to entry in K-12 after 7/1/99
Vermont K -12 Required prior to entry
Virginia K, 6 Required prior to entry
Washington K- 1, 6, 7-12 New entry 2 measles after 1st birthday
West Virginia K Required prior to entry
Wisconsin* K-12 MMR required prior to entry
Wyoming* K, 7, 12 MMR Required prior to entry; also required of all transfer students
*Mumps and Rubella vaccine also required
MCV = Measles-Containing Vaccines
15
ALASKA
CALIFORNIA
IDAHO
OREGON
MONTANA
WYOMING
UTAH
COLORADO
ARIZONA
NEW
MEXICO
TEXAS
OKLAHOMA
NEBRASKA
SOUTH
DAKOTA
NORTH
DAKOTA
MINNESOTA
WISCONSIN
IOWA
ILLINOIS
OHIO
IN
KENTUCKY
WV
VIRGINIA
NO.
CAROLINA
GEORGIA
FL
ALABAMA
MS
MISSOURI
ARKANSAS
LA
NEVADA
HAWAII
MICHIGAN
PENNSYLVANIA
NJ
NEW
YORK
CT
MA
VT
NH
MAINE
TENNESSEE
CAROLINA
SO.
MD
DE
RI
KANSAS
WASH
DC.
WASHINGTON
2
nd
Dose Required
PUERTO
RICO
2
nd
Dose not Required
16
Polio Immunization Requirements
For Day Care (DC) and Head Start (HS)
2001-02 School Year
State Grade Dosage Requirements and Comments
Alabama DC, HS 1 dose on admission; age appropriate
Alaska DC <6yrs of age; 1 dose after 4 years of age
Arizona DC, HS 4 doses unless 3rd dose after 4th birthday, then 3 doses
Arkansas DC, HS Age appropriate
California DC, HS 3 doses with 1 dose after 2nd birthday
Colorado DC, HS 3 doses, age appropriate
Connecticut DC, HS <18 months: age appropriate; >18 months: 3 doses
Delaware DC, HS Age appropriate
District of Columbia DC, HS OPV: 4 doses prior to 4th birthday, unless 4th dose after 4th birthday; IPV: 2 doses prior to 12 months of age, 3 doses after 1st birthday unless 3rd dose given after
4th birthday; 5 doses if 4 doses given prior to 4th birthday
Florida DC, HS Age appropriate
Georgia DC, HS Age appropriate
Hawaii DC, HS Age appropriate up to 3 doses
Idaho DC, HS 3 or more doses, or age appropriate
Illinois DC, HS 2 doses by 1 year of age; 3 doses if 24 months of age or older
Indiana DC, HS 6 months to 23 months: 2 doses; 24 months to 6 years: 3 doses
Iowa DC 3 doses
Kansas DC, HS 4 doses unless 3rd dose after 4th birthday, then 3 doses
Kentucky DC, HS 4 doses or age appropriate, unless 3
rd
dose after 4th birthday
Louisiana DC, HS Age appropriate
Maine DC, HS Age appropriate
Maryland DC, HS 3 doses
Massachusetts DC, HS >3 doses; age appropriate
Michigan DC, HS Age appropriate up to 3 doses
Minnesota DC, HS Under 15 months of age: age appropriate; 15 months to 4 years old: 3 doses; >4 years: 4 doses
Mississippi DC, HS Age appropriate
Missouri DC, HS Age appropriate
Montana DC, HS Age appropriate
Nebraska DC, HS Age appropriate up to 3 doses
Nevada DC, HS Age appropriate
New Hampshire DC, HS 3 doses; age appropriate
New Jersey DC; HS 3 doses; age appropriate; or 4 doses
New Mexico DC, HS One of the 3 ACIP recommended schedules
New York DC, HS 3 doses; age appropriate
North Carolina DC, HS 4 doses required unless 3
rd
dose given after 4
th
birthday
North Dakota DC, HS Age appropriate (minimum of 3 doses)
Ohio DC, HS 3 doses
Oklahoma DC, HS 4 doses or age appropriate, unless 3
rd
dose given after 4
th
birthday
Oregon DC, HS 3 doses; age appropriate
Pennsylvania DC, HS Age appropriate
Puerto Rico DC, HS Age appropriate
Rhode Island DC, HS Age appropriate
South Carolina DC, HS Age appropriate
South Dakota DC, HS DC: ACIP recommendations; HS: age appropriate
Tennessee DC, HS Age appropriate
Texas DC, HS Age appropriate up to 3 doses, with 1 dose after 4 years of age
Utah DC, HS Age appropriate
Vermont DC, HS Age appropriate
Virginia DC, HS Age appropriate (minimum of 3 doses)
Washington DC, HS Age appropriate
West Virginia DC Age appropriate
Wisconsin DC, HS 5-23 months: 2 doses; 2-4 years: 3 doses
Wyoming DC, HS Age appropriate
17
ALASKA
CALIFORNIA
IDAHO
OREGON
MONTANA
WYOMING
UTAH
COLORADO
ARIZONA
NEW
MEXICO
TEXAS
OKLAHOMA
NEBRASKA
SOUTH
DAKOTA
NORTH
DAKOTA
MINNESOTA
WISCONSIN
IOWA
ILLINOIS
OHIO
IN
KENTUCKY
WV
VIRGINIA
NO.
