Updated: June 12, 2014
Texas Department of Health - Immunization Division
1100 West 49th Street
Phone: (512) 458-7284
Fax: (512) 458-7288
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.
|DTP, DTaP, Tdap||Day Care, Head Start, K-12, College/University||Day Care, Head Start- 4 doses required by 19 months of age, 1 dose required on or after 4th birthday. Pertussis not required for children 5 years of age and older.
K — For K - 6 th 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 7 th grade: 1 dose of Tdap is required if at least 5 years have passed since the last dose of tetanus-containing vaccine. For 8 th - 12 th grade: 1 dose of Tdap is required when 10 years have passed since the last dose of tetanus-containing va ccine. Td is acceptable in place of Tdap if a medical contraindication to pertussis exists
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||K-12- 3 doses required by 43 months of age, with first dose given before the first birthday.|
|Hib||Day Care, Head Start||Day Care, Head Start - 3 doses-age appropriate, 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 months of age is in compliance with these specified vaccine requirements.|
|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||PCV7 is required for all children attending child-care facilities aged 2 months through 59 months of age.
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.
|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.|