• 2018-2019 School Immunization Requirements

    Massachusetts Department of Public Health

     Childcare/Preschool

    Hib

    1-4 doses; the number of doses is determined by vaccine product and age the series begins

    DTaP

    4 doses

    Polio

    3 doses

    Hepatitis B

    3 doses; laboratory evidence of immunity acceptable

    MMR

    1 dose; must be given on or after the 1st birthday; laboratory evidence of immunity acceptable

    Varicella

    1 dose; must be given on or after the 1st birthday; a reliable history of chickenpox* or laboratory evidence of immunity acceptable

    Attendees <2 years should be immunized for their age according to the ACIP Recommended Immunization Schedule.  Requirements listed in the table below apply to all attendees ≥2 years.  These requirements also apply to children in preschool classes called K0 or K1.

    Grades Kindergarten – 6

    Requirements apply to all students including individuals from another country attending or visiting classes or educational programs as part of an academic visitation or exchange program.  In ungraded classrooms, Kindergarten requirements apply to all students ≥5 years.

    DTaP

    5 doses; 4 doses are acceptable if the 4th dose is given on or after the 4th birthday.  DT is only acceptable with a letter stating a medical contraindication to DTaP.

    Polio

    4 doses; 4th dose must be given on or after the 4th birthday and ≥6 months after the previous dose, or a 5th dose is required.  3 doses are acceptable if the 3rd dose is given on or after the 4th birthday and ≥6 months after the previous dose.  In a mixed OPV/IPV schedule at least 4 doses are required, regardless of age.

    Hepatitis B

    3 doses; laboratory evidence of immunity acceptable

    MMR

    2 doses; first dose must be given on or after the 1st birthday and the 2nd dose must be given ≥28 days after dose 1;  laboratory evidence of immunity acceptable

    Varicella

    2 doses; first dose must be given on or after the 1st birthday and 2nd dose must be given ≥28 days after dose 1; a reliable history of chickenpox* or laboratory evidence of immunity acceptable

     

    * A reliable history of chickenpox includes a diagnosis of chickenpox, or interpretation of parent/guardian description of chickenpox, by a physician, nurse practitioner, physician assistant or designee.

    ¶ Meningococcal vaccine requirements (see Grades 7-12 table) also apply to residential students in grade pre-K through 8, but only if the school combines these grades in the same school with students in the grades 9-12.