CAROLINA
GEORGIA
FL
ALABAMA
MS
MISSOURI
ARKANSAS
LA
NEVADA
HAWAII
MICHIGAN
PENNSYLVANIA
NJ
NEW
YORK
CT
MA
VT
NH
MAINE
TENNESSEE
CAROLINA
SO.
MD
DE
RI
KANSAS
WASH
DC.
WASHINGTON
Day Care and Head Start
PUERTO
RICO
Day Care Only
18
Polio Immunization Requirements
For Grades K-12
2001-02 School Year
State Grade Dosage Requirements and Comments
Alabama K-12 3 doses, last dose after 4th birthday
Alaska K-12 <6 years of age: 3 doses, last dose after 4th birthday; >6 years of age: 3 doses
Arizona K-12 4 doses unless 3rd dose after 4th birthday, then 3 doses
Arkansas K-12 3 doses, last dose after 4th birthday
California K-12 3 doses, last dose after 2nd birthday
Colorado K-12 New entrants: 4 doses; 3 doses if 3rd dose on or after the 4th birthday
Connecticut K-12 3 doses; last dose after 4th birthday
Delaware K-12 4 doses unless 3rd dose after 4th birthday, then 3 doses
Dist. of Col. K-12 OPV or IPV 3 doses until 18 years of age; IPV-OPV schedule follows IPV schedule only
Florida K-12 4 doses unless 3rd dose after 4th birthday, then 3 doses
Georgia K-12 3 doses, last dose on or after 4th birthday
Hawaii K-12 4 doses unless 3rd dose after 4th birthday, then 3 doses; 4 doses if combination IPV/OPV administered
Idaho K-12 3 doses
Illinois K-12 3 doses, last dose after 4th birthday
Indiana K-12 4 doses unless 3rd dose after 4th birthday, then 3 doses
Iowa K-12 3 doses, last dose after 4th birthday
Kansas K-12 4 doses unless 3rd dose after 4th birthday, then 3 doses
Kentucky K-12 4 doses unless 3rd dose after 4th birthday, then 3 doses
Louisiana New Entrants 4 doses, last dose after 4th birthday
Maine K-12 Age appropriate
Maryland K-12 3 doses
Massachusetts K-12 4 doses unless 3rd dose given after 4th birthday; 4 doses required if IPV/OPV sequential schedule given
Michigan New Entrants 3 doses, last dose after 4th birthday, all 6th grade beginning 2002-03 school year
Minnesota K-12 4 doses unless 3rd dose after 4th birthday, then 3 doses
Mississippi K-12 3 doses, last dose after 4th birthday
Missouri K-12 3 doses, last dose after 4th birthday
Montana K-12 3 doses, last dose after 4th birthday
Nebraska K-12 3 doses
Nevada K-12 3 doses, last dose after 4th birthday
New Hampshire K-12 3 doses, last dose after 4th birthday
New Jersey K-12 3 doses, last dose after 4th birthday; or 4 doses
New Mexico K-12 3 doses if all OPV or all IPV; 4 doses if combination
New York K-12 3 doses
North Carolina K-12 4 doses if last dose after 4th birthday and before school entry; 3 doses if 3rd dose after 4th birthday
North Dakota K-12 4 doses unless 3rd dose after 4th birthday, then 3 doses
Ohio K-12 4 doses unless 3rd dose after 4th birthday
Oklahoma K-12
Grades K-5: 4 doses unless 3rd dose after 4th birthday; grades 6-12: 3 doses
Oregon K-12 4 doses unless 3rd dose after 4th birthday, then 3 doses
Pennsylvania K-12 3 doses
Puerto Rico K-12 4 doses
Rhode Island K-12 K-new entrants: 4 doses; <7 years of age: 3 doses
South Carolina K-12 3 doses, last dose after 4th birthday
South Dakota K-12 3 doses, at least 1 dose after 4th birthday
Tennessee K-12 4 doses, 1 dose after 4th birthday
Texas K-12 3 doses, last dose after 4th birthday; required through age 17 years only
Utah K-12 4 doses if born after 7/1/93; 3 doses if 3rd dose received after 4th birthday
Vermont K-12 3 doses with 6 months between 2nd and subsequent dose
Virginia K-12 3 doses, last dose after 4th birthday
Washington K-12 3 doses, last dose after 4th birthday
West Virginia New Entrants 3 doses, last dose after 4th birthday
Wisconsin K-12 4 doses unless 3rd dose after 4th birthday, then 3 doses
Wyoming K-12 4 doses; new entrants must have 4th dose after 4th birthday
19
ALASKA
CALIFORNIA
IDAHO
OREGON
MONTANA
WYOMING
UTAH
COLORADO
ARIZONA
NEW
MEXICO
TEXAS
OKLAHOMA
NEBRASKA
SOUTH
DAKOTA
NORTH
DAKOTA
MINNESOTA
WISCONSIN
IOWA
ILLINOIS
OHIO
IN
KENTUCKY
WV
VIRGINIA
NO.
