5/2023
WISD 2023-2024 Texas Minimum State Vaccine Requirements for Students
A
student
shall
show
acceptable
evidence
of
vaccination
prior
to
entry,
attendance,
or
transfer
to
a
child-care
facility
or
public
or
private
elementary
or
secondary
school
in
Texas.
Vaccine Required
(Attention to notes and
footnotes)
Minimum Number of Doses Required by Grade Level
See Notes Section for Specifics → → → →
*** NOTES ***
Each vaccine has specific date/spacing requirements.
These are outlined below:
PPCD, ECAP,
Community
Speech & PK
KG – 6th 7th 8th – 12th
Diphtheria/Tetanus/Pertussis
(DTaP/DTP/DT/Td/Tdap)
1
4 doses
5 doses or
4 doses*
3 doses
1 Tdap/Td
booster
within the
last 5 years
3 doses
1 Tdap/Td
booster within the
last 10 years
For K – 6
th
grade: 5 doses of diphtheria-tetanus-pertussis vaccine; one dose must
have been received on or after the 4
th
birthday. However, 4 doses meet the
requirement if the 4th dose was received on or after the 4th birthday. For students
aged 7 years and older, 3 doses meet the requirement if one dose was received on
or after the 4th birthday.
For 7th grade: 1 dose of Tdap is required if at least 5 years have passed since the
last dose of tetanus containing vaccine.
For 8th-12th grade: 1 dose of Tdap is required when 10 years have passed since
the last dose of tetanus containing vaccine. Td is acceptable in place of Tdap if a
medical contraindication to pertussis exists.
Polio
1
3 doses
4 doses or
3 doses*
4 doses or
3 doses*
4 doses or
3 doses*
For K – 12
th
grade: 4 doses of polio; one dose must be received on or after the
4th birthday. However, 3 doses meet the requirement if the 3rd dose was
received on or after the 4th birthday.
Measles, Mumps, and Rubella
1,2
(MMR)
1 dose 2 doses 2 doses 2 doses
For K – 12
th
grade: 2 doses are required, with the 1
st
dose received on or after the
1
st
birthday. Students vaccinated prior to 2009 with 2 doses of measles and one
dose of rubella and mumps satisfy this requirement.
Hepatitis B
2
3 doses 3 doses 3 doses 3 doses
For students aged 11-15 years, 2 doses meet the requirement if adult hepatitis B
vaccine (Recombivax) was received. Dosage and type of vaccine must be clearly
documented. (Two 10mcg/1.0 ml of Recombivax) If Recombivax was not the
vaccine received, a 3-dose series is required.
Varicella
1,2,3
1 dose
2 doses
2 doses
2 doses
The first dose of varicella must be received on or after the first birthday.
For K – 12
th
grade: two doses are required.
Meningococcal
1
x x 1 dose 1 dose
For 7
th
– 12
th
grade, 1 dose of quadrivalent meningococcal conjugate vaccine is
required on or after the student’s 11
th
birthday. Note: If a student received
vaccine at 10 years of age, this will satisfy the requirement.
Hepatitis A
1,2
2 doses 2 doses 2 doses
2 doses
The
first dose of Hepatitis A vaccine must be received on or after the first birthday.
Haemophilus influenza type b
(Hib)
1
1 dose
See Notes
x x x
Complete series of Hib vaccine, OR one dose of any Hib vaccine given on or after 15
months of age. A Hib primary series and booster is two doses and a booster dose
on or after 12 months of age. If the 1
st
dose was received @ 12-14 months of age,
then only one additional dose is required.
Pneumococcal conjugate
Vaccination
(PCV)
1
1 dose
See Notes
x x x
A complete series of PCV (three doses + a booster >12 months) or
Children 24 months through 59 months meet the requirement if they have at least
three doses with one dose on or after 12 months of age, or two doses with both
doses on or after 12 months of age, or one dose on or after 24 months of age.
Otherwise, one additional dose is required.
1
Receipt of the dose up to (and including) 4 days before the birthday will satisfy the school entry immunization requirement.
2
Serologic confirmation of immunity to measles, mumps, rubella, hepatitis B, Hepatitis A, or varicella or serologic evidence of infection in acceptable in place of vaccine.
3 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 student) had varicella disease (chickenpox)
on or about (date) and does not need varicella vaccine.” This written statement will be acceptable in place of any and all varicella vaccine doses required.
(continued)
5/2023
WISD 2023-2024 Texas Minimum State Vaccine Requirements for Students
A
student
shall
show
acceptable
evidence
of
vaccination
prior
to
entry,
attendance,
or
transfer
to
a
child-care
facility
or
public
or
private
elementary
or
secondary
school
in
Texas.
Exemptions
Texas law allows (a) physicians to write medical exemption statements which clearly state a medical reason exist that the person cannot receive specific vaccines and, (b)
parents/guardians to choose an exemption from immunization requirements for reasons of conscience, including a religious belief. The law does not allow
parents/guardians to elect an
exemption simply because of inconvenience (for example, a record is lost or incomplete and it is too much trouble to go to a physician or clinic to correct
the problem). Schools should
maintain an up-to-date list of students with exemptions, so they may be excluded in times of emergency or epidemic declared by the commissioner of
public health.
For children claiming medical exemptions, a written statement by a physician, licensed in the US, must be submitted to the school. Unless it is written in the statement that a “lifelong
condition” exists, the exemption statement is valid for only one year from the date signed by the physician.
Instructions for requesting the official exemption affidavit that must be signed by parents/guardians choosing the exemption for Reasons of Conscience, including a religious belief, can
be found at www.dshs.texas.gov/Immunize/school/exemptions.aspx
The original exemption affidavit must be completed and submitted to the school. This affidavit will be valid for a period
of two (2) years.
Provisional Enrollment
All immunizations must be completed by the first date of attendance. The law requires that students be fully vaccinated against the specified diseases. A student may be enrolled
provisionally if the student has an immunization record that indicates the student has received at least one dose of each specified age – appropriate vaccine required by this rule.
Student must not be overdue for the next dose in a series to be considered provisional. To
remain enrolled, the student must complete the required subsequent doses in each vaccine
series on schedule and as rapidly as is medically feasible and provide acceptable evidence of
vaccination to the school.
A campus nurse or school administrator shall review the immunization status of a provisionally enrolled student every 30 days to ensure continued
compliance in completing the
required doses of vaccination. If, at the end of the 30-day period, a student has not received a subsequent dose of vaccine, the student is not in
compliance and the school shall exclude
the student from school attendance until the required dose is administered.
Additional guidelines for provisional enrollment of students transferring from one Texas public or private school to another, students who are dependents of active duty military,
students in foster care, and students who are homeless ca be found in the TAC, Title 25 Health Services, Sections 97.66 and 97.69.
Documentation
Since many types of personal immunization records are in use, any document will be acceptable provided a physician or public health personnel has validated it. Validation includes a
signature, initials, or stamp. An immunization record generated from an electronic health record must include clinic contact information and the providers signature/stamp, along with the
vaccine name and vaccination date (month, day, and year). An official record generated from a health authority is acceptable. An official record received from school officials, including a
record from another state is acceptable.
Additional information can be found at the Texas Department of State Health Services’ website: www.dshs.texas.gov/immunize/school
T
exas Department of State Health Services * Immunizations * MC-1946 * P.O. Box 149347 * Austin, Texas 78714 – 9347 * (800) 252-9152
