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National Center for Immunization and Respiratory Diseases
Immunization Requirements

Program Contents
Full Report (PDF)*
Immunization Requirements
Immunization Requirements (2007-8)
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
2005-2006 Requirements for Childcare
Project Dosage Requirements and Comments
Alabama 1 dose (after age 1 year)
Alaska 1 dose (after age 1 year)
American Samoa Not required
Arizona 1 dose (after age 1 year)
Arkansas Required (age appropriate) or history of disease
California 1 dose (ages 18 months-4 years) or physician documented disease history
Colorado 1 dose (by age 2 years) or history of disease
Connecticut 1 dose (after age 1 year) or proof of immunity
Delaware Required (age appropriate)
District of Columbia 1 dose (at age 15 months) or positive varicella disease history
Florida 1 dose or history of disease from physician or parent recall
Georgia 1 dose (after age 1 year)
Guam Not required
Hawaii 1 dose (if over age 19 months)
Idaho Not required
Illinois 1 dose (if over age 2 years)
Indiana 1 dose
Iowa 1 dose or reliable history of natural disease
Kansas Not required (recommended)
Kentucky 1 dose (if > age 19 months to < age 7 years)
Louisiana Required
Maine Required (age appropriate)
Maryland 1 dose (after age 1 year)
Massachusetts 1 dose (age 19 months or older) or physician-certified proof of immunity
Michigan 1 dose (after age 1 year)
Minnesota 1 dose (age 18 months or older)
Mississippi 1 dose (after age 1 year)
Missouri Required (age appropriate)
Montana Not required (pending)
N. Mariana Islands 1 dose
Nebraska 1 dose (after age 1 year) or history of disease from physician or parent
Nevada Not required
New Hampshire 1 dose (at age 19 months)
New Jersey 1 dose (on or after the age 1 year)
New Mexico 1 dose (after age 1 year)
New York 1 dose
North Carolina 1 dose (at age 1 year and before age 19 months)
North Dakota 1 dose (age appropriate)
Ohio Not required
Oklahoma 1 dose (on or after age 1 year) or parental history of disease
Oregon 1 dose or parent-signed history of disease
Pennsylvania Required (age appropriate)
Puerto Rico Required (age appropriate)
Rhode Island Required (age appropriate)
South Carolina Required (age appropriate)
South Dakota Not required
Tennessee 1 dose (after age 1 year) or a history of disease provided by parent or physician
Texas 1 dose (age appropriate; on or after age 1 year)
Utah Not required
Vermont Not required (recommended)
Virgin Islands Required (age appropriate following ACIP recommendations)
Virginia 1 dose (no earlier than age 1 year)
Washington Required (age appropriate effective 07/01/06)
West Virginia 1 dose (after age 1 year) or history of disease
Wisconsin 1 dose (ages 2-4 years)
Wyoming Not required

2005-2006 Varicella requirements by State (for Childcare) Visual representation of data contained in the preceding data table

Varicella
2005-2006 Requirements for Kindergarten
Project Dosage Requirements and Comments
Alabama 1 dose (after age 1 year)
Alaska Not required
American Samoa Not required
Arizona 1 dose (after age 1 year)
Arkansas 1 dose (on or after age 1 year) or history of disease
California 1 dose or physician documented disease history
Colorado 1 dose
Connecticut 1 dose (after age 1 year) or proof of immunity
Delaware 1 dose
District of Columbia 1 dose (at age 15 months) or positive disease history
Florida 1 dose or history of disease (physician diagnosed or parental recall)
Georgia Required
Guam Not required
Hawaii 1 dose (on or after age 1 year)
Idaho Not required
Illinois 1 dose (on or after age 1 year)
Indiana 1 dose
Iowa 1 dose or reliable history of natural disease
Kansas 1 dose (after age 1 year)
Kentucky 1 dose or previous history of disease
Louisiana Required
Maine 1 dose
Maryland 1 dose
Massachusetts Required or physician-certified proof of immunity
Michigan 1 dose (on or after age 1 year)
Minnesota Required or history of disease
Mississippi 1 dose (after age 1 year)
Missouri Required (age appropriate)
Montana Not required
N. Mariana Islands 1 dose
Nebraska 1 dose (after age 1 year) or history of disease from physician or parent
Nevada Required (new school entrants)
New Hampshire 1 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)
New Mexico Required
New York 1 dose
North Carolina 1 dose (if born after 04/01/01)
North Dakota 1 dose (age appropriate)
Ohio Required (beginning school year 2006)
Oklahoma 1 dose (on or after the age 1 year) or parental history of disease
Oregon 1 dose or parent-signed history of disease
Pennsylvania Required (age appropriate)
Puerto Rico Required (if born after 1997)
Rhode Island 1 dose (after age 1 year)
South Carolina Required (age appropriate)
South Dakota 1 dose (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
Texas 1 dose (after age 1 year)
Utah Required
Vermont Not required (recommended)
Virgin Islands Required (age appropriate following on ACIP recommendations)
Virginia 1 dose (after age 1 year)
Washington Required (age appropriate beginning 07/01/06)
West Virginia Not required
Wisconsin 1 dose
Wyoming Not required

