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National Center for Immunization and Respiratory Diseases
Immunization Requirements

Program Contents
Full Report (PDF)*
Full Report - (2007-8) (PDF)*
Immunization Requirements (2005-6)
Immunization Requirements
Summary of 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

Varicella
2007-2008 Requirements for Childcare
Project Dosage Requirements and Comments
Alabama1 dose (after age 1 year) or physician or lab documented disease history
Alaska1 dose (after age 1 year) or documented history of disease
American Samoa Not required
Arizona1 dose (after age 1 year) or documented history of disease
Arkansas1 dose (on or after age 1 year) or verbal history of disease documented on record
California1 dose (ages 18 months-4 years) or physician documented disease history
Colorado1 dose (by age 15 months) or health care provider documented history of disease
Connecticut1 dose (after age 1 year) or proof of immunity
DelawareRequired (age appropriate)
District of Columbia1 dose (after age 1 year) or positive varicella disease history
Federated States/MicronesiaDid not report requirements
Florida1 dose or history of disease from physician or parent recall
Georgia1 dose (after age 1 year)
GuamNot required
Hawaii1 dose (on or after age 1 year and by age 19 months) or documented history of disease
IdahoNot required
Illinois1 dose (if over age 2 years)
Indiana1 dose or parent or physician document history of disease
Iowa1 dose or reliable history of natural disease
KansasNot required (recommended)
Kentucky1 dose (if > age 19 months to < age 7 years)
LouisianaRequired
MaineRequired (age appropriate) or physician documented history
Marshall IslandsDid not report requirements
Maryland1 dose (after age 1 year)
Massachusetts1 dose (age 19 months or older) or physician-certified proof of immunity
Michigan1 dose (after age 1 year) or history of disease
Minnesota1 dose (age 18 months or older)
Mississippi1 dose (after age 1 year)
Missouri1 dose (after age 1 year) or history of disease
Montana1 dose
N. Mariana Islands1 dose
Nebraska1 dose (after age 1 year) or history of disease from physician or parent
NevadaNot required
New Hampshire1 dose (at age 19 months)
New Jersey1 dose (on or after age 1 year) or documented history of disease
New Mexico1 dose (at age 16-19 months) or proof of immunity
New York1 dose or documented history of disease
North Carolina1 dose (after age 1 year) or documented history of disease, if born on or after 04/01/2001
North Dakota1 dose (age appropriate) or documented proof of immunity
OhioNot required (recommended)
Oklahoma1 dose (on or after age 1 year) or parental history of disease
Oregon1 dose or parent-signed history of disease
PalauDid not report requirements
PennsylvaniaRequired (age appropriate) or history of disease
Puerto Rico2 doses (if born after 1997; dose 2 at age 4 years) or proof of immunity
Rhode IslandRequired (age appropriate) or proof of immunity
South CarolinaRequired (age appropriate)
South DakotaNot required (recommended)
Tennessee1 dose (after age 1 year) or a history of disease provided by parent or physician
Texas1 dose (age appropriate; on or after age 1 year) or documented history of disease
UtahNot required
VermontNot required (recommended)
Virgin IslandsRequired (age appropriate following ACIP recommendations)
Virginia1 dose (no earlier than age 1 year) or documented proof of immunity
Washington1 Dose
West Virginia1 dose (after age 1 year) or history of disease
Wisconsin1 dose (ages 2-4 years) or prior history of disease
WyomingNot required