CAROLINA
GEORGIA
FL
ALABAMA
MS
MISSOURI
ARKANSAS
LA
NEVADA
HAWAII
MICHIGAN
PENNSYLVANIA
NJ
NEW
YORK
CT
MA
VT
NH
MAINE
TENNESSEE
CAROLINA
SO.
MD
DE
RI
KANSAS
WASH
DC.
WASHINGTON
K-12
PUERTO
RICO
New Entrants
20
Haemophilus Influenzae Type B
Immunization Requirements
For Day Care (DC) and Head Start (HS)
2001-02 School Year
State Grade Dosage Requirements and Comments
Alabama DC, HS Age appropriate
Alaska DC, HS Age appropriate
Arizona DC, HS 4 doses or age appropriate
Arkansas DC, HS Age appropriate
California DC, HS 1 dose on or after 1st birthday
Colorado DC, HS 3 doses age appropriate or 1 dose after 15 months
Connecticut DC, HS Age appropriate
Delaware DC, HS Advisory Committee on Immunization Practices (ACIP) recommendations
Dist. of Col. DC, HS 3 or 4 doses depending on manufacturer; if off schedule, less doses may be required based on age
Florida DC, HS Age appropriate
Georgia DC, HS 4 doses or age appropriate
Hawaii DC, HS 1 dose on or after 1st birthday
Idaho DC 3 doses or age appropriate
Illinois DC, HS Age appropriate or at least 1 dose after 15 months
Indiana DC, HS 1 dose on or after 1st birthday
Iowa DC, HS 2-18 months: at least 1 dose required; 18 months or older: 3 doses required; or 1 dose after 15 months of age
Kansas DC, HS Age appropriate
Kentucky DC, HS Age appropriate, or at least one dose after 15 months
Louisiana DC, HS Age appropriate
Maine DC, HS Age appropriate
Maryland DC, HS Age appropriate
Massachusetts DC, HS 3 or 4 doses depending on vaccine; age appropriate
Michigan DC, HS Age appropriate, or at least 1 dose after 15 months
Minnesota DC, HS Age appropriate
Mississippi DC, HS Age appropriate
Missouri DC, HS Age appropriate
Montana DC, HS Age appropriate
Nebraska DC, HS Age appropriate up to 3 doses
Nevada DC, HS Age appropriate
New Hampshire DC, HS Age appropriate
New Jersey DC, HS < 1 year: 2 doses; or at least 1 dose after 12 months
New Mexico DC, HS At least 1 dose at 15-59 months of age
New York DC, HS Age appropriate or at least 1 dose after 15 months of age
North Carolina DC, HS Age appropriate; >15 months to 5 years of age: 1 dose
North Dakota DC, HS Age appropriate
Ohio DC, HS Age appropriate
Oklahoma DC, HS Age appropriate
Oregon DC, HS Up to 4 doses depending on age at time of previous dose
Pennsylvania DC, HS Age appropriate
Puerto Rico DC, HS At least one if received after 15 months of age
Rhode Island DC, HS Age appropriate
South Carolina DC, HS Age appropriate
South Dakota DC, HS HS: 1 dose after 1st birthday; DC: age appropriate
Tennessee DC, HS Age appropriate
Texas DC, HS 3 doses-age appropriate, or 1 dose after 15 months
Utah DC, HS Age appropriate
Vermont DC, HS Age appropriate
Virginia DC, HS DC (2-30 months): age appropriate
Washington DC, HS Age appropriate
West Virginia DC 1 dose
Wisconsin DC, HS 5-11 months of age: 2 doses, 12 months-4 years of age: 3 doses
Wyoming DC, HS 18-60 months: 1 dose
21
ALASKA
CALIFORNIA
IDAHO
OREGON
MONTANA
WYOMING
UTAH
COLORADO
ARIZONA
NEW
MEXICO
TEXAS
OKLAHOMA
NEBRASKA
SOUTH
DAKOTA
NORTH
DAKOTA
MINNESOTA
WISCONSIN
IOWA
ILLINOIS
OHIO
IN
KENTUCKY
WV
VIRGINIA
NO.
CAROLINA
GEORGIA
FL
ALABAMA
MS
MISSOURI
ARKANSAS
LA
NEVADA
HAWAII
MICHIGAN
PENNSYLVANIA
NJ
NEW
YORK
CT
MA
VT
NH
MAINE
TENNESSEE
CAROLINA
SO.
MD
DE
RI
KANSAS
WASH
DC.
