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National Center for Immunization and Respiratory Diseases
Immunization Requirements

Program Contents
• Full Report (2005-6)(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

Summary of Immunization Requirements by Vaccine or Antigen (2007-2008)
For Childcare (CC), Kindergarten(K) and Middle School (MS)
Project DTaP Hep A Hep B Hib HPV MMR Measles Dose 2 MCV4 Polio PCV Td Varicella
CC K CC K CC K MS CC MS CC K K MS MS CC K CC MS CC K MS
Alabama X X N N N N N X N X X X X N X X N X X o X o X o
Alaska X X X X X X X X N X X X X N X X N X X o N N
American Samoa X X N N X X X X N X X X X N X X N X N N N
Arizona X X X* N X X X X N X X X X N X X N N X o X o N o
Arkansas X X N N X X X X N X X ^^ X X N X X N N X o X o X o
California X X R N X X X X N X X ^^ X X N X X R N X o X o X**
Colorado X X N N X X X X N X X X X N X X X X X o X o X o
Connecticut X X N N X X X X N X o X o X o X N X X X N X o X o X o
Delaware X X N N X X X N N X X X X ** N X X N R X X N
District of Columbia X X N N X X X X N X X X X N X X N X X o X o Xo
Federated States/Micronesia Did not report requirements
Florida X X N N N X X X N X X X X N X X X X X o X o N
Georgia X X X N X X X X N X X X X N X X N N X X X
Guam X X N N X X X X N X X X X N X X N X N N N
Hawaii X X N N X X X X N X X X X N X X N N X  o X o X o
Idaho X X N N X X X X N X X X X N X X N N N N N
Illinois X X N N X N X X N X X X X N X X X X X X N
Indiana X X N N X X N X N X X X X N X X X X X  o X o N
Iowa X X N N X X X X N X^ X^ X X N X X X N X o X o N
Kansas X X N N R X R R N X X X X R X X R X R X R
Kentucky X X N N X X X X N X X X X N X X N X X X o N
Louisiana X X N N X X X ** X N X X X X ** N X X X X X X X **
Maine X X N N X N N X N X X X X N X X X N X  o X  o Xo
Marshall islands Did not report requirements
Maryland X X N N X X X X N X X X X N X X X N X X X
Massachusetts X X R N X X X X R X X X X R X X R X X o X o X o
Michigan X X N N X X X X N X X X X N X X X X X o X o X o
Minnesota X X N N N X X X N X X X X N X X X X X X o Xo
Mississippi X X N N N X N X N X X X N N X X X N X o X o N
Missouri X X N N X X X X N X X X X N X X N X X o X o N
Montana X X N N N N N X N X X X X N X X N X X N N
N. Mariana Islands X X N N X X X X N X X X X N X X X X X X X
Nebraska X X N N X X X X N X X X X N X X N N X o X o X o
Nevada X X N X** N X ** X** X N X X X X N X X N X N X ** X**
New Hampshire X X N N X X X X N X X X X N X X N X X X o Xo
New Jersey X X N N N X X X N X X X X N X X N N X o X o Xo
New Mexico X X N N X X X X N X X X X N X X N X X o X N
New York X X N N X X X X N X o X o Xo X o N X X X X X o X o X o
North Carolina X X R R X X X X R X X X X R X X R X Xo X o Xo
North Dakota X X N N X X N X N X X X X N X X N N X X N
Ohio X X N N X X X X N X X X X N X X N N R X N
Oklahoma X X X X X X X X N X X X X N X X X N X o X o X o
Oregon X X R R X X X X R X X X X R X X R R X o X o X o
Palau Did not report requirements
Pennsylvania X X N N X X X X N X X X X N X X X N Xo X o X o
Puerto Rico X X R R X X X X R X X X X R X X X X X o X o X o
Rhode Island X X N N X X X X N X X X X N X X X X X X X
South Carolina X X N N X X X X N X X X X N X X X N X X No
South Dakota X X R R R R N X N X X X X N X X R N R X o N
Tennessee X X N N X X X X N X X X X N X X N N X o X o N
Texas X X X X* X X X X N X X X X N X X X X X o X o Xo
Utah X X N X N X X X N X X X X N X X N X N X X o
Vermont X X N N R R X X N X X ^ X X R X X R X R R R
Virgin Islands X X N N X X X X N X X X X N X X X X X X X
Virginia X X N N X X X X N X X X X N X X X X X o Xo N
Washington X X N N X X X X R X X X X N X X R X X X X
West Virginia X X X N X N N X N X^ X ^ X X ** N X X X N X o N N
Wisconsin X X N N X X X X N X X X X N X X N N X o X o X o
Wyoming X X X X X X X X N X X X X N X X X X N N N
  X    Required    N    Not Required    R    Recommended  
 
  • * Required for specific geographic area(s) only
  • ** Required for new entrants only
  • ^ Mumps not required
  • ^^ Measles containing vaccine accepted
  • o Documented history of disease acceptable

