2024 - 2025 Texas Minimum State Vaccine Requirements for Childcare and Pre-k Facilities
This chart summarizes the vaccine requirements incorporated in the Texas Administrative Code (TAC), Title 25 Health Services, §§97.61-97.72. This chart is
not intended as a substitute for consulting the TAC, which has other provisions and details. The Department of State Health Services (DSHS) is granted
authority to set immunization requirements for childcare facilities by the Human Resources Code, Chapter 42.
A child shall show acceptable evidence of vaccination prior to entry, attendance, or transfer to a childcare facility in Texas.
Age at which
child must have
vaccines to be in
compliance:
Minimum Number of Doses Required of Each Vaccine
Diphtheria
/ Tetanus /
Pertussis (DTaP)
Polio Hepatitis B
(HepB)
1
Haemophilus
influenzae type
b (Hib)
2
Pneumococcal
conjugate
vaccine (PCV)
3
Measles, Mumps
and Rubella
(MMR)
1, 4
Varicella
1, 4, 5
Hepatitis A
(HepA)
1, 4
Zero through
two months
By three months One dose One dose One dose One dose One dose
By five months Two doses Two doses Two doses Two doses Two doses
By seven months Three doses Two doses Two doses Two doses Three doses
By 16 months Three doses Two doses Two doses Three doses Four doses One dose One dose
By 19 months Four doses Three doses Three doses Three doses Four doses One dose One dose
By 25 months Four doses Three doses Three doses Three doses Four doses One dose One dose One dose
By 43 months Four doses Three doses Three doses Three doses Four doses One dose One dose Two doses
1
Serologic evidence of infection or serologic confirmation of immunity to measles, mumps, rubella, hepatitis B, hepatitis A, or varicella is acceptable in place of vaccine.
2
A complete Hib series is two doses plus a booster dose on or ater 12 months of age (three doses total). If a child receives the first dose of Hib vaccine
at 12 - 14 months of age, only one additional dose is required (two doses total). Any child who has received a single dose of Hib vaccine on or ater 15 - 59
months of age is in compliance with these specified vaccine requirements. Children 60 months of age and older are not required to receive Hib vaccine.
3
If the PCV series is started when a child is seven months of age or older or the child is delinquent in the series, then all four doses may not be required.
Please reference the information below to assist with compliance:
• For children seven through 11 months of age, two doses are required.
• For children 12 - 23 months of age: if three doses have been received prior to 12 months of age, then an additional dose is required (total of four doses)
on or ater 12 months of age. If one or two doses were received prior to 12 months of age, then a total of three doses are required with at least one
dose on or ater 12 months of age. If zero doses have been received, then two doses are required with both doses on or ater 12 months of age.
• Children 24 months through 59 months meet the requirement if they have at least three doses with one dose on or ater 12 months of age, or two
doses with both doses on or ater 12 months of age, or one dose on or ater 24 months of age. Otherwise, an additional dose is required. Children 60
months of age and older are not required to receive PCV vaccine.
4
For MMR, Varicella, and Hepatitis A vaccines, the first dose must be given on or ater the first birthday. Vaccine doses administered within four days before
the first birthday will satisfy this requirement.
5
Previous illness may be documented with a written statement from a physician, school nurse, or the child’s parent or guardian containing wording such
as: “This is to verify that (name of child) had varicella disease (chickenpox) on or about (date) and does not need varicella vaccine.” The written statement
will be acceptable in place of any, and all varicella vaccine doses required.