WASHINGTON
Day care and Head Start
PUERTO
RICO
Day Care Only
22
Hepatitis B Requirements for Day Care (DC), Head Start (HS), and Grades K-12
2001-02 School Year
State Grade Dosage Requirements and Comments
Alabama
Alaska DC, HS, K-12 DC & HS: age appropriate; K-12: 3 doses required prior to entry
Arizona K-3, 7-8 DC, HS: age appropriate; 1 dose required to enter, must be up to date for continued attendance; each year, additional two grades will be required to have
vaccine and all grade levels phased in by school year 2005-2006
Arkansas DC, HS, K-12 DC, HS: age appropriate; K, 7, transfer students: 3 doses
California
7
Required for entry to grade 7 as of 7/1/99
Colorado K - 4, 7-11 3 doses required: the 2 dose vaccine series is acceptable for ages 11-15 with proper documentation of dosage and the appropriate vaccine for the 2 dose
series
Connecticut DC, HS, K, 7, 8 DC, HS, K: 3 doses if born after 12/31/93; 1 dose required for grade 7 beginning Fall 2000; 3 doses required for grade 8 entry beginning Fall 2001
Delaware DC, K-3, 8-11 Age appropriate
Dist. of Col. DC, HS, K-11 Age appropriate
Florida PK, K-3, 7-11 3 doses required; alternate 2 dose schedule acceptable for 11-15 years of age
Georgia DC, HS, K-12 DC, HS: age appropriate; K-12: 3 doses new entrants
Hawaii DC, HS, K-12 DC, HS: 3 doses for all children over 18 months; K-12: 3 doses if born after 12/31/92; grade 7: 3 doses required after 7/1/02
Idaho DC, K-12 3 doses required if born after 11/22/91 and preschool enrollees
Illinois DC, HS, 5-9 3 doses prior to entry; all students who have entered the 5th grade on or after July 1997 (grades 5-9)
Indiana K-2 3 doses
Iowa K 3 doses if born after 7/1/94
Kansas HS 3 doses required for all enrollees
Kentucky
6
3 doses for 6th grade entry
Louisiana K-12 K; new school entrants
Maine
Maryland HS, DC, K-12 DC, HS: age appropriate; K: 3 doses
Massachusetts DC, HS, K-5, 7-9 DC, HS, K-5: 3 doses required for all children born after 1/1/92; grades 7-9: 3 doses
Michigan DC, HS, K-12 DC, HS: required 1/1/97; new school enterers: 3 doses; K-12: 3 doses required and all 6th grade students beginning 2002-03 school year
Minnesota K, 7 3 doses required
Mississippi K, 1 3 doses required
Missouri DC, HS, K-4, 7-9 Required for all children born since 1/1/90; grades K-4, 7-9: 3 doses
Montana
Nebraska K, 7 K, 7: 3 doses; also required for students transferring in from another state
Nevada K-12 New school entrants
New Hampshire DC, HS, K-12 3 doses if born after 1/1/93
New Jersey K, 6 K: born after 1/1/96; 6th grade: born after 1/1/90
New Mexico
7
7th grade: 3 doses beginning 9/1/99; K and new entrants after 9/1/2002
New York DC, HS, K-12 DC, HS: 3 doses if born after 1/1/95 3 doses required if born on or after 1/1/93. Required for all enterers to grades 7-8 (appropriate # of doses based on
vaccine used)
North Carolina DC, HS, K-12 3 doses if born after 7/1/94
North Dakota K-1 3 doses; additional cohort added each year
Ohio DC, HS, K-2 3 doses
Oklahoma DC, HS, K-3, 7-11 DC, HS: 3 doses or age appropriate; K-3: 3 doses; grades 7-11: 2 or 3 doses (based on vaccine used); 12th grade: no requirement
Oregon DC, HS, K-3, 7-8 DC, HS: 1 dose required to enter, must be up to date for continued attendance; each year additional two grades will be required to have vaccine; all grade
levels phased in by school year 2005-2006
Pennsylvania DC, HS, K, 7
DC, HS: 3 doses or age appropriate; K: new entry
Puerto Rico DC, HS, K-12 DC: age appropriate; HS, K-12: 3 doses
Rhode Island DC, HS, K, 7 DC, HS: 3 doses or age appropriate; K: 3 doses required as of 8/1/99; Grade 7: 3 doses as of 8/1/2000
South Carolina DC, HS, K-4, 7-10 3 doses or age appropriate
South Dakota HS 3 doses
Tennessee DC, HS, K K: 3 doses; DC, HS: 3 doses or age appropriate if born after 9/11997
Texas K-12 3 doses required by 30 days after 12th birthday for those born between 9/2/88-9/1/92; 3 doses required at 5 years of age for those born on or after 9/2/92
Utah K-2 3 doses prior to school entry
Vermont
7, 8, 9
9/02: grades 7-10; 9/03: grades 7-11; 9/04: grades 7-12
Virginia DC, HS, K, 6 All children born on or after 1/1/94; complete series required for entry into 6th grade as of 7/1/01
Washington DC, HS, K-4 3 doses required for all attendees entering after 9/30/97; grade 3 required as of 9/1/00; grade 4 required as of 9/1/01
West Virginia
Wisconsin K-4, 7-11 3 doses
Wyoming DC, HS, K-2, 7-10 3 doses if born after 1/1/96; K-2 and grades 7-10: 3 doses
23
ALASKA
CALIFORNIA
IDAHO
OREGON
MONTANA
WYOMING
UTAH
COLORADO
ARIZONA
NEW
MEXICO
TEXAS
OKLAHOMA
NEBRASKA
SOUTH
DAKOTA
NORTH
DAKOTA
MINNESOTA
WISCONSIN
IOWA
ILLINOIS
OHIO
IN
KENTUCKY
WV
VIRGINIA
NO.