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

Varicella
2005-2006 Requirements for Middle School
Project Dosage Requirements and Comments
Alabama Not required (grade 5 entry requirement; increases yearly by one grade until 2013)
Alaska Not required
American Samoa Not required
Arizona 1 dose (before age 13 years) or 2 doses (after age 13 years for grade 7)
Arkansas 1 dose (before age 13 years); 2 doses (28 days apart if dose 1 is on or after age 13 years); or history of disease
California Required (only for children who entered CA schools on or after July 1, 2001)
Colorado Not required (grade 5 entry requirement; increases yearly by one grade)
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 15 months); 2 doses (if dose 1 at age 13 years or older); or positive disease history
Florida Not required
Georgia Required (for all entrants into grade 6)
Guam Not required
Hawaii 1 dose (for new entrants and grade 7 entry); 2 doses (if dose 1 dose given on or after age 13 years)
Idaho Not required
Illinois Not required
Indiana Not required
Iowa Not required
Kansas Not required (recommended)
Kentucky Not required
Louisiana Required (new entrants only)
Maine Required (grade 6; phase in grades 6-7 in 2006; grades 6-8 in 2007) or physician documented history
Maryland Not required
Massachusetts 1 dose (before age 13 years); 2 doses (age 13 years or older); or physician-certified proof of immunity
Michigan 1 dose (between ages 1-13 years); 2 doses (28 days apart if dose 1 is on or after age 13 years)
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 Hampshire 1 dose (before grade 6); 2 doses (4 weeks apart if age 13 years); or history of disease by parent or health care provider
New Jersey Not required
New Mexico Not required
New York 1 dose (for grade 6 if born on or after 1/1/1994)
North Carolina Not required
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
Pennsylvania Required (age appropriate for grade 7) or history of disease
Puerto Rico Required (if born after 1997)
Rhode Island Required
South Carolina Not required
South Dakota Not required
Tennessee Not required
Texas 1 dose (before age 13 years); 2 doses (age 13 years and over)
Utah Required (beginning 2006-2007 school year)
Vermont Not required (recommended)
Virgin Islands Required (age appropriate following ACIP recommendations)
Virginia Not required
Washington Required (effective 07/01/06, age appropriate)
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

2005-2006 Varicella requirements by State (for Middle School) Visual representation of data contained in the preceding data table

Varicella Documented Proof of Immunity Allowed
2005-2006
Project CC K MS
Alabama       NVR
Alaska     NVR   NVR
American Samoa   NVR   NVR   NVR
Arizona      
Arkansas   YES   YES   YES
California   YES   YES  
Colorado   YES     NVR
Connecticut   YES   YES   YES
Delaware       NVR
District of Columbia   YES   YES   YES
Florida   YES   YES   NVR
Georgia      
Guam   NVR   NVR   NVR
Hawaii      
Idaho   NVR   NVR   NVR
Illinois       NVR
Indiana       NVR
Iowa   YES   YES   NVR
Kansas   NVR     NVR
Kentucky     YES   NVR
Louisiana      
Maine       YES
Maryland       NVR
Massachusetts   YES   YES   YES
Michigan      
Minnesota     YES   YES
Mississippi       NVR
Missouri       NVR
Montana   NVR   NVR   NVR
N. Mariana Islands      
Nebraska   YES   YES   YES
Nevada   NVR    
New Hampshire     YES   YES
New Jersey       NVR
New Mexico       NVR
New York      
North Carolina       NVR
North Dakota       NVR
Ohio   NVR     NVR
Oklahoma   YES   YES   YES
Oregon   YES   YES   YES
Pennsylvania       YES
Puerto Rico      
Rhode Island      
South Carolina       NVR
South Dakota   NVR   YES   NVR
Tennessee   YES   YES   NVR
Texas      
Utah   NVR    
Vermont   NVR   NVR   NVR
Virgin Islands      
Virginia       NVR
Washington      
West Virginia   YES   NVR   NVR
Wisconsin       YES
Wyoming   NVR   NVR   NVR
YES - Documentation allowed
NVR - no vaccine requirement

2005-2006 Varicella requirements by State (for Middle School) 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