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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

Polio
2007-2008 Requirements for Childcare
Project Dosage Requirements and Comments
Alabama 1 dose (age appropriate)
Alaska 3 doses (age appropriate)
American Samoa 3 doses (ages 2,4,6 months); 4 doses (ages 4-6 years)
Arizona 3 doses (age appropriate)
Arkansas Required (age appropriate)
California 3 doses (age appropriate)
Colorado 3 doses (dose 1 by age 4 months, dose 2 by age 6 months, dose 3 by age 2 years)
Connecticut Required (age appropriate before age 18 months); 3 doses (after age 18 months)
Delaware Required (age appropriate)
District of Columbia 4 doses (age appropriate; dose 3 by ages 6-12 months; dose 4 by or before age 4 years; fewer doses required based on age)
Federated States/MicronesiaDid not report requirements
Florida Required (age appropriate)
Georgia 3-4 doses (or age appropriate)
Guam 1 dose (age appropriate for admission, must receive all follow-up immunizations needed by age recommendations)
Hawaii 3 doses (age appropriate)
Idaho 3 doses (age appropriate; more doses may be required)
Illinois 2 doses (by age 1 year); 3 doses (if age 2 years or older)
Indiana 1-3 doses (age appropriate)
Iowa 3 doses
Kansas 4 doses (3 doses if dose 3 after age 4 years)
Kentucky Required (age appropriate)
Louisiana Required (age appropriate)
Maine Required (age appropriate)
Marshall Islands Did not report requirements
Maryland Required (age appropriate)
Massachusetts 3 doses (minimum; age appropriate)
Michigan Required (age appropriate under age 15 months); 3 doses (ages 15 months-5 years)
Minnesota Required (age appropriate under age 15 months); 3 doses (ages 15 months-4 years); 4 doses (over age 4 years)
Mississippi Required (age appropriate)
Missouri Required (age appropriate following ACIP recommendations)
Montana Required (age appropriate)
N. Mariana Islands 3 doses
Nebraska 3 doses (maximum; age appropriate)
Nevada Required (age appropriate)
New Hampshire 3 doses (age appropriate)
New Jersey 2 doses (age appropriate under age 17 months); 3 doses (ages 18 months-4 years)
New Mexico Required (age appropriate following ACIP recommendations)
New York 3 doses (age appropriate)
North Carolina Required (age appropriate following ACIP recommendations)
North Dakota 3 doses (minimum; age appropriate)
Ohio 3 doses
Oklahoma 4 doses (age appropriate); 3 doses (if dose 3 given after age 4 years)
Oregon 3 doses (age appropriate)
PalauDid not report requirements
Pennsylvania Required (age appropriate)
Puerto Rico Required (age appropriate)
Rhode Island Required (age appropriate)
South Carolina Required (age appropriate)
South Dakota Required (age appropriate following ACIP recommendations)
Tennessee Required (age appropriate)
Texas Required (age appropriate)
Utah Required (age appropriate)
Vermont Required (age appropriate)
Virgin Islands Required (age appropriate following ACIP recommendations)
Virginia 3 doses (age appropriate)
Washington 1 dose (ages 3-4 months); 2 doses (ages 5-18 months); 3 doses (at or after age 19 months)
West Virginia 3 doses (age appropriate; dose 3 after age 18 months)
Wisconsin 2 doses (ages 5-23 months); 3 doses (ages 2-4 years)
Wyoming Required (age appropriate)

Polio
2007-2008 Requirements for Kindergarten
Project Dosage Requirements and Comments
Alabama 3 doses (last dose after age 4 years)
Alaska 3 doses (4 doses recommended unless last dose is after age 4 years)
American Samoa 3 doses (for K3); 4 doses (K4 and above)
Arizona 4 doses (3 doses if dose 3 is after age 4 years)
Arkansas 3 doses (last dose on or after age 4 years)
California 3-4 doses (age appropriate)
Colorado 4 doses (new entrants; 3 doses if dose 3 is on or after age 4 years)
Connecticut 3 doses (last dose after age 4 years)
Delaware 4 doses (3 doses if dose 3 is after age 4 years)
District of Columbia 4 doses (age appropriate; dose 3 by ages 6-12 months; dose 4 at age 4 years, fewer doses may be required based on age)
Federated States/MicronesiaDid not report requirements
Florida 4 doses (3 doses if dose 3 is after age 4 years)
Georgia 3 doses (last dose on or after age 4 years)
Guam 1 dose minimum (for school entry; must receive all follow-up immunizations needed to complete the series)
Hawaii 4 doses (3 doses if dose 3 is on or after age 4 years; 4 doses if combination IPV/OPV administered)
Idaho 3 doses
Illinois 3 doses (last dose after age 4 years)
Indiana 4 doses (3 doses if dose 3 is after age 4 years)
Iowa 3 doses (last dose after age 4 years)
Kansas 4 doses (3 doses if dose 3 is after age 4 years)
Kentucky 4 doses
Louisiana 4 doses (last dose after age 4 years)
Maine Required (age appropriate)
Marshall IslandsDid not report requirements
Maryland 3 doses
Massachusetts 4 doses (3 doses if dose 3 is after age 4 years; 4 doses required if combination IPV/OPV administered)
Michigan 4 doses (3 doses if dose 3 is after age 4 years)
Minnesota 4 doses (3 doses if dose 3 is after age 4 years)
Mississippi 3 doses (last dose after age 4 years)
Missouri 3 doses (following ACIP recommendations)
Montana 3 doses (last dose after age 4 years)
N. Mariana Islands 4 doses
Nebraska 3 doses
Nevada 3 doses (last dose after age 4 years)
New Hampshire 3 doses (last dose after age 4 years; 4 doses if eIPV or OPV administered regardless of age)
New Jersey 3 doses (last dose after age 4 years or any 4 doses)
New Mexico 3 doses (all OPV or all IPV administered or 4 doses if combination IPV/OPV administered)
New York 3 doses
North Carolina 4 doses (last dose after age 4 years and before school entry or 3 doses if dose 3 is after age 4 years)
North Dakota 4 doses (age appropriate; 3 doses if dose 3 is after age 4 years)
Ohio 4 doses (3 doses if dose 3 is after age 4 years)
Oklahoma 4 doses (3 doses if dose 3 is after age 4 years)
Oregon 4 doses (3 doses if dose 3 is after age 4 years)
PalauDid not report requirements
Pennsylvania 3 doses
Puerto Rico 4 doses (3 doses if dose 3 is after age 4 years)
Rhode Island 4 doses
South Carolina 3 doses (last dose after age 4 years)
South Dakota 3 doses (at least 1 dose after age 4 years)
Tennessee 4 doses (1 dose after age 4 years)
Texas 4 doses (3 doses if dose 3 is on or after age 4 years)
Utah 4 doses (3 doses if dose 3 is after age 4 years)
Vermont 3 doses (6 months between doses 2 and 3)
Virgin Islands Required (age appropriate following ACIP recommendations)
Virginia 3 doses (last dose after age 4 years)
Washington 3 doses (last dose after age 4 years)
West Virginia 3 doses (last dose on or after age 4 years)
Wisconsin 4 doses (3 doses if dose 3 is after age 4 years)
Wyoming 4 doses (new entrants must have 4th dose after age 4 years)


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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