CAROLINA
GEORGIA
FL
ALABAMA
MS
MISSOURI
ARKANSAS
LA
NEVADA
HAWAII
MICHIGAN
PENNSYLVANIA
NJ
NEW
YORK
CT
MA
VT
NH
MAINE
TENNESSEE
CAROLINA
SO.
MD
DE
RI
KANSAS
WASH
DC.
WASHINGTON
Day Care, Head Start and at least 1 other Grade
PUERTO
RICO
Day Care and/or Head Start
No Requirement
Required in at least one Grade
24
Varicella Requirements for Day Care (DC), Head Start (HS), and K-12
2001-02 School Year
State Grade Dosage Requirements and Comments
Alabama DC, HS, K DC, HS: after 1st birthday; K: required for entry 2001
Alaska DC, HS >1 year of age: 1 dose
Arizona
Arkansas DC, HS, K DC, HS: age appropriate, history of disease; K: history of disease in lieu of vaccine
California DC, HS, K-12 DC, HS: 18 months-4 years of age: 1 dose or physician documented disease history; K-12:1 dose or physician documented disease history is required for
kindergarten entry; out of state entrants new to CA schools <13 years of age: 1 dose; out of state entrants >13 years of age: 2 doses
Colorado DC, HS, K-1 Required at 18 months of age or history of disease; required for K and 1
st
grade or history of disease
Connecticut DC, HS, K, 7 DC, HS, K: if born on or after 1/1/97 must show proof of immunity for entry; grade 7: Proof of immunity required for entry
Delaware
Dist. of Col. DC, HS, K-11 Age appropriate
Florida DC, HS, PK, K 1 dose or history of disease (physician diagnosed or parental recall) acceptable
Georgia DC, HS, K-12 DC, HS: 12 months; K-12: new entrants and 6th grade
Hawaii DC, HS, K-12 DC, HS: 1 dose if child is <19 months; K, 7: required for school entry; all new enterers
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky DC, HS, 1 >19 months to <7 years of age: 1 dose
Louisiana DC, HS: will be required fall 2003, K -12: will be required fall 2003 and new entrants
Maine
Maryland DC, HS, K-12 DC, HS: 1 dose after the first birthday; K: 1 dose
Massachusetts DC, HS, K-2, 7-9 DC, HS: all attendees born on or after 1/1/97 who are at least 19 months of age or older; K-2, 7-9: 1 dose; 2 doses if the child is >13 years of age
Michigan DC, HS DC, HS: required after 1/1/2000; K-12: new entrants in 2002-03 school year; grade 6: 2002-03 school year
Minnesota
Mississippi DC, HS, K-1 Beginning 2002-03 school year
Missouri DC, HS Age appropriate
Montana
Nebraska
Nevada K-12 Effective 7/1/03 for new school entrants
New Hampshire
New Jersey
New Mexico
New York DC, HS, K DC,HS:all attendees born on or after 1/1/2000;K:all attendees born on or after 1/1/98 and entering kindergarten in Sept 2003
North Carolina 1 dose on or after 12 months and before 19 months of age; all children born on or after 4/1/01
North Dakota
Ohio
Oklahoma
DC, HS, K-3
1 dose on or after the 1st birthday or parental history of disease
Oregon DC, HS, K-1, 7-8 K-1, 7-8: each year an additional 2 grades will be required to have vaccine; phase in by 2006-07 school year; parental history of disease
Pennsylvania DC, HS Age appropriate
Puerto Rico DC, HS Age appropriate for those born after January 1997
Rhode Island
K, 7
Required for K and new entry as of 8/1/99; grade 7 as of 8/1/2000; all students as of 8/1/2005
South Carolina DC, HS, K-1 Age appropriate
South Dakota K-12 1 dose after 12 months of age prior to kindergarten entry or parental history of disease
Tennessee DC, HS HS: if born on or after 9/1/98
Texas DC, HS, K-12 DC, HS: 1 dose after 1st birthday; K-12: 1 dose <30 days after 12th birthday; 2 doses >13 years of age
Utah K Required for entry after 7/1/02
Vermont
Virginia DC, HS Born on and after 1/1/97; 1 dose not earlier than 12 months of age (365 days)
Washington
West Virginia DC Beginning 1/1/2000
Wisconsin DC, HS, K DC, HS: 2-4 years, 1 dose; K: 1 dose
Wyoming
25
Hepatitis A Requirements for Day Care (DC), Head Start (HS), and K-12
2001-02 School Year
State Grade Dosage Requirements and Comments
Alabama
Alaska
DC, HS, K-12
DC, HS: 2 doses after 2 years of age; K-12: 2 doses
Arizona
DC, HS
2-5 years of age attending licensed or certified DC or HS in Maricopa County
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
K-12
New school enterers
New Hampshire
New Jersey
New Mexico
K-1
Required in selected counties
New York
North Carolina
North Dakota
Ohio
Oklahoma
DC, HS, K-3, 7-10
2 doses with 1st dose on or after the 2nd birthday and 2nd dose 6-18 months later
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
DC, HS, K-12
DC: 2 doses if 3 years or older; HS: 2 doses if 2 years old in the 32 county border area; K-12: 2 doses if 5 years or older in the 32 county border area
