Tennessee Department Of Health Certificate Of Immunization Page 2

Vaccine Requirements for Attending Child Care Facilities, Pre-Schools and Schools in Tennessee*

Recommended Schedule of Required Doses for Attendance in Child Care / Pre-School / Pre-K and School

For Children Who Started Immunizations Before Age 7 Years**

2

4

6

12-15

16-18

4-6 Yrs.*

Total Doses Required*** For Checking

Required Vaccines with

Months of

Months of

Months of

Month of

Month of

(School

Complete For School Attendance Box on

footnote numbers in [ ]

*These requirements were established in accordance with the current

Age

Age

Age

Age

Age

Entry)

Immunization Certificate

[1] Hib HbOC or

1

2

3

4

Recommended Childhood and Catch-Up Immunization Schedules, United States.

N/A for school (See Footnote [1])

Tennessee requirements for Kindergarten (5 years) include doses indicated for 4-6

[1] Hib PRP-T or

1

2

3

4

N/A for school (See Footnote [1])

years.

[1] Hib PRP-OMP

1

2

3

N/A for school (See Footnote [1])

[2] PCV

1

2

3

4

N/A for school (See Footnote [2])

[3] DTP, DTaP, DT

1

2

3

4

5

**For children starting immunizations at age 7 years or older, refer to the catch up

5 or 4 (See Footnote [3])

[4] Polio

1

2

3

4

schedule available at the Department of Health website or the ACIP catch-up

5, 4 or 3 (See Footnote [4])

schedule for that age available at

[5] Hepatitis B

1

2

3

3 (See Footnote [5])

[6] Hepatitis A

1

2* 7/2011

(See Footnote [6])

[7] MMR

1

2

***Children who are behind schedule may attend while in the process of completing

2 (See Footnote [7])

[8] Varicella

1

2

the requirements with minimum intervals as indicated below.

2 (See Footnote [8])

[9] Tdap

(See Footnote [9])

Minimum Ages For Initial Immunization And Minimum Intervals Between Doses

Minimum Age For

Minimum interval

Minimum interval

Minimum interval from

Minimum interval from

Vaccine

With respect to these intervals, 1 month is a minimum of 4 weeks or 28 days.

First Dose

from dose 1 to 2

from dose 2 to 3

dose 3 to 4

dose 4 to 5

[1] Hib (Primary Series)

HbOC & PRP-T

6 weeks

1 month

1 month

See Footnote [1]

N/A

Do not restart any series, no matter how long since the previous dose. Doses given

PRP-OMP

6 weeks

1 month

See Footnote [1]

N/A

N/A

≤ 4 days before the minimum age or the minimum interval may be counted as

[2] PCV

6 weeks

1 month

1 month

See Footnote [2]

N/A

valid.Two different live vaccines must be given on the same day or spaced at least

[3] DTP/DTaP (DT)

6 weeks

1 month

1 month

6 months

See Footnote [3]

28 days apart.

[4] Polio

6 weeks

1 month

1 month

See Footnote [4]

See Footnote [4]

[5] Hepatitis B

birth

1 month

See Footnote [5]

N/A

N/A

[6] Hepatitis A

12 months

6 months

[7] MMR

12 months

1 month

N/A

N/A

N/A

[8] Varicella

12 months

3 months

N/A

N/A

N/A

[9] Tdap

See Footnote [9]

Footnotes

[1]

The number of doses of Hib depends on age at 1st dose and brand of vaccine given. The last dose in the series necessary to meet requirements, whether 3rd or 4th, should be given at least 2 months after the previous dose and not

before 12 months of age. One dose is sufficient to meet requirements if it is given at age 15 months or later. Hib is required for children younger than 5 years attending child care facilities. Hib is not required for kindergarten or higher

grades and is not indicated for children who have reached the 5th birthday. If given on schedule, PRP-T and HbOC have a 3 dose primary series and a booster after age 12 months. PRP-OMP has a 2-dose primary schedule and a

booster after 12 months. Providers are responsible for verifying that the child meets the appropriate schedule for the brand used.

[2]

The number of doses in the PCV series depends on age at 1st dose. The last dose in the series should be given at least 2 months after the previous dose and not before 12 months of age. One dose of PCV is required for all children

aged 24-59 months in child care with any incomplete schedule.

[3]

The minimum interval between the 4th and 5th doses is 6 months: it may be given as early as 12 months, but typically is given at age 15-18 months. One dose of DTP/DTaP/DT must be on or after the 4th birthday. If the 4th dose was

on or after the 4th birthday, the 5th dose is not needed. The 4th dose should be administered a minimum of 6 months after the 3rd dose. However, the 4th dose does not need to be repeated if administered ≥ 4 months after dose 3.

Total doses of diphtheria and tetanus toxoids should not exceed 6 before the 7th birthday.

[4]

The final dose of the polio vaccine series must be given on or after the 4th birthday and at least 6 months after the previous dose. If 4 doses are administered before the 4 th birthday, a 5th dose should be given at 4-6 years. If the 3rd

dose of an all IPV or all OPV series is given on or after the 4th birthday and at least 6 months after the 2nd dose, a 4th dose is not needed.

[5]

The 3rd dose of Hepatitis B vaccine should be given a minimum of 4 months after the 1st dose and 2 months after the 2nd dose and not before 24 weeks of age.

[6]

One dose of Hepatitis A vaccine is required for all children in child care aged 18 months or greater. The recommended schedule is for two doses to be given, 6 months apart, between 12 and 24 months of age. Effective July 2011,

proof of a total of two doses is required by Kindergarten entry.

[7]

The MMR requirement is 2 doses of measles vaccine, 2 doses of mumps vaccine and 2 doses of rubella vaccine . The vaccines may be given as MMR or MMRV (combined antigens) or as single antigens.

[8]

The varicella requirement is for 2 doses of varicella-containing vaccine or history of disease for all students entering K or 7th grade, and new entrants into a Tennessee school in any other grade. These may be administered as single

dose varicella or in combination as MMRV.

[9]

Tdap is required for 7th grade entry; Tdap is NOT required if a Td booster dose is recorded as given less than 5 years before 7th grade entry (on the appropriate DTaP / DT / Td line of the certificate).

Use Required on or After July 1, 2010

PH-4103

RDA-N/A

(Rev. 3/10)