Houston

Independent

School

District

2015-2016 Texas Minimum State Vaccine Requirements for Students

Minimum Number of Doses Required by

(Attention to notes
and footnotes)

Diphtheria/Tetanus/Pertussis
( DTaP/DTP/DT/Td/Tdap)1

PPCD, ECAP,
Community,
Speech & PK

KG-6th

7th

8th-12th

4 doses

5 doses
or 4 doses

3 doses
and 1 Tdap/Td
booster within
last 5 years

3 doses
and 1 Tdap/Td
booster within
last 10 years

Polio

3 doses

4 doses or 3 doses

Measles, Mumps, and Rubella 1,2

1 dose

2 doses

Hepatitis B

Meningococcal1
Hepatitis A

The 1st dose of varicella must be received on or after the 1st birthday.
For K-12th grade: 2 doses are required
1 dose

1,2

2 doses

Haemophilus influenza type B

For K-12th: 4 doses of polio; one 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.

For students aged 11-15 years, 2 doses meet the requirement if adult hepatitis B vaccine
(Recombivax) was received. Dosage (10mcg/1.0mL) and type of vaccine (Recombivax)
must be clearly documented. If Recombivax was not the vaccine received, a 3-dose series
is required.
2 doses

1 dose

For K6th: 5 doses of diphtheria-tetanus-pertussis vaccine one 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 one 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 8th12th 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.

The first dose of MMR must be received on or after the 1st birthday.
For K-6th grade, 2 doses of MMR are required.

3 doses

Varicella 1,2,3

***NOTES***

For 7th-12th grade, 1 dose of meningococcal vaccine is required upon enrollment. For students
11-12 years of age entering 7th grade, 1 dose of meningococcal vaccine is required
The first dose of hepatitis A must be received on or after the 1st birthday. For K-6th grade:
2 doses are required. Special note: a child will not be considered delinquent in this series
until 18 months have elapsed since receiving the 1st dose.

3 doses

A complete Hib series is two doses plus a booster dose on or after 12 months of age (three doses
total). If a child receives the first dose of Hib vaccine at 12-14 months of age, only one additional
dose is required (two doses total). Any child who has received a single dose of Hib vaccine on or
after 15 months of age is in compliance with these specified vaccine requirements.

4 doses

If the PCV series is started when a child is seven months of age or older or the child is delinquent
in the series, then all four doses may not be required. Children 24 months through 59 months meet
the requirement if they have at least three doses with one dose on or after 12 months of age, or
two doses with both doses on or after 12 months of age, or one dose on or after 24 months of age.
Otherwise, one additional dose is required.

Receipt of the dose up to (and including) 4 days before the birthday will satisfy the school entry immunization.
Seriologic confirmation of immunity to measles, mumps, rubella, hepatitis, Hepatitis A, or varicella or serologic evidence of infection in acceptable in place of vaccine.
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Previous illness may be documented with a written statement from a physician, school nurse, or the childs parent or guardian containing wording such as: This is to verify that (name of student)
had varicella disease ( chicken pox) on or about (date) and does not need varicella vaccine. This written statement will be acceptable of any all varicella vaccine does required.
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Exemptions
Texas law allows (a) physicians to write medical exemption statements that the vaccine(s) required would be medically harmful or injurious to the health and wellbeing of the child or household member, and (b) parents/guardians to choose an exemption from immunization requirements for reasons of conscience, including a
religious belief. The law does not allow parents/guardians to elect an exemption simply because of inconvenience (for example, a record is lost or incomplete and
it is too much trouble to go to a physician or clinic to correct the problem). Schools and child-care facilities should maintain an up-to-date list of students with
exemptions, so they may be excluded in times of emergency or epidemic declared by the commissioner of public health.
Instructions for requesting the official exemption affidavit that must be signed by parents/guardians choosing the exemption for reasons of conscience,
including a religious belief, can be found at www.ImmunizeTexas.com under School & Child-Care. Original Exemption Affidavit must be completed
and submitted to the school or child-care facility.
For children claiming medical exemptions, a written statement by the physician must be submitted to the school or child-care facility. Unless it is written in the
statement that a lifelong condition exists, the exemption statement is valid for only one year from the date signed by the physician.
Provisional Enrollment
All immunizations should be completed by the first date of attendance. The law requires that students be fully vaccinated against the specified diseases. A student
may be enrolled provisionally if the student has an immunization record that indicates the student has received at least one dose of each specified age-appropriate
vaccine required by this rule. To remain enrolled, the student must complete the required subsequent doses in each vaccine series on schedule and as rapidly as is
medically feasible and provide acceptable evidence of vaccination to the school. A school nurse or school administrator shall review the immunization status of a
provisionally enrolled student every 30 days to ensure continued compliance in completing the required doses of vaccination. If, at the end of the 30-day period, a
student has not received a subsequent dose of vaccine, the student is not in compliance and the school shall exclude the student from school attendance until the
required dose is administered.
Additional guidelines for provisional enrollment of students transferring from one Texas public or private school to another, students who are dependents of active
duty military, and students who are homeless can be found in the TAC, Title 25 Health Services, Sections 97.66 and 97.69.
Documentation
Since many types of personal immunization records are in use, any document will be acceptable provided a physician or public health personnel has validated it.
The month, day, and year that the vaccination was received must be recorded on all school immunization records created or updated after September 1, 1991.