Utah
K
Required for K entry after 7/1/02
Vermont
Virginia
Washington
West Virginia
DC
Beginning 1/1/2000
Wisconsin
Wyoming
26
College and University Immunization Requirements
2001-02 School Year
State Vaccines Dosage Requirements and Comments
Alabama
Alaska
Arizona MMR, M2 MMR2: State universities only; medical and nursing students: Hep B, Var, 10 year Td booster
Arkansas MR All enrollees housed on campus and all full time students
California
Colorado MMR, MMR2 All enrollees born after 1/1/57; if student received a 2nd measles dose prior to July 1, 1992, the 2nd rubella and mumps doses are not
required
Connecticut MR, M2 All full time or part time matriculated students
Delaware MMR, M2 All freshman and new enrollees
Dist. of Col. Td, MMR, MMR2, P All enrollees under 26 years of age; polio: if under 19 years of age
Florida MR, M2 All freshman and new enrollees in public universities
Georgia MMR, M2, R All enrollees
Hawaii MMR, M2 All enrollees
Idaho
Illinois Td, MMR, M2 All freshman and new enrollees (enrolled half-time or more), attending 4-year post-secondary educational institutions, born on or after
1/1/57; public universities with no on-campus housing facilities are exempt
Indiana Td, MMR, M2 All freshman and new enrollees
Iowa
Kansas
Kentucky
Louisiana Td, MMR, M2 All freshman and new enrollees
Maine Td, MMR All attendees born after 1956
Maryland O Meningococcal vaccine required
Massachusetts Td, MMR, M, Hep B Td, MMR, M: All full-time enrollees; Hep B: all full and part-time health science majors and all full-time freshmen
Michigan
Minnesota Td, MMR, Hep B, IPV, Hep A All Minnesota H.S. graduates <1997 and all out-of-state enrollees born after 1956
Mississippi Td, MMR, M2, Hep B & A, IPV, VAR, MMR, M2: new enrollees at state 4-year colleges; Hep B: if potential exposure to body fluids
Missouri
Montana MMR, M2, IPV MMR: all enrollees; MMR, M2: full time enrollees born after 1957
Nebraska
Nevada Td, M, M2, Hep B, IPV, VAR, Hep A All enrollees born after 1/1/57 attending state public colleges; Hep B: required for medical and nursing students before clinical practice
New Hampshire
New Jersey MMR, M2 New enrollees of 4 year colleges and 2 year colleges (with 12 credit hours) born after 1956
New Mexico
New York Td, MMR, M2, VAR, IPV, Hep B & A MMR, MR: all enrollees
North Carolina Td, MMR, M2, VAR, IPV, Hep A, Hep B Td, MMR, M2: freshman/new enrollees; IPV, VAR, Hep A, Hep B: not required
North Dakota MMR, MMR2 All enrollees born after 1/1/57
Ohio
Oklahoma
Oregon M, M2 Full-time enrollees in 4-year and certain students in community colleges born on or after 1/1/57
Pennsylvania
Puerto Rico Td, M, M2, Hep A, MU, R, IPV, VAR All freshman/new enrollees
Rhode Island MR, Hep B, VAR, R, M, M2 R, M, M2: all students born after 1956; VAR: freshman/new enrollees; Hep B: freshman/new enrollees and all students in health care
South Carolina Td, MMR, M2, VAR, IPV, Hep A, Hep B Td, M, M2, R: freshman/new enrollees; M2: if born after 1956; Hep B: if potential exposure to body fluids; IPV, Var, Hep A: not required
South Dakota MR, M2 State colleges mandate all new freshmen, newly admitted graduate students, transfers, special students (residing on campus) and returning
former students born after 1956, to have serological evidence of positive measles antibody titer or have 2 doses MMR spaced 30 days apart
Tennessee Td, MMR, MMR2, R, IPV, VAR, Hep A, Hep
B
All attendees
Texas Td, MMR, M2, O, VAR Td, M, Mu, M2: health students if born on or after 1/1/57; R: all ages; Hep B: medical & dental residents; rabies: veterinary medicine
students
Utah MMR, M2 University of Utah only; Hep B: nursing students in all schools
Vermont M, M2 All new enrollees; M2: all foreign, cosmetology, and health science students
Virginia Td, MMR, M2 Freshman and new enrollees in 4-year public colleges and universities
Washington
West Virginia MR Freshman and new enrollees
Wisconsin
Wyoming M, M2 MMR, M2 recommended for all enrollees
Hep B: Hepatitis B, Hep A: Hepatitis A, IPV: Inactivated polio, M: measles 1
st
dose, M2: measles 2
nd
dose, MMR: measles, mumps and rubella, MU: mumps, O: other
P: Polio, R: rubella, Td: Tetanus and diphtheria, VAR: varicella
27
ALASKA
CALIFORNIA
IDAHO
OREGON
MONTANA
WYOMING
UTAH
COLORADO
ARIZONA
NEW
MEXICO
TEXAS
OKLAHOMA
NEBRASKA
SOUTH
DAKOTA
NORTH
DAKOTA
MINNESOTA
WISCONSIN
IOWA
ILLINOIS
OHIO
IN
KENTUCKY
WV
VIRGINIA
NO.
