- DTaP: Diphtheria, tetanus, and acellular pertussis (whooping cough); record may show DT or DTP
- Polio: IPV – inactivated polio vaccine; OPV – oral polio vaccine
- HepB: Hepatitis B vaccine
- Hib: Haemophilus influenzae type b vaccine
- PCV: Pneumococcal conjugate vaccine
- MMR: Measles, mumps, and rubella vaccines combined
- Varicella: Chickenpox vaccine. May be written VAR on record
- HepA: Hepatitis A vaccine
State Law and MISD policy require medically validated up-to-date records of immunizations to be on file for all students. Immunization records must be as complete as medically feasible. To claim exclusions for medical reasons or reasons of conscience, including a religious belief, please contact the school nurse or you may visit Texas DSHS to print exemption forms.
For K — 6th grade: 5 doses of diphtheria-tetanus-pertussis vaccine; 1 dose must have been received on or after the 4th 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 1 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
For K — 12th grade: 4 doses of polio; 1 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.
MMR: 2 doses
For K — 12 grade: 2 doses are required, with the 1st dose received on or after the 1st birthday. Students vaccinated prior to 2009 with 2 doses of measles and one dose each of rubella and mumps satisfy this requirement.
Hepatitis B: 3 doses
For students aged 11 — 15 years, 2 doses meet the requirement if adult hepatitis B vaccine (Recombivax®) was received. Dosage (10 mcg / 1.0 mL) and type of vaccine (Recombivax®) must be clearly documented. If Recombivax® was not the vaccine received, a 3-dose series is required.
Varicella: 2 doses
The 1st dose of varicella must be received on or after the 1st birthday.
For 7th — 12th grade, 1 dose of quadrivalent meningococcal conjugate vaccine is required on or after the student’s 11th birthday.
Note: If a student received the vaccine at 10 years of age, this will satisfy the requirement.
Hepatitis A: 2 doses
The 1st dose of hepatitis A must be received on or after the 1st birthday.
Hib: A complete Hib series is two doses plus a booster dose on or after 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 after 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.
PCV: 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 after 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 after 12 months of age. If zero doses have been received, then two doses are required with both doses on or after 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 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. Children 60 months of age and older are not required to receive PCV vaccine.
*For MMR, Varicella, and Hepatitis A vaccines, the first dose must be given on or after the first birthday. Vaccine doses administered within 4 days before the first birthday will satisfy the requirement.
For more information and information regarding exemptions/provisional enrollment please visit these links from the Texas Department of State Health Services:
The law allows (a) physician to write a statement stating that the vaccine(s) required would be medically harmful or injurious to the health and well-being of the child, and (b) parents/guardians to choose an exemption from immunization requirements for reasons of conscience, including religious belief. The law does not allow parents/guardians to elect an exemption simply because of inconvenience (a record is lost or incomplete and it is too much
trouble to go to a physician or clinic to correct the problem).
For children needing medical exemptions, a written statement (or medical immunization exemption form obtained from the school nurse) should be completed by the child’s physician and submitted to the school. This exemption must be renewed yearly at the beginning of each new school year unless the physician documents the exemption is due to a lifelong condition.
Instructions for the affidavit to be signed by parents/guardians choosing the exemption for
reasons of conscience, including a religious belief can be found at www.ImmunizeTexas.com or http://www.dshs.state.tx.us/immunize/school/school_exclusion.shtm.
Students with exemptions can be excluded from attending school if an outbreak occurs.
All immunizations should 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. 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 school 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.
Since many types of personal immunization records are in use, any documentation will be acceptable provided a physician or public health personnel have validated it. The month, day and year that the vaccination was received must be recorded on all school immunization recreated or updated after September 1, 1991.