Summary of Immunization Requirements by Vaccine or Antigen (2007-2008)
For Childcare (CC), Kindergarten(K) and Middle School (MS)
Project Childcare Kindergarten Middle School
DTaP Hep A Hep B Hib MMR Polio PCV Varicella DTaP Hep A Hep B MMR Measles Dose 2 Polio Varicella Hep B HPV Measles Dose 2 MCV4 Td Varicella
Alabama X N N X X X N X o X N N X X X X o N N X N X X o
Alaska X X X X X X N X o X X X X X X N X N X N X N
American Samoa X N X X X X N N X N X X X X N X N X N X N
Arizona X X * X X X X N Xo X N X X X X X o X N X N N N o
Arkansas X N X X X X N X o X N X X ^^ X X X o X N X N N X o
California X R X X X X R X o X N X X ^^ X X X o X N X N N X**
Colorado X N X X X o X X X o X N X X o Xo X Xo X N X N X Xo
Connecticut X N X X X X X X o X N X X X X X o X N X N N X o
Delaware X N X N X X N X X N X X X X X X N X** N R N
District of Columbia X N X X X X N X o X N X X X X X o X N X N X X o
Federated States/Micronesia Did not report requirements
Florida X N N X X X N Xo X N X X X X X o X N X N X N
Georgia X X X X X X X X X N X X X X X X N X N N X
Guam X N X X X X N N X N X X X X N X N X N X N
Hawaii X N X X X X N X X N X X X X X o X N X N N X
Idaho X N X X X X N N X N X X X X N X N X N N N
Illinois X N X X X X X X X N N X X X X X N X N X N
Indiana X N X X X X X X X N X X X X X o N N X N X N
Iowa X N X X X ^ X X X o X N X X ^ X X X o X N X N N N
Kansas X N R R X X R R X N X X X X X R N X R X R
Kentucky X N X X X X N X X N X X X X Xo X N X N X N
Louisiana X N X X X X X X X N X X X X X X ** N X** N X X**
Maine X N X X X X X X X N N X X X X o N N X N N Xo
Marshall Islands Did not report requirements
Maryland X N X X X X X X X N X X X X X X N X N N X
Massachusetts X R X X X X R X o X N X X X X X o X R X R X X o
Michigan X N X X X X X X o X N X X X X X o X N X N X Xo
Minnesota X N N X X X X X X N X X X X Xo X N X N X X o
Mississippi X N N X X X X X o X N X X X X X o N N N N N N
Missouri X N X X X X N X o X N X X X X X o X N X N X N
Montana X N N X X X N X X N N X X X N N N X N X N
N. Mariana Islands X N X X X X X X X N X X X X X X N X N X X
Nebraska X N X X X X N X o X N X X X X X o X N X N N X o
Nevada X N N X X X N N X X ** X** X X X X ** X ** N X N X X**
New Hampshire X N X X X X N X X N X X X X X o X N X N X X o
New Jersey X N N X X X N X o X N X X X X X o X N N N N Xo
New Mexico X N X X X X N X o X N X X X X X o X N X N X N
New York X N X X X o X X X o X N X X o X o X X o X N Xo N X Xo
North Carolina X R X X X X R X o X R X X X X X o X R X R X Xo
North Dakota X N X X X X N X o X N X X X X X o N N X N N N
Ohio X N X X X X N R X N X X X X X X N X N N N
Oklahoma X X X X X X X X o X X X X X X X o X N X N N X o
Oregon X R X X X X R Xo X R X X X X X o X R X R R X o
Palau Did not report requirements
Pennsylvania X N X X X X X X o X N X X X X X o X N X N N Xo
Puerto Rico X R X X X X X X o X R X X X X X o X R X R X X o
Rhode Island X N X X X X X X X N X X X X X X N X N X X
South Carolina X N X X X X X X X N X X X X X X N X N N No
South Dakota X R R X X X R R X R R X X X X o N N X N N N
Tennessee X N X X X X N X o X N X X X X X o X N X N N N
Texas X X X X X X X X o X X X X X X X o X N X N X Xo
Utah X N N X X X N N X X X X X X X X N X N X Xo
Vermont X N R X X X R X X N R X^ X X R X R X R X R
Virgin Islands X N X X X X X X X N X X X X X X N X N X X
Virginia X N X X X X X X o X N X X X X X o X N X N X N
Washington X N X X X X R X X N X X X X X X R X N X X
West Virginia X X X X X ^ X X X o X N N X ^ X X N N N X** N N N
Wisconsin X N X X X X N X o X N X X X X X o X N X N N X o
Wyoming X X X X X X X N X X X X X X N X N X N X N
  X    Required    N    Not Required    R    Recommended  
 
  • * Required for specific geographic area(s) only
  • ** Required for new entrants only
  • ^ Mumps not required
  • ^^ Measles containing vaccine accepted
  • o Documented history of disease acceptable

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This page last reviewed June 23, 2008

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