Immunizations

Immunizations (Vaccinations):
Vaccines are responsible for the control of many infectious diseases that were once common in this country.  Vaccines have reduced, and in some cases, eliminated many diseases that routinely killed or harmed many infants, children, and adults.  However, the viruses and bacteria that cause vaccine-preventable diseases and death still exist and can be passed on to people who are not protected by vaccines.  Vaccine-preventable diseases have a costly impact, resulting in doctor's visits, hospitalizations, and premature deaths. Sick children can also cause parents to lose time from work. One of the requirements for enrollment in Texas Public Schools is an up-to-date record of immunizations.  According to the Texas Department of Health, to be current, the student must have the following:
HSR 7 - Immunization Requirements 2009-2010 School Year - Reference Guide (effective date 8/1/09)
2023-2024 Texas Minimum State Vaccine Requirements for Students Grades K-12

3 year olds and 4 year olds (PRE K)
4 doses of DTP, DTaP, DT
3 doses of Polio
1 dose of MMR on/after 1st birthday
1 dose of HIB on/after 15 months OR 3 doses with the 3rd dose given on/after 1st birthday, and at least 2 months since dose #2
1 dose of *PCV7 on/or after 24 months of age OR 4 doses of PCV7 with one given after 1st birthday
3 doses of Hepatitis B
1 dose of Varicella on/after 1st birthday (if the child has NOT had chickenpox)
2 doses of Hepatitis A on/after 1st birthday (must allow 18 months between doses)

Kindergarten
5 doses of DTP, DTaP, DT with one on/after 4th birthday OR 4 doses if one dose is on/after the 4th birthday
4 doses of ?Polio with one on/after 4th birthday OR 3 doses if one dose is on/after 4th birthday
2 doses of MMR on/after 1st birthday
3 doses of Hepatitis B
2 doses of Varicella on/after 1st birthday (if the child has NOT had chickenpox)
2 doses of Hepatitis A on/after 1st birthday (must allow 18 months between doses)

First Grade - Sixth Grade
5 doses of ^DTP, DTaP, DT, Td, Tdap with one on/after 4th birthday OR 4 doses if one dose is on/after the 4th birthday
4 doses of ^?Polio with one on/after 4th birthday OR 3 doses if one dose is on/after 4th birthday
2 doses of Measles, 1 dose Mumps and 1 dose Rubella on/after 1st birthday
3 doses of ¤Hepatitis B
1 dose of Varicella on/after 1st birthday (if the child has NOT had chickenpox)
Ages 7 years and older, 3 doses of DTP containing vaccine.

Seventh Grade
3 doses of ^DTP, DTaP, DT, Td, Tdap with one on/after 4th birthday, one dose of Tdap is required within the last 5 years.  Td is acceptable in lieu of Tdap if a contraindication to pertussis exists.
4 doses of ^?Polio with one on/after 4th birthday OR 3 doses if one dose is on/after 4th birthday
2 doses of Measles, 1 dose Mumps and 1 dose Rubella on/after 1st birthday
3 doses of ¤Hepatitis B
2 doses of #Varicella on/after 1st birthday (if the child has NOT had chickenpox)
1 dose of Meningococcal

Eighth Grade - Twelfth Grade
3 doses of ^DTP, DTaP, DT, Td, Tdap with one on/after 4th birthday, one dose of Tdap is required within the last 10 years.  Td is acceptable in lieu of Tdap if a contraindication to pertussis exists.
4 doses of ^?Polio? with one on/after 4th birthday OR 3 doses if one dose is on/after 4th birthday
2 doses of Measles, 1 dose Mumps and 1 dose Rubella on/after the 1st birthday
3 doses of ¤Hepatitis B
1 dose of #Varicella on/after 1st birthday (if the child has NOT had chickenpox)

This chart summarizes the vaccine requirements in Title 25 Health Services, 97.61-97.72 of the Texas Administrative Code. This chart is not intended as a substitute for consulting the Texas Administrative code, which has other provisions and details.

All vaccine doses administered less than or equal to four days before the minimum interval of age shall be counted as valid.

* Other schedules may apply
^ Doses of DTaP/Polio administered month of or prior to 4th birthday are acceptable for students in 6th ? 12th grade (those enrolled in school prior to 8/1/04)
? Does not need a dose of Polio after the 4th birthday IF 4 doses of clearly documented combination IPV and OPV were given before 4 years of age.
¤2 doses of adult formulation Hepatitis B administered to a child 11-15 years old is acceptable if manufacturer and mL are clearly documented.
# Two doses of Varicella are required if child is > 13 years old when 1st dose is given.
? Polio not required for students 18 years or older

DSHS/Region 7, revised 3/18/2009