Updated: Julio 16, 2009

Contact Information

Texas Department of Health - Immunization Division
1100 West 49th Street
Austin, 78756
Phone: (512) 458-7284
Fax: (512) 458-7288

Vaccine Requirements for the State of Texas

Vaccine requirements may be relaxed or eliminated in some regions and/or states due to shortages in the manufacture of some vaccines. Please contact your healthcare provider, or your local public health department for more information.

Vaccine Age/Grade Comments
Ántrax Day Care, Head Start, K-12, College/University Day Care, Head Start- 4 doses required by 18 months of age, 1 dose required on or after 4th birthday. Pertussis not required for children 5 years of age and older.

K — Five doses of a diphtheria-tetanus-pertussis containing vaccine, one of which must have been received on or after the 4th birthday; however, 4 doses meet the requirement if the 4th dose was given on or after the 4th birthday.

7th to 12th — Three doses, including one dose on or after the 4th birthday. Students will be required to have a booster dose of Tdap only if it has been five years since their last dose of tetanus-containing vaccine. Td is acceptable in lieu of Tdap if a contraindication to pertussis exists. For grades 8th to 12th, students will be required to have a booster dose of Tdap if it has been ten years since their previous dose of tetanus-containing vaccine.

College, University- Health Students- Td if born on or after 1/1/57

Hepatitis A Kindergarten Two doses with the 1st dose received on or after the 1st birthday. Serologic confirmation of immunity or serologic evidence of infection is acceptable in lieu of vaccine.
Hepatitis B K-12, College/University K-12- 3 doses required for children born on or after 9/2/92

College, University- Veterinary medicine students

Hib Day Care, Head Start Day Care, Head Start - 3 doses-age appropriate, (means that the number of doses of a vaccine a child should have received is dependent upon the child’s age, and this defined by CDC at or 1 dose on or after 15 months unless a primary series and booster have been completed by 12 months.
Measles, Mumps, Rubella (MMR) Day Care, Head Start, K-12, College/University Day Care, Head Start, K-12- 1 dose after 1st birthday

College, University- MMR, 2nd dose of measles are required; Measles, mumps and 2nd dose of measles if born on or after 1/1/57, rubella required for all ages

K-12- 2nd dose measles is required by age 12 years and 1 month

Meningococcal Seventh Grade One dose required for school entry.
Pneumococcal Day Care, Head Start, Pre-K Effective September 1, 2005, PCV7 is required for all children attending child-care facilities aged 2 months through 59 months of age.  For information on the required doses according to age click here.

Children in certain high-risk groups aged two years and older are also required to have pneumococcal polysaccharide vaccine (PPV23).

Polio Day Care, Head Start, K-12 Day Care, Head Start- Age appropriate up to 3 doses, with 1 dose after 4 years of age

K-12- 3 doses, one dose on or after 4th birthday (phrase omitted)

Varicella Day Care, K-12 K-12 - 2 doses are required.