FFAB-E - HEALTH REQUIREMENTS AND SERVICES: IMMUNIZATIONS

This chart summarizes the vaccine requirements incorporated in Title 25, Health Services, Section 97.61-97.77 of the Texas Administrative Code as of April 1999.

Minimum State Vaccine Requirements for Texas Children

AGE(a)

VACCINE REQUIREMENT

Younger than 2 months

No vaccines required

2 months through 3 months

One dose polio vaccine

One dose DTP/DTaP vaccine

One dose Hib vaccine

4 months through 5 months

Two doses polio vaccine

Two doses DTP/DTaP vaccine

Two doses Hib vaccine

6 months through 11 months

Two doses polio vaccine

Two doses Hib vaccine

Three doses DTP/DTaP vaccine

12 months through 14 months

One dose MMR vaccine received on or after first birthday(b)

Two doses Hib vaccine

Three doses polio vaccine

Three doses DTP/DTaP vaccine

(Effective 8/1/00) One dose of varicella vaccine received on or after first birthday(c)

15 months through 4 years

One dose MMR vaccine received on or after first birthday(b)

FFAB-E - 1 of 4

AGE(a)

VACCINE REQUIREMENT

Effective 8/1/00-32 border counties:(d) 2 years-one dose hepatitis A vaccine; 3 through 4 years-two doses hepatitis A vaccine.

One dose Hib vaccine on or after 15 months of age, unless a primary series and booster have been completed

Three doses polio vaccine

Four doses DTP/DTaP (fourth dose not required until 18 months)

(Effective 8/1/00) One dose of varicella vaccine received on or after first birthday(c)

5 years through 6 years

Three doses polio vaccine including one received on or after the fourth birthday

Proof of pertussis vaccination not required for children 5 years of age and older.

Four doses DTP/DTaP vaccine including one received on or after the fourth birthday (see note at left)

One dose MMR vaccine received on or after the first birthday and one additional dose of measles vaccine (this dose may be received as part of a second MMR)

Three doses hepatitis B vaccine

(Children living in 32 border counties(d)) Two doses hepatitis A vaccine

(Effective 8/1/00) Children born on or after September 2, 1994, must have one dose of varicella vaccine received on or after first birthday(c)

7 years through 11 years

Three doses polio vaccine including one received on or after fourth birthday

Polio vaccine not required for students 18 years of age and older.

Three doses DTP/DTaP/Td vaccine including one received on or after fourth birthday and one dose within the last ten years

One dose MMR vaccine received on or after first birthday.(b) Children born on or after September 2, 1991, must have two doses of measles vaccine (this dose may be received as part of a second MMR)

FFAB-E - 2 of 4

AGE(a)

VACCINE REQUIREMENT

Children born on or after September 2, 1992, must have three doses hepatitis B vaccine

(Children living in 32 border counties(d)) Children born on or after September 2, 1992, must have two doses hepatitis A vaccine

12 years and older

Children born between September 1, 1978, and September 1, 1991 (inclusive), must show proof of two doses of measles vaccine within 30 days after their twelfth birthday (this dose may be received as part of a second MMR)

(Effective 8/1/00) Children born between September 2, 1988, and September 1, 1992 (inclusive), must show proof of three doses of hepatitis B vaccine within 30 days after their twelfth birthday

The following vaccines are required in addition to those required at age 7.

(Effective 8/1/00) Children born between September 2, 1988, and September 1, 1994 (inclusive), must have one dose of varicella vaccine received on or after first birthday(c) within 30 days after their twelfth birthday. If first dose is received after age 13, two doses are required.

ADDITIONAL INFORMATION

  1. A child/student must meet all the immunization requirements shown for an age group upon first entering the age group.
  2. MMR (or one dose of each of its components) must have been received on or after the first birthday if the vaccine was administered on or after September 1, 1990. Measles vaccine received prior to September 1, 1990, may have been administered in the calendar month of the first birthday.
  3. Serologic proof of immunity or documentation of previous illness may substitute for vaccination. Previous illness may be documented by a written statement from a physician, school nurse, or the child's/student'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."

FFAB-E - 3 of 4

  1. Counties affected by the hepatitis A requirement are: Brewster, Brooks, Cameron, Crockett, Culberson, Dimmitt, Duval, Edwards, El Paso, Frio, Hidalgo, Hudspeth, Jeff Davis, Jim Hogg, Kenedy, Kinney, La Salle, Maverick, McMullen, Pecos, Presidio, Real, Reeves, Starr, Sutton, Terrell, Uvalde, Val Verde, Webb, Willacy, Zapata, and Zavala.

PROVISIONAL ENROLLMENT

All immunizations should be completed by the first day of attendance. However, if this is not possible and if permitted by local school district policy, a child/student may be provisionally enrolled and allowed to attend a child-care facility or school, provided at least one immunization in each series has been received. The remaining required immunizations must be completed as soon as medically possible in order for the child/student to remain in attendance.

ALTERNATE DOSAGE SCHEDULES

In some circumstances, the United States Food and Drug Administration (FDA) may approve the use of an alternative dosage schedule for an existing vaccine. These alternative regimens may be used to meet the requirements specified in 19 TAC 97.63 (relating to required immunizations) only when alternative regimens are fully documented. Such documentation must include vaccine manufacturer and dosage received for each dose of that vaccine.

DOCUMENTATION

Since many types of personal immunization records are in use, any document will be acceptable, provided it has been validated by a physician or public health personnel. The month, day, and year that the vaccination was received must be recorded on all school immunization records created or updated after September 1, 1991.

SOURCE

The requirements are based on the Recommended Childhood Immunization Schedule-United States, 1999, approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP). Children on an ideal or optimum schedule as recommended will have received 5 doses of DTP/DTaP vaccine, 4 doses of polio vaccine, 3 or more doses of Hib vaccine, 3 doses of hepatitis B vaccine, 2 doses of MMR vaccine, and 1 dose varicella vaccine by the time they enter kindergarten.

Adopted: 5/28/03

Amended:

Reviewed:

FFAB-E - 4 of 4


Search for a Policy
Policy Index Pages A B C D E F G

The URL of this page is: www.tsbvi.edu/policy/ffab-e.htm