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National Center for Immunization and Respiratory Diseases
Immunization Requirements

Program Contents
Full Report (PDF)*
Summary of Requirements
Full Report - (2007-8) (PDF)*
Immunization Requirements (2005-6)
Immunization Requirements
Diphtheria, Tetanus and acellular Pertussis (DTaP)
Tetanus and Diptheria (Td) Booster
Hepatitis A (Hep A)
Hepatitis B (Hep B)
Haemophilus influenzae Type b (Hib)
Measles, Mumps and Rubella (MMR)
Measles Dose 2
Meningococcal Conjugate vaccine (MCV4)
Pneumococcal Conjugate vaccine (PCV)
Polio
Varicella
Exemptions Allowed


Childcare and School Immunization Requirements

Hepatitis B (Hep B)
2007-2008 Requirements for Childcare
Project Dosage Requirements and Comments
Alabama Not required
Alaska 3 doses
American Samoa 3 doses (ages birth, 1, and 6 months: infants of carrier mothers); 1 dose (age 12 months: infants of non-carrier mothers)
Arizona 3 doses (age appropriate)
Arkansas Required (age appropriate)
California 3 doses
Colorado 3 doses (dose 1 by age 4 months, dose 2 by age 6 months, dose 3 by age 24 months)
Connecticut 3 doses (age appropriate before age 18 months)
Delaware Required (age appropriate)
District of Columbia Required (age appropriate intervals: dose 3 at or after age 6 months)
Federated States/MicronesiaDid not report requirements
Florida Not required
Georgia Required (age appropriate)
Guam 1 dose minimum (must receive all follow-up immunizations needed to complete the series)
Hawaii 3 doses (age appropriate)
Idaho 3 doses
Illinois 3 doses
Indiana 3 doses (age appropriate)
Iowa 3 doses
Kansas Not required (recommended)
Kentucky Required (age appropriate)
Louisiana Required (age appropriate)
Maine Required (age appropriate)
Federated States/MicronesiaDid not report requirements
Maryland Required (age appropriate)
Massachusetts 3 doses (age appropriate)
Michigan 3 doses (age appropriate before age 15 months)
Minnesota Not required
Mississippi Not required
Missouri Required (age appropriate following ACIP recommendations)
Montana Not required
N. Mariana Islands 3 doses
Nebraska 3 doses (age appropriate)
Nevada Not required
New Hampshire Required (age appropriate)
New Jersey Not required
New Mexico 3 doses (age appropriate)
New York 3 doses or positive serological test as proof of immunity
North Carolina Required (age appropriate following ACIP recommendations)
North Dakota Not required
Ohio 3 doses
Oklahoma 3 doses (age appropriate)
Oregon 3 doses (age appropriate)
Federated States/MicronesiaDid not report requirements
Pennsylvania 3 doses (age appropriate)
Puerto Rico Required (age appropriate)
Rhode Island 3 doses (age appropriate)
South Carolina 3 doses (age appropriate)
South Dakota Not required (recommended)
Tennessee 3 doses (age appropriate)
Texas Required (age appropriate)
Utah Not required
Vermont Not required (recommended)
Virgin Islands Required (age appropriate following ACIP recommendations)
Virginia 3 doses (age appropriate)
Washington 3 doses (> age 5 months); 2 doses (ages 3-4 months)
West Virginia 3 doses (age appropriate)
Wisconsin 2 doses (ages 5-23 months); 3 doses (ages 2-4 years)
Wyoming 3 doses


