1 July 2024
IMMUNIZATION REQUIREMENTS
LICENSED CHILD CARE CENTER
Applicants enrolled or attempting to enroll shall have received the following vaccines in accordance
with the doses and age requirements listed below. If, at any time, the age of the child is between the
listed ages, the child must have received the number of doses in the “Total Doses Required” column.
Age Vaccine Total Doses Required
Less than 4
months of
age
This is not a recommended administration schedule, but contains the minimum
requirements for participation in licensed child care.
Routine vaccination begins at 2 months of age.
4 months
through 5
months of
age
Diphtheria/
Tetanus/
Pertussis
1 dose
Polio
1
1 dose
haemophilus
influenzae type B
1 dose
Pneumococcal
1 dose
6 months
through 11
months of
age
Diphtheria/
Tetanus/
Pertussis
2 doses
Polio
1
2 doses
haemophilus
influenzae type B
2 doses
Pneumococcal
2 doses
12 months
through 18
months of
age
Diphtheria/
Tetanus/
Pertussis
3 doses
Polio
1
2 doses
haemophilus
influenzae type B
2 doses; or
1 dose received at 15 months of age or older.
Pneumococcal
3 doses; or
2 doses
if both doses were received at 12 months of age or older.
2 July 2024
Age Vaccine Total Doses Required
19 months
through 23
months of
age
Diphtheria/
Tetanus/
Pertussis
4 doses
Polio
1
3 doses
haemophilus
influenzae type B
3 doses
if a dose was received on or after 12 months of age; or
2 doses if the first dose was received on or after 12 months of
age; or
1 dose if the dose was received at 15 months of age or older.
Pneumococcal
4 doses if a dose was received on or after 12 months of age; or
3 doses if 1 or more doses were received on or after 12 months of
age; or
2 doses if both doses were received at 12 months of age or older.
Measles/Rubella
1 dose; or the applicant demonstrates a positive antibody test for
measles and rubella from a U.S. laboratory.
Varicella
1 dose; or the applicant has a reliable history of natural disease.
24 months
of age and
older
Diphtheria/
Tetanus/
Pertussis
4 doses
Polio
1
3 doses
haemophilus
influenzae type B
3 doses if a dose was received on or after 12 months of age; or
2 doses if the first dose was received on or after 12 months of
age; or
1 dose if the dose was received at 15 months of age or older.
Hib vaccine is not required for persons 60 months of age or
older.
Pneumococcal
4 doses if a dose was received on or after 12 months of age; or
3 doses if 1 or more doses were received on or after 12 months of
age; or
2 doses if the first dose was received on or after 12 months of
age; or
1 dose if the dose was received on or after 24 months of age.
Pneumococcal vaccine is not required for persons 60 months
of age or older.
Measles/Rubella
1 dose; or the applicant demonstrates a positive antibody test for
measles and rubella from a U.S. laboratory.
Varicella 1 dose; or the applicant has a reliable history of natural disease.
1
Doses of oral polio vaccine (OPV) administered on or after April 1, 2016, are not valid doses and do
not count toward the polio vaccine requirement.
July 2024
IMMUNIZATION REQUIREMENTS
ELEMENTARY OR SECONDARY SCHOOL (K-12
th
GRADE)
Applicants enrolled or attempting to enroll shall have received the following vaccines in accordance
with the doses and age requirements listed below.
Age Vaccine Total Doses Required
4 years of
age and
older
Diphtheria/
Tetanus/
Pertussis
2
5 doses with at least 1 dose received on or after 4 years of age; or
4 doses if the fourth dose was received on or after 4 years of age; and
1 dose of tetanus/diphtheria/acellular pertussis-containing vaccine
(Tdap) received on or after 10 years of age for applicants in grades 7
and above, regardless of the interval since the last tetanus/diphtheria-
containing vaccine.
Polio
1
4 doses with at least 1 dose received on or after 4 years of age; or
3 doses if the third dose was received on or after 4 years of age.
Measles/Rubella
2 doses; or the applicant demonstrates a positive antibody test for
measles and rubella from a U.S. laboratory.
Hepatitis B
3 doses
Varicella
2 doses; or the applicant has a reliable history of natural disease.
Meningococcal
(A, C, W, Y)
1 dose received on or after 10 years of age for applicants in grades 7
through 11; and
2 doses with 1 dose received on or after 16 years of age for
applicants in grade 12; or
1 dose for applicants in grade 12 if the dose was received on or after
16 years of age.
1
Doses of oral polio vaccine (OPV) administered on or after April 1, 2016, are not valid doses and
do not count toward the polio vaccine requirement.
2
Applicants 7 through 18 years of age who received the first dose of diphtheria/tetanus/pertussis-
containing vaccine at 12 months of age or older should receive a total of 3 doses, with one dose
received on or after 4 years of age.
