Immunizations

  • Texas Minimum State Immunization Requirements for Students

    Please note: Related forms are located at the bottom of this page.

    Requirements are as follows:
    DPT/DTaP/DT/Td/Tdap:
     For K – 6th grade: 5 doses of diphtheria-tetanus-pertussis vaccine; 1 dose must have been received on or after the 4th birthday. However, 4 doses meet the requirement if the 4th dose was received on or after the 4th birthday. For students aged 7 years and older, 3 doses meet the requirement if 1 dose was received on or after the 4th birthday. 

    For 7th grade: 1 dose of Tdap is required if at least 5 years have passed since the last dose of tetanus-containing vaccine. 

    For 8th – 12th grade: 1 dose of Tdap is required when 10 years have passed since the last dose of tetanus-containing vaccine. Td is acceptable in place of Tdap if a medical contraindication to pertussis exists.

    Polio (IPV):  For K – 12th grade: 4 doses of polio; 1 dose must be received on or after the 4th birthday. However, 3 doses meet the requirement if the 3rd dose was received on or after the 4th birthday.

    Measles, Mumps, and Rubella (MMR) For K — 12 grade: 2 doses are required, with the 1st dose received on or after the 1st birthday. Students vaccinated prior to 2009 with 2 doses of measles and one dose each of rubella and mumps satisfy this requirement.

    HIB  One (1) dose required if administered after 15 months of age. A series of 4 if given under the age of 15 months. Vaccine not required for students 5 years of age or older.

    Hep A Two (2) doses required with 1st dose received on or after 1st birthday for children PreK - 9th grade; Second dose will be required 6 months to 18 months after the first dose.  Refer to phase-in schedule below to determine when 2-dose Hepatitis A requirement goes into effect for 10th - 12th grade. 

    Hep B  Three (3) doses required of all children PK -12 grades.

    Varicella  Two (2) doses required with the 1st dose received on or after 1st birthday all children Kindergarten - 12th grade.  If first dose of vaccine administered after 13th birthday, student is required to have two doses.

    Pneumococcal Conjugate (PCV7) Three (3) doses required w/ last dose on or after 12 months of age. If two (2) doses received w/ first prior to 12 months of age and last on or after 12 months of age—booster required. If two (2) doses received w/ first on or after 12 months of age and second received before 24 months of age—no booster required. If no PCV7 received between ages 24-59 months of age—booster required.
     
    Meningococcal Conjugate (MCV4) One (1) dose required for all 7th - 12th grade students.  
      
    Exceptions to Requirements:

    • Receipt of the dose up to (and including) 4 days before the birthday will satisfy the school entry immunization requirement.
    • Serological confirmation of immunity to measles, mumps, rubella, Hepatitis A, Hepatitis
      B, or Varicella, or serological evidence of infection is acceptable in lieu of vaccine.
    • Two doses of adult Hepatitis B vaccine (Recombivax is acceptable.) Dosage and type of vaccine must be clearly documented. (Two 10mcg./1.0 ml of Recombivax).
    • Serologic proof of immunity of previous documentation of previous Varicella (chicken
      pox) illness may substitute for vaccination. Previous illness may be documented with a
      written statement from a physician, school nurse, or the child’s parent or guardian
      containing words such as: “This is to verify that (name of student) had Varicella disease
      (chicken pox) on or about (date) and does not need Varicella vaccine.”
    • Hepatitis A vaccine is required for students attending a school located in a high incidence
      geographical area designated by the Texas Department of Health. Thirty-nine counties
      are affected by the Hepatitis A requirement including Bexar County.


    Exemptions:
    The law allows (a) physician to write a statement stating that the vaccine(s) required would be
    medically harmful or injurious to the health and well-being of the child, and (b)
    parents/guardians to choose an exemption from immunization requirements for reasons of
    conscience, including religious belief. The law does not allow parents/guardians to elect an
    exemption simply because of inconvenience (a record is lost or incomplete and it is too much
    trouble to go to a physician or clinic to correct the problem).

