Connecticut State University Student Health Services Form (Page 2 of 4) in pdf

Immunization Requirements and Exemptions

Connecticut General Statutes and CCSU require the following for all matriculated students

Proof of immunity to Measles (Rubeola): you must provide proof of one of the following:

 Two measles or two MMR immunizations (one after your 1

birthday and one at least one

month later);

 Lab results showing a positive measles titer (blood test)

Proof of immunity to Rubella: you must provide proof of one of the following:

 Two rubella or two MMR immunizations (one after your 1

birthday and one at least one month

later);

 Lab results showing a positive rubella titer (blood test)

Proof of immunity to Mumps: you must provide proof of one of the following:

 Two mumps or two MMR immunizations (one after your 1

birthday and one at least one month

later);

 Lab results showing a positive mumps titer (blood work)

Proof of immunity to Varicella (chicken pox): you must provide proof of one of the following:

 Two varicella immunizations;

 Lab results showing a positive varicella titer (blood test),

Certification of confirmed cases of measles, mumps, rubella & varicella by a licensed health care

provider may be submitted in lieu of the above.

Proof of Meningococcal vaccination (Menactra) within five years of entering CCSU is required for

all residential students prior to room assignment. No student may move into campus housing until

this requirement is met. Even if not living on-campus, we strongly recommended that all students be

vaccinated against this disease. If it has been 5 years since your immunization, speak to your

medical provider about getting a booster shot.

Hepatitis B: The American College Health Association, the Connecticut Public Health Department,

and the Centers for Disease Control recommend students be immunized against Hepatitis B (this is

not required).

Tetanus: A booster shot is recommended every ten years.

IMMUNIZATION EXEMPTIONS

 Students born prior to January 1, 1957 are exempt by age from the measles, mumps, and

rubella requirement.

 Students born prior to January 1, 1980 are exempt by age from the varicella requirement.

 Vaccination waivers for religious or medical reasons are acceptable and can be found at

Exemptions for either medical or religious reasons subjects the individual to exclusion from

campus in the event of an outbreak of a disease for which immunizations are required.

 Online learners do not need to meet the immunization requirements

Revised 06/19/14

Connecticut State University Student Health Services Form Page 2