Updated: March 3, 2014
Missouri Department of Health and Senior Services
PO Box 570
Jefferson City, MO 65102-0570
Phone: (573) 751-6124
Fax: (573) 526-0238
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)||Day Care, Head Start, K-12||Day Care, Head Start- 3-4 months: 1 doses. 5-6 months: 2 doses. 7-15 months: 3 doses. 16 months to K: 4 doses.
K-12: 4 doses. Last dose on or after the fourth birthday and the last dose of pediatric pertussis before the seventh birthday. Maximum needed: six doses.
Tdap, which contains pertussis vaccine, is required for students enrolled in the eighth, ninth and tenth grade who have completed the recommended childhood DTaP/DTP vaccination series and have not received a Td booster dose within the past two years. If a student received a Tdap booster the student is up-to-date. Tdap is currently licensed for one dose only; an additional dose is not needed. For 11-12 grades, a Tdap or Td booster is required 10 years after the last dose of DTaP, DTP or DT. In the event of a pertussis outbreak situation, Tdap may be given at intervals less than 10 years.
|Hepatitis A||None/No Requirements||None/No Requirements|
|Hepatitis B||Day Care, Head Start, K-12||Day Care, Head Start, K-12- 0-2 months: 1 dose. 3-4 months: 1-2 doses. 5-15 months: 2 or 3 doses. 16 months to Kindergarten: 3 doses. K-5 and 7-10: 3 doses|
|Hib||Day Care, Head Start||
If 1st dose given at 7-11 months - 3 doses (4 weeks between dose 1 and dose 2 with a booster dose at 12-15 months)
If 1st dose given at 12-23 months - 2 doses (8 weeks between dose 1 and dose 2)
If 1st dose given at 24-59 months - 1 dose
|Measles, Mumps, Rubella (MMR)||Day Care, Head Start, K-12||Day Care, Head Start, K-12- 16 months to K: 1 dose. K-12: 2 doses
K-12 - 2nd dose measles is required prior to entry
|Meningococcal||None/No Requirements||None/No Requirements|
|Pneumococcal||Day Care, Head Start
The number of doses a child needs to complete the series depends on the age the child begins the series.
4 doses with dose 4 on or after 12 months of age; or 3 doses with 1 dose on or after 12 months of age; or 2 doses with both doses on or after 12 months of age; or 1 dose on or after 24 months of age; or if the current age is 5 years or older, no new or additional doses are required
|Polio||Day Care, Head Start, K-12||Day Care, Head Start- 3-4 months: 1 dose due. 5-15 months: 2 doses due. 16 months to K: 3 doses due. 4 doses are required if a combination of IPV and OPV are used.
K-12- 3 doses; K-6: last dose after 4th birthday. 4 doses are required if a combination of IPV and OPV are used.
Day Care, Head Start, K-7
Day Care - Head Start - 19 months and older: 1 dose.
K-4th grade - 2 doses.
5th-9th grade - 1 dose.
As satisfactory evidence of disease, an MD or DO may sign and place on file with the school a written statement documenting the month and year of previous varicella (chickenpox) disease.