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National Center for Immunization and Respiratory Diseases
Immunization Requirements

Program Contents
Full Report (PDF)*
Immunization Requirements (2007-8)
Summary of Requirements
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)
2005-2006 Requirements for Childcare
Project Dosage Requirements and Comments
Alabama Not required
Alaska 3 doses (age appropriate)
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)
Florida Not required
Georgia Required (age appropriate)
Guam 1 dose (must receive all follow-up immunizations needed to complete the series)
Hawaii 3 doses (age appropriate before age 18 months)
Idaho 3 doses
Illinois 3 doses
Indiana 3 doses
Iowa 3 doses
Kansas Not required (recommended)
Kentucky Required (age appropriate)
Louisiana Required (age appropriate)
Maine Required (age appropriate)
Maryland Required (age appropriate)
Massachusetts 3 doses
Michigan 3 doses (age appropriate before age 15 months)
Minnesota Not required
Mississippi Not required
Missouri Required
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 (by age 6 months)
New York 3 doses
North Carolina 3 doses
North Dakota Not required
Ohio 3 doses
Oklahoma 3 doses (age appropriate)
Oregon 1 dose (required to enter, must be up to date for continued attendance)
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 Required
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
2005-2006 Hepatitis B requirements by State (for Childcare) Visual representation of data contained in the preceding data table

Hepatitis B (Hep B)
2005-2006 Requirements for Kindergarten
Project Dosage Requirements and Comments
Alabama Not required
Alaska 3 doses (age appropriate)
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)
Florida 3 doses
Georgia 3 doses
Guam 1 dose (for school entry, but must receive all follow-up immunizations needed 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
Maryland 3 doses
Massachusetts 3 doses
Michigan 3 doses
Minnesota 3 doses
Mississippi 3 doses
Missouri 3 doses
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
North Carolina 3 doses
North Dakota 3 doses
Ohio 3 doses
Oklahoma 3 doses
Oregon 3 doses
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
Texas 3 doses
Utah 3 doses
Vermont Not required (recommended)
Virgin Islands Required (age appropriate following ACIP recommendations)
Virginia 3 doses
Washington 3 doses
West Virginia Not required
Wisconsin 3 doses
Wyoming 3 doses
2005-2006 Hepatitis B requirements by State (for Kindergarten) Visual representation of data contained in the preceding data table

Hepatitis B (Hep B)
2005-2006 Requirements for Middle School
Project Dosage Requirements and Comments
Alabama Not required
Alaska 3 doses (age appropriate)
American Samoa 3 doses
Arizona 3 doses (or 2-dose adolescent series)
Arkansas 2-3 doses (grade 7 and transfer students)
California 3 doses
Colorado 3 doses (2 doses acceptable for ages 11-15 years if given approved Merck's 2-dose -Recombivax, 1.0cc)
Connecticut 1 dose (grade 7 entry); 3 doses (grade 8 entry)
Delaware 3 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)
Florida 3 doses (2 doses acceptable for ages 11-15 years)
Georgia 3 doses
Guam 3 doses
Hawaii 3 doses
Idaho 3 doses (if born after 11/22/1991)
Illinois 3 doses (grade 5; progressive requirement)
Indiana Not required
Iowa 3 doses
Kansas Not required (recommended)
Kentucky Required (completion of series)
Louisiana Required (new entrants only)
Maine Not required
Maryland Not required
Massachusetts 3 doses
Michigan 3 doses (grade 6 entry or new entrant to the school district)
Minnesota 3 doses (grade 7 only)
Mississippi Not required
Missouri 3 doses
Montana Not required
N. Mariana Islands 3 doses
Nebraska 3 doses (grade 7 entry and transfer students)
Nevada 3 doses (new school entrants)
New Hampshire 3 doses (if born on or after 01/01/1993)
New Jersey 3 doses (or alternatively 2 doses between the ages 11-15 years)
New Mexico 3 doses (2 dose option for ages 11-15 years only)
New York 3 doses (2 doses acceptable for ages 11-15 years)
North Carolina Not required
North Dakota Not required
Ohio Required (grade 7 entry)
Oklahoma 2-3 doses (depending on vaccine used)
Oregon 3 doses (2 doses if dose 1 on or after age 11 years and dose 2 at least 4 months later)
Pennsylvania 3 doses (grade 7 entry)
Puerto Rico 3 doses
Rhode Island Required
South Carolina 3 doses
South Dakota Not required
Tennessee 3 doses
Texas 3 doses
Utah Required (beginning 2006-2007 school year)
Vermont Required
Virgin Islands Required (age appropriate following ACIP recommendations)
Virginia Required (complete series prior to grade 6 entry)
Washington 3 doses (through grade 8)
West Virginia Not required
Wisconsin 3 doses
Wyoming 3 doses

2005-2006 Hepatitis B requirements by State (for Kindergarten) Visual representation of data contained in the preceding data table

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This page last reviewed May 1, 2007

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