2019-2020 Immunization Requirements for Schools
A student shall show acceptable evidence of vaccination prior to entry, attendance, or transfer to a child-care facility or public or private elementary or secondary school in Texas.
- For college and university requirements, please see Texas Minimum State Vaccine Requirements for College Entry
- For child-care facility requirements, please see Texas Minimum State Vaccine Requirements for Child-Care Facilities
(Attention to notes and footnotes)
|Minimum Number of Doses Required by Grade Level||NOTES|
|K – 6th||7th||8th – 12th|
|5 doses or 4 doses||3 dose primary series and 1 Tdap/Td booster within last 5 years||3 dose primary series and 1 Tdap/Td booster within last 10 years||For K — 6th 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 7th grade: 1 dose of Tdap is required if at least 5 years have passed since the last dose of tetanus-containing vaccine.
For 8th — 12th grade: 1 dose of Tdap is required when 10 years have passed since the last dose of tetanus-containing vaccine. Td is acceptable in place of Tdap if a medical contraindication to pertussis exists.
|Polio 1||4 doses or 3 doses||For K — 12th grade: 4 doses of polio; 1 dose must be received on or after the 4th birthday. However, 3 doses meet the requirement if the 3rd dose was received on or after the 4th birthday.|
|Measles, Mumps, and Rubella (MMR) 1, 2||2 doses||For K — 12 grade: 2 doses are required, with the 1st dose received on or after the 1st birthday. Students vaccinated prior to 2009 with 2 doses of measles and one dose each of rubella and mumps satisfy this requirement.|
|Hepatitis B 2||3 doses||For students aged 11 — 15 years, 2 doses meet the requirement if adult hepatitis B vaccine (Recombivax®) was received. Dosage (10 mcg / 1.0 mL) and type of vaccine (Recombivax®) must be clearly documented. If Recombivax® was not the vaccine received, a 3-dose series is required.|
|Varicella 1, 2, 3||2 doses||The 1st dose of varicella must be received on or after the 1st birthday.
For K — 12th grade: 2 doses are required.
|Meningococcal (MCV4)1||Not Required||1 dose||For 7th — 12th grade, 1 dose of quadrivalent meningococcal conjugate vaccine is required on or after the student’s 11th birthday.
Note: If a student received the vaccine at 10 years of age, this will satisfy the requirement.
|Hepatitis A 1, 2||2 doses||11th – 12th Grade:
|The 1st dose of hepatitis A must be received on or after the 1st birthday.
For K — 10th grade: 2 doses are required.
1. Receipt of the dose up to (and including) 4 days before the birthday will satisfy the school entry immunization requirement.
2. Serologic evidence of infection or serologic confirmation of immunity to measles, mumps, rubella, hepatitis B, hepatitis A, or varicella is acceptable in place of vaccine.
3. Previous illness may be documented with a written statement from a physician, school nurse, or the child’s parent or guardian containing wording such as: “This is to verify that (name of student) had varicella disease (chickenpox) on or about (date) and does not need varicella vaccine.” This written statement will be acceptable in place of any and all varicella vaccine doses required.