Reference Guide (effective date 8/1/09)
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)
HIB and PCV7 not routinely administered to children > 5 years of age.
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.
http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=5&ti=25&pt=1&ch=97&sch=B&rl=Y
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