Updated: January 30, 2014
Massachusetts Department of Public Health
250 Washington St.
Phone: (617) 624-6000
Fax: (617) 624-6001
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.
|Diphtheria, Tetanus, Pertussis (DTaP), Tdap, Td, DTP, DT||Day Care, Head Start, K-12, College/University||
Day Care, Head Start: 4 doses required for child care attendance and preschool entry;
K-12: 5 doses of DTaP/DTP required for school entry unless the 4th dose is given > the 4th birthday. DT is only acceptable with a letter stating a medical contraindication to DTaP/DTP.
7th grade, College: One dose of Tdap is required for all students entering grade 7-9, full-time college freshmen -juniors and all health science students. If it has been <5 years since the la st dose of DTaP/DTP/DT/Td, Tdap is not required but is recommended regardless of the interval since the last tetanus-containing vaccine.
|Hepatitis A||None/No Requirements||None/No Requirements|
|Hepatitis B||Day Care, Head Start, K-12, College/University||Day Care, Head Start, K-10: 3 doses required
College/University - 3 doses required for all full and part-time health science majors and all full-time freshmen and sophmores.
|Hib||Day Care, Head Start||Day Care, Head Start- 1 to 4 doses. Required for child care attendance and preschool entry. The number of doses is determined by vaccine product and age the series begins.|
|Measles, Mumps, Rubella (MMR)||Day Care, Head Start, K-12, College/University||
Day Care, Head Start: 1 dose of MMR is required for child care attendance and preschool entry;
K-12:2 doses are required for kindergarten-grade 2, grade 7-9.
2 doses for college freshmen-juniors and all health science students. Laboratory proof of immunity is acceptable. For college students, except health science students, birth before 1957 in the U.S. is also acceptable.
|Meningococcal||9th grade, College||
1 dose MCV4, or a dose of MPSV4 in the last 5 years, is required for:
1) newly enrolled full-time students attending a secondary school with grades 9-12 (in ungraded classrooms, those with students > 13 years) who will live in a dormitory or comparable congregate livi ng arrangement approved by the secondary school; and
2) newly enrolled full-time undergraduate and graduate students in a degree program at a postsecondary institution (e.g., colle ge) who will live in a dormitory or comparable congregate living arrangement approved by the institution. Students may decline the vaccine after they have read and signed the MDPH Meningococcal Information and Waiver Form provided by their institution. These requirements apply to newly- enrolled full-time residential students, regardless of grade and year of study.
|Pneumococcal||None/No Requirements||None/No Requirements|
|Polio||Day Care, Head Start, K-12||Day Care, Head Start- At least 3 doses needed, 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)
K-12- 4 doses required unless 3rd dose given after 4th birthday, then only 3 doses needed; 4 doses required if IPV/OPV sequential schedule given
|Varicella||Day Care, Head Start, K-12, Second Grade, College||
1 dose required for child care attendance and preschool entry;
2 doses required for kindergarten-grade 2, grade 7-9, and college freshmen-juniors and all health science students, unless they have a reliable history of chickenpox.
A reliable history includes a diagnosis of chickenpox, or interpretation of parent/guardian description of chickenpox, by a physician, nurse practitioner, physician assistant or designee; or 2) laboratory proof of immunity. Birth before 1980 in U.S. is acceptable for college students, except health science students.