Varicella
2007-2008 Requirements for Kindergarten
Project Dosage Requirements and Comments
Alabama1 dose (after age 1 year) or physician or lab documented disease history
Alaska Not required
American Samoa Not required
Arizona 1 dose (after age 1 year) or documented history of disease
Arkansas1 dose (on or after age 1 year) or verbal history disease documented on record
California 1 dose or physician documented disease history
Colorado2 doses or health care provider documented history of disease
Connecticut1 dose (after age 1 year) or proof of immunity
Delaware1 dose
District of Columbia1 dose (at age 1 year) or positive varicella disease history
Federated States/MicronesiaDid not report requirements
Florida1 dose or history of disease (physician diagnosed or parental recall)
Georgia2 Doses
GuamNot required
Hawaii1 dose (on or after age 1 year) or documented history of disease
IdahoNot required
Illinois1 dose (on or after age 1 year)
Indiana1 dose or parent or physician documented history of disease
Iowa1 dose or reliable history of natural disease
Kansas2 doses (after age 1 year)
Kentucky1 dose or previous history of disease
Louisiana Required
Maine1 dose or physician documented history
Marshall IslandsDid not report requirements
Maryland1 dose
Massachusetts Required or physician-certified proof of immunity
Michigan1 dose (on or after age 1 year) or history of disease
MinnesotaRequired or history of disease
Mississippi2 doses (after age 1 year)
Missouri1 dose (after age 1 year) or history of disease
MontanaNot required
N. Mariana Islands 1 dose
Nebraska1 dose (after age 1 year) or history of disease from physician or parent
Nevada Required (new school entrants)
New Hampshire1 dose (on or after age 1 year) or history of disease reported by parent or health care provider
New Jersey 1 dose (on or after age 1 year) or documented history of disease
New Mexico Required or proof of immunity
New York 1 dose or documented history of disease
North Carolina 1 dose (after age 1 year) or documented history of disease, if born on or after 04/01/2001
North Dakota 1 dose (age appropriate) or documented proof of immunity
Ohio1 dose (progressive requirement each year)
Oklahoma 1 dose (on or after the age 1 year) or parental history of disease
Oregon 1 dose or parent-signed history of disease
PalauDid not report requirements
PennsylvaniaRequired (age appropriate) or history of disease
Puerto Rico2 doses (if born after 1997; dose 2 at age 4 years) or proof of immunity
Rhode Island1 dose (after age 1 year) or proof of immunity
South Carolina2 doses (age appropriate)
South Dakota2 doses (after age 1 year) or parental history of disease
Tennessee 1 dose (after age 1 year) or history of disease provided by parent or physician
Texas1 dose (after age 1 year) or documented history of disease
UtahRequired
VermontNot required (recommended)
Virgin Islands 2 doses
Virginia1 dose (after age 1 year) or documented proof of immunity
Washington Required (age appropriate)
West Virginia Not required
Wisconsin1 dose or prior history of disease
WyomingNot required


Varicella
2007-2008 Requirements for Middle School
Project Dosage Requirements and Comments
Alabama Required (grades 5-7 entry requirement; yearly grade increase until 2013) or physician or lab diagnosed disease history
Alaska Not required
American Samoa Not required
Arizona Not Required (grade 7 entry requirement in 2008) or documented history of disease
Arkansas Required (grade 7 only); 1 dose (before age 13 years); 2 doses (at least 28 days after dose 1, if age 13 years or older) or verbal history of disease
California Required (only for children who entered CA schools on or after July 1, 2001)
Colorado 1 dose (grades 2-8) or health care provider documented history of disease
Connecticut 1 dose (grade 7 entry if < age 13 years); 2 doses (4 weeks apart for age 13 years and older); or must show proof of immunity
Delaware Not required (grade 6 will begin in 2009)
District of Columbia 1 dose (at age 1 year); 2 doses (if dose 1 at age 13 years or older); or positive varicella disease history
Federated States/MicronesiaDid not report requirements
FloridaNot required
GeorgiaRequired (for all entrants into grade 6)
GuamNot required
Hawaii1 dose (grade 7 entry and new entrants to HI schools); 2 doses (if dose 1 dose is on or after age 13 years); or documented history of disease
Idaho Not required
Illinois Not required
Indiana Not required
Iowa Not required
Kansas Not required (recommended)
Kentucky Not required
Louisiana Required (new entrants only)
Maine1 dose (if < age 13 years); 2 doses (age 13 years or older); or physician documented history
Marshall IslandsDid not report requirements
MarylandRequired (K-grade 10)
Massachusetts 1 dose (before age 13 years); 2 doses (age 13 years or older); or physician-certified proof of immunity
Michigan1 dose (between ages 1-13 years); 2 doses (28 days apart if dose 1 is on or after age 13 years); or history of disease
Minnesota Required (grade 7 only) or history of disease
Mississippi Not required
Missouri Not required
Montana Not required
N. Mariana Islands 2 doses
Nebraska 1 dose (age 13 years or under); 2 doses (over age 13 years); or history of disease from physician or parent
Nevada Required (new school entrants)
New Hampshire1 dose (before grade 6) or history of disease from parent or health care provider
New Jersey1 dose (if born on or after 1/1/1998; new entrants or transfers to NJ schools) or documented proof of immunity
New Mexico Not required
New York1 dose (for grade 6 if born on or after 1/1/1994) or documented history of disease
North CarolinaRequired or documented history of disease
North Dakota Not required
Ohio Not required
Oklahoma 1 dose (after age 1 year for grades K-7) or parental documentation of history of disease
Oregon Required or parent-signed history of disease
PalauDid not report requirements
Pennsylvania Required (age appropriate for grade 7) or history of disease
Puerto Rico2 doses (if born after 1997; dose 2 at age 4 years) or proof of immunity
Rhode IslandRequired or proof of immunity
South CarolinaNot required
South DakotaNot required
TennesseeNot required
Texas1 dose (before age 13 years); 2 doses (age 13 years and over) or documented history of disease
Utah1 dose or history of disease
Vermont Not required (recommended)
Virgin Islands Required (age appropriate following ACIP recommendations)
Virginia Not required
Washington1 dose
West Virginia Not required
Wisconsin 1 dose (before age 13 years); 2 doses (age 13 years or older); or prior history of disease
Wyoming Not required


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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