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School Immunization Information

Major revisions for the upcoming school year:

  • Second dose of varicella be given prior to kindergarten entry.
  • Second dose of Mumps is required prior to kindergarten entry.
  • Four Polio and four DTAP required (with one after the fourth birthday) for all new enrollees.

The chart below details the minimum requirements for all immunizations:

For further information please refer to your physician.
You may also call the Division of Immunization at 1-800-568-1929 ( in state only) or 804-864-8055.

Immunizations required for Vaccines March, 2010

Antigens Kindergarten Minimum Required Notes Sixth Required Minimum Required Notes
Diphtheria, Tetanus & Pertussis vaccines (Dtap or Tdap)* 4 doses of Dtap - one on or after the 4th birthday typically 5 are given by entry into kindergarten One booster dose of Tdap (a different vaccine than DTaP) if a tetanus-containing vaccine (typically Td) has been given in the last 5 years, the requirement is met
Hepatitis B vaccine 3 doses Same as for Kindergarten If a child is 11-15 years of age at the time of vaccination, only 2 doses are needed if the adult dose of Recombivax HB is used
Human Papilloma Virus (HPV) vaccine not applicable 3 doses for female students UNIQUE in that no documentation of vaccination or exemption is required
Measles, Mumps & Rubella vaccines 2 doses of Measles and Mumps; 1 dose of rubella not usually a problem for children born in the US as 2 doses of MMR are typically given; foreign-born children may have received single antigen vaccines Same as for Kindergarten Same as for Kindergarten
Polio Vaccine** 4 doses - one on or after the 4th birthday Same as for Kindergarten Same as for Kindergarten
Varicella (chickenpox) Vaccine 2 doses 1 dose required for those born on/after 1/1/97

Immunization is by far the best way to prevent pertussis (whooping cough):

  • In the United States, the recommended pertussis vaccine for children is called DTaP. For maximum protection against pertussis, children need 5 DTaP shots.
  • The Centers for Disease Control and prevention (CDC) recommends that the first three shots are given at 2, 4, and 6 months of age. The fourth shot is given between 15 and 18 months. A fifth shot is given when a child enters school, at 4 to 6 years of age.

Polio has not been reported in the United States for many years, primarily due to routine vaccination that began in the 1950s. Unfortunately, polio has not been fully eliminated throughout the world, and the CDC still recommends that all US children receive a full schedule of IPV (inactivated poliovirus vaccine)

The CDC recommends that children receive 4 doses of IPV at the following ages

  • A dose at 2 months
  • A dose at 4 months
  • A dose at 6-18 months
  • A booster dose at 4-6 years

Infection caused by hepatitis A virus is the most commonly reported vaccine-preventable hepatitis infection in the United States. Infection caused by hepatitis A virus is usually mild but, when it is severe, it can cause children to miss many days of school. Approximately 1 in 5 infected children under the age of 5 years of age are hospitalized.

You may not be able to tell if your child or a playmate has hepatitis A. Children who get hepatitis A may have fever, jaundice (Yellowing of the skin and eyes), tiredness, and loss of appetite. Others may not have any signs or symptoms but can still spread the disease.

Hepatitis A virus is spread through contact with stool, person to person contact, or by eating or drinking contaminated foods or liquids. Because young children are often not careful with personal hygiene, hepatitis A can spread easily, putting children in school and play settings at risk. For children, the first dose of vaccine should be given at 12 to 23 months of age. Children who are not vaccinated by 2 years of age can be vaccinated at later visits.. Two doses of the vaccine are needed for lasting protection. These doses should be given at least six months apart. Hepatitis A vaccine can be given at the same time as other vaccines.