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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

Measles, Mumps and Rubella (MMR)
2007-2008 Requirements for Childcare
Project Dosage Requirements and Comments
Alabama1 dose (after age 1 year)
Alaska 1 dose (on or after age 1 year)
American Samoa 1 dose (at age 15 months)
Arizona 1 dose (after age 1 year)
Arkansas 1 dose (after age 1 year)
California 1 dose (after age 1 year)
Colorado 1 dose (by age 15 months)
Connecticut 1 dose (after age 1 year) or proof of immunity
Delaware 1 dose (measles after age 15 months; mumps and rubella after age 12 months)
District of Columbia1 dose (at age 15 months), 2 doses (at age 4 years)
Federated States/MicronesiaDid not report requirements
Florida 1 dose (after age 1 year)
Georgia 1 dose (after age 1 year)
Guam 2 doses (age appropriate; after age 1 year; dose 2 between ages 4-6 years)
Hawaii 1 dose (at or after age 1 year)
Idaho 2 doses (age appropriate; after age 1 year; dose 2 between ages 4-6 years)
Illinois 1 dose (after age 1 year)
Indiana 1 dose (after age 1 year)
Iowa 1 dose (after age 1 year): measles and rubella, mumps not required
Kansas 1 dose (after age 1 year)
Kentucky 1 dose (after age 16 months)
Louisiana 1 dose (after age 1 year)
Maine Required (age appropriate)
Marshall IslandsDid not report requirements
Maryland1 dose (after age 1 year)
Massachusetts 1 dose (after age 1 year)
Michigan1 dose (after age 1 year)
Minnesota1 dose (after age 1 year)
Mississippi1 dose (after age 1 year)
Missouri1 dose (following ACIP recommendations)
Montana1 dose (after age 1 year)
N. Mariana Islands 2 doses
Nebraska1 dose (after age 1 year)
Nevada 1 dose (after age 1 year)
New Hampshire 1 dose (after age 1 year)
New Jersey 1 dose (at age 16-19 months)
New Mexico 1 dose (after age 1 year)
New York1 dose (at age 1 year no earlier than 4 days before age 1 year) or proof of immunity (med provider diag or pos sero test)
North Carolina 1 dose (after age 1 year)
North DakotaRequired (age appropriate)
Ohio1 dose (after age 1 year)
Oklahoma1 dose (after age 1 year)
Oregon 1 dose (after age 1 year)
PalauDid not report requirements
Pennsylvania1 dose (after age 1 year)
Puerto Rico1 dose (after age 1 year)
Rhode Island1 dose (after age 1 year)
South Carolina1 dose (after age 1 year)
South Dakota1 dose (after age 1 year)
Tennessee1 dose (after age 1 year)
Texas1 dose (age appropriate on or after age 1 year)
Utah1 dose (after age 1 year)
VermontRequired (age appropriate)
Virgin Islands Required (age appropriate following ACIP recommendations)
Virginia1 dose (after age 1 year)
Washington1 dose (after age 1 year)
West Virginia1 dose (on or after age 1 year): measles and rubella, mumps not required
Wisconsin1 dose (after age 1 year)
Wyoming1 dose (after age 1 year)

Measles, Mumps and Rubella (MMR)
2007-2008 Requirements for Kindergarten
Project Dosage Requirements and Comments
Alabama1 dose (after age 1 year)
Alaska1 dose (on or after age 1 year)
American Samoa 1 dose (K-3)
Arizona2 doses (after age 1 year)
Arkansas2 doses (dose 1 on or after age 1 year, dose 2 at least 28 days after dose 1) : measles containing vaccine; 1 dose mumps and rubella (on or after age 1 year)
California 2 doses (on or after age 1 year): measles-containing vaccine
Colorado2 doses
Connecticut1 dose (after age 1 year) or proof of immunity
Delaware1 dose (after age 15 months): measles; 1 dose (after age 1 year): mumps and rubella
District of Columbia1 dose (after age 1 year); 2 doses (at age 4 years)
Federated States/MicronesiaDid not report requirements
Florida1 dose (after age 1 year)
Georgia1 dose (after age 1 year)
Guam2 doses (on or after age 1 year)
Hawaii2 doses (on or after age 1 year): measles-containing vaccine (with at least 1 dose of MMR)
Idaho2 doses (after age 1 year)
Illinois1 dose (after age 1year)
Indiana2 doses (after age 1 year): measles; 1 dose mumps and rubella
Iowa1 dose (after age 1 year): measles and rubella, mumps not required
Kansas1 dose (after age 1 year)
Kentucky1 dose
Louisiana1 dose (after age 1 year)
Maine1 dose (after age 1 year)
PalauDid not report requirements
Maryland1 dose (after age 1 year)
Massachusetts1 dose (after age 1 year)
Michigandoses (on or after age 1 year)
Minnesota2 doses (after age 1 year)
Mississippi2 doses (after age 1 year)
Missouri2 doses (following ACIP recommendations)
Montana2 doses (after age 1 year)
N. Mariana Islands 2 doses
Nebraska2 doses (on or after age 1 year; 1 month between doses)
Nevada /td>1 dose (after age 1 year)
New Hampshire1 dose (after age 1 year)
New Jersey1 dose (on or after age 1 year)
New Mexico2 Doses
New York2 doses or proof of immunity (medical provider diagnosis or positive serological test)
North Carolina 2 doses: measles and mumps; 1 dose: rubella (all after age 1 year)
North DakotaRequired (age appropriate)
Ohio1 dose (on or after age 1 year)
Oklahoma2 doses (age appropriate)
Oregon1 dose (after age 1 year)
PalauDid not report requirements
Pennsylvania2 doses
Puerto Rico2 doses
Rhode Island2 doses
South Carolina 1 dose (after age 1 year)
South Dakota2 doses (after age 1 year)
Tennessee1 dose (after age 1 year)
Texas1 dose (after age 1 year)
Utah2 doses (after age 1 year)
Vermont1 dose (after age 1 year): measles and rubella, mumps not required
Virgin Islands Required (age appropriate following ACIP recommendations)
Virginia1 dose (after age 1 year)
Washington1 dose (after age 1 year)
West Virginia1 dose (on or after age 1 year): measles and rubella, mumps not required
Wisconsin1 dose (after age 1 year)
Wyoming1 dose (on or after age 1 year)


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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