CAROLINA
GEORGIA
FL
ALABAMA
MS
MISSOURI
ARKANSAS
LA
NEVADA
HAWAII
MICHIGAN
PENNSYLVANIA
NJ
NEW
YORK
CT
MA
VT
NH
MAINE
TENNESSEE
CAROLINA
SO.
MD
DE
RI
KANSAS
WASH
DC.
WASHINGTON
Areas requiring at least one vaccine
PUERTO
RICO
No requirements
28
Physician Diagnosis of Disease Accepted as Evidence of Immunity
2001-02 School Year
State Diphtheria Tetanus Pertussis Measles Mumps Rubella Polio Hep B Hep A Pneumo VAR
Alabama YES YES
Alaska
Arizona N/A N/A
Arkansas YES N/A YES YES YES YES YES YES N/A N/A YES
California
YES YES
YES
YES YES YES YES N/A N/A YES
Colorado N/A N/A YES
Connecticut YES
Delaware YES YES
Dist. of Col. YES
Florida YES N/A YES
Georgia N/A N/A YES YES YES YES N/A N/A N/A N/A YES
Hawaii N/A N/A YES
Idaho YES YES
Illinois YES YES YES N/A N/A N/A
Indiana YES YES N/A N/A N/A
Iowa N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Kansas
Kentucky YES
Louisiana YES YES YES YES YES YES YES YES
Maine
Maryland YES N/A N/A YES
Massachusetts YES
Michigan N/A N/A YES
Minnesota YES YES YES YES YES YES YES YES N/A N/A N/A
Mississippi YES N/A
Missouri YES
Montana YES YES
Nebraska
Nevada YES YES
New Hampshire YES N/A
New Jersey YES N/A N/A N/A
New Mexico YES
New York N/A N/A N/A YES YES N/A N/A N/A N/A YES
North Carolina
North Dakota
Ohio YES YES
Oklahoma YES N/A YES
Oregon N/A YES YES YES YES N/A N/A YES
Pennsylvania N/A YES N/A N/A YES
Puerto Rico YES YES YES YES YES N/A YES YES
Rhode Island YES
South Carolina YES YES YES YES YES YES
South Dakota YES
Tennessee YES YES
Texas YES
Utah N/A N/A N/A
Vermont YES N/A N/A N/A N/A
Virginia N/A YES N/A YES
Washington YES YES YES
West Virginia YES YES YES YES N/A YES N/A N/A N/A N/A
Wisconsin YES
Wyoming YES YES YES YES YES YES YES YES YES YES YES
Pneuo – Pneuococcal Conjugate Vaccine VAR - Varicella
Dx Acce
p
ted Dx Not Acce
p
ted N/A - Not A
pp
licable
29
Immunization Documentation Requirements for Day Care,
Head Start, K-12, and College 2001-02 School Year
Required
Not Required
STATE DOSE & YEAR APPLICABLE
VACCINE
DOSE & M/YR APPLICABLE VACCINE DOSE
M/D/Y
APPLICABLE VACCINE
Alabama ALL
Alaska DTaP/OPV/MMR/VAR Hep A/Hep B/Hib
Arizona DTaP/Polio/HIB/Hep A Hep B/VAR MMR All in 2003
Arkansas ALL
California Hep B/VAR/DTaP Polio/HIB MMR
Colorado DTaP/Td/Polio/Hep B MMR/VAR/HIB
Connecticut ALL
Delaware ALL
Dist. of Col. ALL
Florida ALL
Georgia ALL
Hawaii ALL
Idaho DTaP/HIB/Hep B/OPV MMR
Illinois ALL
Indiana DTaP/IPV/MMR Td, MMR
Iowa ALL
Kansas ALL
Kentucky DTaP/Polio/MMR HIB/Hep B/VAR
Louisiana ALL
Maine DTaP/OPV/HIB/Hep B VAR MMR
Maryland DTaP/Polio/HIB/Hep B MMR/VAR
Massachusetts ALL
Michigan ALL
Minnesota DTaP/Td/Polio/HIB MMR/He
p
B if
g
iven
prior to 1/1/90
DTaP/Td/Polio/HIB MMR/Hep B if given prior to 1/1/90
Mississippi ALL
Missouri All except Hep A
Montana ALL
Nebraska DTaP/OPV/HIB/Hep B MMR
Nevada ALL
New Hampshire ALL
New Jersey ALL
New Mexico ALL
New York ALL
North Carolina ALL
North Dakota ALL
Ohio ALL
Oklahoma ALL MMR
Oregon ALL
Pennsylvania ALL
Puerto Rico ALL except Hep A
Rhode Island ALL
South Carolina ALL
South Dakota ALL
Tennessee ALL
Texas DTaP/Polio/HIB Hep B/MMR/VAR
Utah ALL
Vermont ALL
Virginia ALL
Washington ALL
West Virginia ALL
Wisconsin ALL
