Final Text
Part III
Immunization Requirements
12VAC5-110-70. Immunization requirements.
Every student enrolling in a school shall provide documentary proof of adequate immunization with the prescribed number of doses of each of the vaccines and toxoids listed in the following subdivisions, as appropriate for his age according to the immunization schedule. Spacing, minimum ages, and minimum intervals shall be in accordance with the immunization schedule. A copy of every student's immunization record shall be on file in his school record.
1. Diphtheria Toxoid. A minimum of four properly spaced doses
of diphtheria toxoid. One dose shall be administered on or after the fourth
birthday. A booster dose shall be administered prior to entering the sixth
grade if at least five years have passed since the last dose of diphtheria
toxoid.
2. Tetanus Toxoid. A minimum of four properly spaced doses of
tetanus toxoid. One dose shall be administered on or after the fourth birthday.
A booster dose shall be administered prior to entering the sixth grade if at
least five years have passed since the last dose of tetanus toxoid.
3. Acellular Pertussis Vaccine. A minimum of four properly
spaced doses of acellular pertussis vaccine. One dose shall be administered on
or after the fourth birthday. A booster dose shall be administered prior to
entering the sixth grade if at least five years have passed since the last
dose of pertussis vaccine.
4. Poliomyelitis Vaccine. A minimum of four doses of poliomyelitis vaccine with one dose administered on or after the fourth birthday.
5. Measles (Rubeola) Vaccine. One dose of live measles vaccine administered at age 12 months or older, and a second dose administered prior to entering kindergarten.
6. Rubella Vaccine. A minimum of one dose of rubella virus vaccine administered at age 12 months or older.
7. Mumps Vaccine. One dose of mumps virus vaccine administered at age 12 months or older and a second dose administered prior to entering kindergarten.
8. Haemophilus Influenzae Type b (Hib) Vaccine. A complete
series of Hib vaccine (i.e., up to a maximum of four doses of vaccine as
appropriate for the age of the child and the age at which the immunization
series was initiated). The number of doses administered shall be in
accordance with current immunization schedule recommendations. Attestation by
the physician or his designee, registered nurse, or an official of a local
health department on that portion of Form MCH 213F 213G
pertaining to Hib vaccine shall mean that the child has satisfied the
requirements of this section. This section shall not apply to children older
than 60 months of age or for admission to any grade level, kindergarten through
grade 12.
9. Hepatitis B Vaccine. A minimum of three doses of hepatitis B
vaccine for all children. The FDA has approved a two-dose schedule only for
adolescents 11 through 15 years of age and only when the Merck brand
(RECOMBIVAX HB) Adult Formulation Hepatitis B vaccine is used. The two
RECOMBIVAX HB adult doses must be separated by a minimum of four months. The
two dose schedule using the adult formulation must be clearly documented in the
Hepatitis B section on Form MCH 213F 213G.
10. Varicella (Chickenpox) Vaccine. All susceptible
children born on and after January 1, 1997, shall be required to have one dose
of chickenpox vaccine on or after 12 months of age and a second dose
administered prior to entering kindergarten.
11. Pneumococcal Conjugate Vaccine (PCV). A complete series of
PCV, (i.e., up to a maximum of four doses of vaccine as
appropriate for the age of the child and the age at which the immunization
series was initiated). The number of doses administered shall be in
accordance with current immunization schedule recommendations. Attestation by
the physician or his designee, registered nurse, or an official of a local
health department on that portion of Form MCH 213F 213G
pertaining to PCV vaccine shall mean that the child has satisfied the
requirements of this section. This section shall not apply to children older
than 24 60 months of age.
12. Human Papillomavirus (HPV) Vaccine. Three doses of properly spaced HPV vaccine for females, effective October 1, 2008. The first dose shall be administered before the child enters the sixth grade.
FORMS (12VAC5-110)
Certificate
of Religious Exemption, CRE-1 (rev. 00/92) (eff. 7/83).
School Entrance Physical Examination and Immunization
Certification, MCH 213F (rev. 04/07).