    For children needing medical exemptions, a written statement (or medical immunization
    exemption form obtained from the school nurse) should be completed by the child’s physician
    and submitted to the school. This exemption must be renewed yearly at the beginning of each
    new school year unless the physician documents the exemption is due to a lifelong condition.

    Instructions for the affidavit to be signed by parents/guardians choosing the exemption for
    reasons of conscience, including a religious belief can be found at www.ImmunizeTexas.com or
    http://www.dshs.state.tx.us/immunize/school/school_exclusion.shtm.

    Students with exemptions can be excluded from attending school if an outbreak occurs.

    Provisional:
    All immunizations should be completed by the first date of attendance. The law requires that
    students be fully vaccinated against the specified diseases. A student may be enrolled
    provisionally, if the student has an immunization record that indicates the student has received
    at least one dose of each specified age-appropriate vaccine required by this rule. To
    remain enrolled, the student must complete the required subsequent doses in each vaccine series
    on schedule and as rapidly as is medically feasible and provide acceptable evidence of
    vaccination to the school. A school nurse or school administrator shall review the immunization
    status of a provisionally enrolled student every 30 days to ensure continued compliance in
    completing the required doses of vaccination. If, at the end of the 30 day period, a student has
    not received a subsequent dose of vaccine, the student is not in compliance and the school shall
    exclude the student from school attendance until the required dose is administered.

    Documentation:
    Since many types of personal immunization records are in use, any documentation will be
    acceptable provided a physician or public health personnel have validated it. The month, day
    and year that the vaccination was received must be recorded on all school immunization
    recreated or updated after September 1, 1991.

    Immunization Abbreviations:
    DPT/DTaP
    Diphtheria, Pertussis (Whopping Cough), Tetanus
    TD/Td
    Tetanus, Diphtheria
    TdaP
    Tetanus, Diphtheria, Pertussis
    IPV
    Injectable polio vaccine
    OPV
    Sabin, Salk, Oral Polio (live)
    MR
    Measles-Rubella
    MMR
    Measles, Mumps, Rubella
    MMRV
    Measles, Mumps, Rubella, Varicella
    BIAVAX
    Mumps, Rubella
    Mono Vac
    Tuberculin Tine (test not required by law)
    O.T.
    Tuberculin Tine (test not required by law)
    PPD
    Tuberculin Tine (test not required by law)
    TT
    Tetanus Toxoid (does NOT take place of TD or DPT)
    ACP
    Anti-Cellular Pertussis (whooping cough)
    VAR
    Varicella (chicken pox)
    VCZ
    Varicella (chicken pox)
    HIB
    Haemophius Influenzae
    HAP
    Hepatitis A
    HEP
    Pediatric Hepatitis B Vaccine
    RVV
    Rotavirus Vaccine
    PCV
    Prevnar (Pneumoccocal)
    MCV
    Meningococcal Conjugate
    TRIHIBIT
    DtaP/HIB
    PEDIARIX
    DtaP/IPV/Hepatitis B



    Source: The requirements are based on the Recommended Childhood Immunization Schedule—United States,
    2008, approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of
    Pediatrics (AAP), and the American Academy of Family Physicians (AAFP), Texas Department of State Health Services.

     

    Phase-in Schedule for Hepatitis A, MMR, Varicella, Tdap, and Meningococcal
    Requirements for students.

     

    Hepatitis A: This requirement will be phased in by grades through School Year 2021/22
     
    SY 2018/19 K through 9
    SY 2019/20 K through 10
    SY 2020/21 K through 11
    SY 2021/22 K through 12

     

    MMR: This requirement will be phased in by grades through School Year 2021/22
     
    SY 2018/19 K through 9
    SY 2019/20 K through 10
    SY 2020/21 K through 11
    SY 2021/22 K through 12

     

    Texas Department of State Health Services, Immunization Branch, MC-1946, P.O. Box 149347, Austin, Texas 78756. Revised 03/09

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