Stock No. 6-14

Texas Department of State Health Services Immunization Branch MC-1946 P. O. Box 149347 Austin, TX 78714-9347 (800) 252-9152

Rev. 06/2015

DISTRITO

ESCOLAR

INDEPENDIENTE

DE

HOUSTON

MNIMO DE VACUNAS REQUERIDAS PARA LOS ESTUDIANTES DEL ESTADO DE TEXAS 2015-2016
Vacuna que se requiere
(Vea las notas y el pie de pgina)

Difteria/ttanos/tos ferina
( DTaP/DTP/DT/Td/Tdap)1

Vea las notas para informarse sobre el nmero

K-6.

4 dosis

5 dosis o
4 dosis

***NOTAS***

Para los grados K-6.: Se requiere 5 dosis de la vacuna contra la difteria, el ttanos y la tos ferina.
Debe haber recibido por lo menos una dosis en o despus del cuarto cumpleaos. Sin embargo,
8.-12.
7.
con 4 dosis se cumple con el requisito si la cuarta dosis se recibi en o despus del cuarto
cumpleaos. Para los estudiantes de 7 aos y mayores, 3 dosis son suficientes para cumplir con el
requisito si se recibi una dosis en o despus del cuarto cumpleaos. Para 7. grado: Se requiere
1 dosis de TdaP si han transcurrido al menos 5 aos desde la ltima dosis de la vacuna que
3 dosis y 1
3 dosis y 1
la del ttanos. Para los grados 8.-12.: Se requiere 1 dosis de TdaP si han transcurrido
refuerzo de refuerzo de TdaP/ contiene
10 aos desde la ltima dosis de la vacuna que contiene la del ttanos. Se acepta la vacuna Td
TdaP/Td en los
Td en los
en lugar de la vacuna de la tos ferina TdaP, en caso de que exista alguna contraindicacin mdica
ltimos 5 aos ltimos 10 aos para recibirla.

Poliomielitis1

3 dosis

4 dosis o 3 dosis

Para los grados K-12.: Se requiere 4 dosis de la vacuna contra la poliomielitis. Una de las dosis
debe haberse recibido en o despus del cuarto cumpleaos. Sin embargo, con 3 dosis se cumple el
requisito si la tercera dosis se recibi en o despus del cuarto cumpleaos.

Sarampin, paperas y rubeola 1,2

1 dosis

2 dosis

La primera dosis de la vacuna triple viral MMR debe recibirse en o despus del primer cumpleaos.
Para los grados K-6. se requiere 2 dosis de MMR.

Hepatitis B

Varicela 1,2,3

3 dosis

1 dosis

1 dosis

1,2

Vacuna contra la
Haemophilus influenzae
tipo B (Hib)
Vacuna neumoccica conjugada
(PCV-7, PCV-13)

La primera dosis de la vacuna contra la varicela se debe recibir en o despus del 1er. cumpleaos.
Se requiere haber recibido 2 dosis de esta vacuna para los grados K-12..

2 dosis

Meningococo1
Hepatitis A

Para los estudiantes en las edades de entre 11 y 15 aos, 2 dosis cumplen el requisito si se ha
recibido la vacuna contra la hepatitis B para adultos (Recombivax). Debe documentarse con total
claridad la dosificacin (10 mcg / 1,0 ml) y el tipo de vacuna (Recombivax). Si no recibi la vacuna
Recombivax, se requiere una serie de 3 dosis.

2 dosis

Para los grados 7.-12. se requiere haber recibido 1 dosis de la vacuna contra el meningococo en el
momento de inscribirse. Para los estudiantes de entre 11 y 12 aos de edad que entran al sptimo grado,
se requiere haber recibido1 dosis de la vacuna contra el meningococo.
La primera dosis de la vacuna contra la hepatitis A se debe haber recibido en o despus del 1er.
cumpleaos. Para los estudiantes de los grados K-6. se requiere 2 dosis. Nota especial: no se
considerar atrasado en las vacunas de esta serie a ningn nio a menos que hayan transcurrido
18 meses despus de haber recibido la primera dosis.

3 dosis

Una serie completa de Hib consiste en dos dosis ms una dosis de refuerzo en o despus de los 12
meses de edad (tres dosis en total). Si los nios reciben la primera dosis de la vacuna Hib de los 12-14
meses de edad, se requiere slo una dosis adicional (dos dosis en total). Los nios que han recibido una
dosis nica de la vacuna Hib en o despus de los 15 meses de edad cumplen con estos requisitos de
vacunacin especificados.

4 dosis

Si se empieza la serie de PCV cuando los nios tienen siete meses de edad o ms o el nio no est
al da en la serie, entonces todas las cuatro dosis podran no requerirse. Los nios de 24 meses a 59
meses de edad cumplen con el requisito si llevan al menos tres dosis con una dosis en o despus de los
12 meses de edad, odos dosis con ambas dosis en o despus de los 12 meses de edad, o una dosis en
o despus de los 24 meses de edad. De lo contrario, se requiere unadosis adicional.

Haber recibido la dosis hasta 4 das antes del cumpleaos, satisfar los requerimientos de inmunizacin para el ingreso a la escuela.
En lugar de la vacuna, se acepta la confirmacin, por suero, de inmunidad al sarampin, paperas, rubeola, hepatitis, hepatitis A o varicela o la evidencia, por suero, de la infeccin.
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Se puede documentar el haber padecido la enfermedad previamente mediante la declaracin escrita de un mdico, una enfermera escolar o los padres o tutores del nio que diga algo como, Verifico que (nombre del estudiante)
ha tenido la enfermedad de varicela en o alrededor de (fecha) y no necesita la vacuna contra la varicela. Esta declaracin escrita ser aceptable y no se necesitar vacuna contra la varicela.
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