Wyoming ALL
All – All vaccines required by individual state laws or regulations
30
Exemptions from Immunization Requirements for Day Care, Head Start, K-12,
and College 2001-02 School Year
Exemption Not Allowed
Exemption Allowed
State MEDICAL RELIGIOUS PHILOSOPHICAL
Alabama NO
Alaska NO
Arizona K-12, College only
Arkansas NO
California
Colorado
Connecticut NO
Delaware NO
Dist. of Col. NO
Florida NO
Georgia NO
Hawaii NO
Idaho
Illinois NO
Indiana NO
Iowa NO
Kansas NO
Kentucky NO
Louisiana
Maine
Maryland NO
Massachusetts NO
Michigan
Minnesota
Mississippi NO NO
Missouri School, Day Care School Day Care
Montana NO
Nebraska
Nevada NO
New Hampshire NO
New Jersey NO
New Mexico
New York NO
North Carolina NO
North Dakota
Ohio
Oklahoma
Oregon NO
Pennsylvania NO
Puerto Rico NO
Rhode Island NO
South Carolina NO
South Dakota NO
Tennessee NO
Texas NO
Utah
Vermont
Virginia NO
Washington
West Virginia NO NO
Wisconsin
Wyoming NO
31
Enforcement of Immunization Requirements for Day Care, Head Start, K-12, and
College 2001-02 School Year
Yes
No
PENALTY CLAUSE FOR NONCOMPLIANCE EXCLUSION CLAUSE FOR NONCOMPLIANCE
STATE K-12 Day Care College K-12 Day Care College
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
32
Requirements For Rubella Susceptibility Testing and Immunization of Specific Groups 2001-02
REQUIRED
NOT REQUIRED
RUBELLA SUSCEPTIBILITY TESTING IMMUNIZATION OF RUBELLA SUSCEPTIBLES
State
Premarital Hospital
Employee
Other Premarital Hospital
Employee
Other
Alabama
Alaska YES YES
Arizona YES
Arkansas
California
Colorado
Connecticut YES
Delaware YES
Dist. of Col. YES
Florida
Georgia YES
Hawaii Perinatal
Idaho YES
Illinois
Indiana YES YES
Iowa YES YES YES
Kansas YES YES
Kentucky
Louisiana
Maine YES YES
Maryland YES YES
Massachusetts YES Perinatal YES
Michigan Perinatal
Minnesota
Mississippi
Missouri
Montana YES
Nebraska
Nevada YES
Perinatal
YES
Perinatal
New Hampshire
New Jersey YES
New Mexico
New York YES
North Carolina
North Dakota
Ohio
Oklahoma YES YES
Oregon
Pennsylvania
Puerto Rico YES YES Perinatal
Rhode Island YES YES
South Carolina
South Dakota
Tennessee Perinatal
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin YES YES
Wyoming
33
HBsAg Screening of Pregnant Women And Reporting Requirements 2001-02
Required
Not Required
State HBsAG Screening of Pregnant Women Reporting of HBsAG Positive Pregnant Women
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
34
Pneumococcal Conjugate or Polysaccharide Vaccine Immunization Requirements Day Care or
Head Start 2001-02
Required Not Required
PNEUMOCOCCAL CONJUGATE POLYSACCHARIDE
State
Day Care Head Start Day Care Head Start
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
35
ALASKA
CALIFORNIA
IDAHO
OREGON
MONTANA
WYOMING
UTAH
COLORADO
ARIZONA
NEW
MEXICO
TEXAS
OKLAHOMA
NEBRASKA
SOUTH
DAKOTA
NORTH
DAKOTA
MINNESOTA
WISCONSIN
IOWA
ILLINOIS
OHIO
IN
KENTUCKY
WV
VIRGINIA
NO.
CAROLINA
GEORGIA
FL
ALABAMA
MS
MISSOURI
ARKANSAS
LA
NEVADA
HAWAII
MICHIGAN
PENNSYLVANIA
NJ
NEW
YORK
CT
MA
VT
NH
MAINE
TENNESSEE
CAROLINA
SO.
MD
DE
RI
KANSAS
WASH
DC.
WASHINGTON
PUERTO
RICO
Not required
Required Pneumococcal Conjugate Only
Required Pneumococcal Conjugate and Polysaccharide