Hepatitis B (Hep B)
2007-2008 Requirements for Kindergarten
Project Dosage Requirements and Comments
Alabama Not required
Alaska 3 doses
American Samoa 3 doses
Arizona 3 doses
Arkansas 3 doses
California 3 doses
Colorado 3 doses
Connecticut 3 doses
Delaware 3 doses (age appropriate)
District of Columbia 3 doses (age appropriate intervals: dose 3 at age 6 months or older)
Federated States/MicronesiaDid not report requirements
Florida 3 doses
Georgia 3 doses
Guam 1 dose minimum(for school entry, but must receive all follow-up doses to complete the series)
Hawaii 3 doses
Idaho 3 doses
Illinois Not required
Indiana 3 doses
Iowa 3 doses
Kansas 3 doses
Kentucky Required (completion of series)
Louisiana Required
Maine Not required
Marshall IslandsDid not report requirements
Maryland 3 doses
Massachusetts 3 doses
Michigan 3 doses
Minnesota 3 doses
Mississippi 3 doses
Missouri 3 doses (following ACIP recommendations)
Montana Not required
N. Mariana Islands 3 doses
Nebraska 3 doses
Nevada 3 doses (new school entrants)
New Hampshire 3 doses
New Jersey 3 doses
New Mexico 3 doses
New York 3 doses or positive serological test as proof of immunity
North Carolina 3 doses
North Dakota 3 doses
Ohio 3 doses
Oklahoma 3 doses
Oregon 3 doses
PalauDid not report requirements
Pennsylvania 3 doses
Puerto Rico 3 doses
Rhode Island 3 doses
South Carolina 3 doses
South Dakota Not required (3 doses recommended)
Tennessee 3 doses
Texas3 doses
Utah3 doses
VermontNot required (recommended)
Virgin Islands Required (age appropriate following ACIP recommendations)
Virginia3 doses
Washington3 doses
West VirginiaNot required
Wisconsin3 doses
Wyoming3 doses


Hepatitis B (Hep B)
2007-2008 Requirements for Middle School
Project Dosage Requirements and Comments
AlabamaNot required
Alaska 3 doses
American Samoa 3 doses
Arizona3 doses (or 2-dose adolescent series)
Arkansas3 doses (or 2-dose adolescent series for ages 11-15 years)
California3 doses
Colorado 3 doses (2 doses acceptable for ages 11-15 years if given approved Merck's 2-dose -Recombivax, 1.0cc)
Connecticut3 doses
Delaware3 doses (2 doses acceptable for ages 11-15 years)
District of Columbia 3 doses (age appropriate intervals with the 3rd dose at age 6 months or older)
Federated States/MicronesiaDid not report requirements
Florida3 doses (2 doses acceptable for ages 11-15 years)
Georgia3 doses
Guam1 dose minimum (for school entry, but must receive all follow-up doses needed to complete the series)
Hawaii3 doses (grade 7 entry and new entrants to HI schools)
Idaho3 doses (if born after 11/22/1991)
Illinois3 doses (grade 5; progressive requirement)
IndianaNot required
Iowa3 doses
KansasNot required (recommended)
KentuckyRequired (completion of series)
LouisianaRequired (new entrants only)
MaineNot required
Marshall IslandsDid not report requirements
Maryland Not required (K-grade 10)
Massachusetts 3 doses
Michigan3 doses (grade 6 entry or new entrant to the school district)
Minnesota3 doses (grade 7 only)
MississippiNot required
Missouri3 doses
Montana Not required
N. Mariana Islands3 doses
Nebraska3 doses
Nevada3 doses (new school entrants)
New Hampshire 3 doses (if born on or after 01/01/1993)
New Jersey3 doses (2 doses acceptable for ages 11-15 years if given approved Merck's 2-dose Recombivax)
New Mexico3 doses (2- dose Recombivax acceptable for ages 11-15 years)
New York3 doses (2 doses acceptable for ages 11-15 years) or positive serological test as proof of immunity
North Carolina3 doses (if born on or after 07/01/1994)
North DakotaNot required
OhioRequired (grade 7 entry)
Oklahoma2-3 doses (depending on vaccine used)
Oregon3 doses (2 doses if dose 1 on or after age 11 years and dose 2 at least 4 months later)
PalauDid not report requirements
Pennsylvania3 doses (grade 7 entry)
Puerto Rico3 doses
Rhode IslandRequired
South Carolina3 doses
South DakotaNot required
Tennessee3 doses
Texas 3 doses
Utah3 doses
VermontRequired
Virgin IslandsRequired (age appropriate following ACIP recommendations)
VirginiaRequired (complete series prior to grade 6 entry)
Washington3 doses (through grade 10)
West Virginia Not required
Wisconsin3 doses
Wyoming3 doses


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This page last reviewed June 20, 2008

Centers for Disease Control and Prevention
National Center for Immunization and Respiratory Diseases
Immunization Services Division