Childcare/Pre-school Immunization Requirements
January 2008, Effective 2008-2009 School Year
|
AGE
|
DTaP
DTP/DT
|
POLIO
|
Hib**
|
HEPATITIS B
|
MMR
****
|
VARICELLA
****
|
PNEUMOCOCCAL
**
|
|
19-48
months
|
4 doses
OR
3rd dose within
last 6 months
OR
1 dose within
last 8 weeks
|
3 doses
OR
1 dose within
last 8 weeks
|
3-4 doses
with last dose on/after 1st birthday
OR
1 dose on/after
15 months of
age if no prior doses
|
3 doses
***
OR
1 dose within last 8 weeks
|
1 dose
|
1 dose
OR
(History of
disease
diagnosed and documented by a physician/
health provider
may be
accepted in
lieu of
vaccine)
|
3-4 doses
Last dose must be on/after 1st birthday
OR
1 dose on/after 1st birthday if no prior doses
|
|
49-72
Months
|
5 doses *
OR
4th dose within
last 6 months
OR
1 dose within
last 8 weeks
OR
4 doses with last dose on/after
4th birthday
|
4 doses
OR
1 dose within
last 8 weeks
OR
3 doses with last dose
on/after 4th
birthday
|
3-4 doses
with last dose
on/after 1st
birthday
OR
1 dose on/after
15 months of
age if no prior doses
Not required
on/after 5th
birthday
|
3 doses ***
OR
1 dose within the
last 8 weeks
|
1 dose
|
1 dose
OR
(History of
disease
diagnosed and documented by a physician/
health provider
may be
accepted in
lieu of
vaccine)
|
3-4 doses
Last dose must be on/after 1st
Birthday
OR
1 dose on/after 1st birthday if no prior doses
Not required
on/after 5th
birthday
|
* 5th DTaP/DTP/DT (Pre-school dose) must be given on/after the child's 4th birthday and may be given at anytime from 49 to 72 months of age. Interval between 4th DTaP/DTP/DT and 5th DTaP/DTP/DT should be at least 6 months.
** For Hib and Pneumococcal, children receiving the first dose of vaccine at age 7 months or older require fewer doses to complete the series
*** 3rd dose of hepatitis B should be given at least 8 weeks after the 2nd dose, at least 16 weeks after the 1st dose, and it should not be administered before the child is 24 weeks of age.
**** MMR and Varicella vaccine must be given on/after the child's first birthday.
Hib explanation:
- If child had 3 or 4 doses, last dose must be on/after 1st birthday
- If last dose was before 1st BD, they must get another dose NOW
- If ANY doses given on/after 15 months old, they are OK. (one dose on/after 15 months old is all that is required)
- Hib is not given after 5th birthday
Pneumococcal explanation:
- If child had 3 or 4 doses, last one must be on/after 1st birthday
- Must have at least ONE DOSE ON/AFTER 1st birthday
- Pneumococcal is not given after 5th birthday
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