Minimum Immunization Requirements for Those Entering a Child Care Facility or School in Illinois, Fall-2015 Vaccine Requirement DTP/DTaP/ or Tdap, Td (Diphtheria, Tetanus, Pertussis)

Child Care Facility, Preschool, Early Childhood Pre-Kindergarten Programs Three doses by 1 year of age One additional booster dose by 2nd birthday Two doses by 1 year of age.

Polio

Measles

Rubella

Mumps

Haemophilus influenzae type b Invasive Pneumococcal Disease

Hepatitis B

Varicella

One additional dose by 2nd birthday

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Kindergarten through 12 Grade First Entry into School (Kindergarten or First Grade) Four or more doses of DTP/DTaP with the last dose qualifying as a booster and received on or after the 4th birthday Three or more doses of the same type of Polio vaccine with the last dose qualifying as a booster and received on or after the 4th birthday. *If the series is given in any combination of polio vaccine types, 4 or more doses are required with the last being a booster on or after the 4th birthday.

Other Grades

Minimum Intervals Allowed Between Doses and Other Options for Proof of Immunity

Three or more doses of DTP/DTaP or Td; with the last dose qualifying as a booster if received on or after the 4th birthday

Minimum interval between series doses: 4 weeks (28 days)

For Students entering 6th thru 12th grades: 1 dose of Tdap Three or more doses of Polio with the last dose qualifying as a booster and received on or after the 4th birthday. *If the series is given in any combination of polio vaccine types, 4 or more doses are required with the last being a booster on or after the 4th birthday.

Between series and booster: 6 months No proof of immunity allowed Minimum interval between series doses: 4 weeks (28 days) No proof of immunity allowed

Laboratory evidence of measles immunity OR One dose on or after the 1st Certified physician verification* of measles Two doses of Measles Vaccine, the 1st dose must have been received on after the 1st birthday and the second birthday but prior to 24 disease by date of illness dose no less than 4 weeks (28 days) later. months of age *Cases diagnosed after 7/1/2002 must include lab evidence of infection One dose on or after the 1st Laboratory evidence of rubella immunity st st Two doses of Rubella Vaccine, the 1 dose must have been received on after the 1 birthday and the second birthday but prior to 24 History of disease is not acceptable proof dose no less than 4 weeks (28 days) later. months of age of immunity to rubella One dose on or after the 1st Laboratory evidence of mumps immunity OR st st Two doses of Mumps Vaccine, the 1 dose must have been received on after the 1 birthday and the second birthday but prior to 24 Certified physician verification of mumps dose no less than 4 weeks (28 days) later. months of age disease by date of illness Refer to Hib vaccination schedule for series Not required after the 5th birthday (60 months of age) Refer to Hib vaccination schedule Children 24-59 mos. without No proof of immunity allowed series must have one dose after 15 mos. of age Refer to PCV vaccination schedule for series Not required after the 5th birthday (60 months of age) Refer to PCV vaccination schedule Children 24-59 mos. without No proof of immunity allowed series must have one dose Three doses for all children Minimum intervals between doses: 2 years of age or older Three doses hepatitis B vaccine administered at 1 & 2- at least 4 weeks (28 days) recommended intervals for 2 & 3 - at least 2 months (56 days) No Requirements Third dose must have been Students entering grades 6 thru 12 1 & 3 - at least 4 months (112 days) administered on or after 6 Laboratory evidence of prior or current months of age (168 days) infection One dose on or after the 1st birthday

Two doses of Varicella Vaccine, for Students entering Kindergarten and 1st grades The 1st dose must have been received on after the 1st birthday and the second dose no less than 4 weeks (28 days) later.

One dose of Varicella on or after the 1st birthday for Students entering grades 1 thru 12 Two doses of Varicella Vaccine for Students entering 6th,7th, 9th & 10th grades

Minimum intervals for administration: The 1st dose must have been received on after the 1st birthday and the second dose no less than 4 weeks (28 days) later. Statement from physician or health care provider verifying disease history OR Laboratory evidence of varicella immunity

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Vaccine Requirement

Meningococcal Conjugate Vaccine

Child Care Facility, Preschool, Early Childhood Pre-Kindergarten Programs

Kindergarten through 12 Grade First Entry into School

Minimum Intervals Allowed Between Doses and Other Options for Proof of Immunity

Other Grades

(Kindergarten or First Grade)

Applies to Students entering 6th or 12th grade beginning 2015-2016 school year No Requirements

No Requirements 1 dose of Meningococcal vaccine at entry to 6TH grade 2 doses of Meningococcal vaccine at entry to 12TH grade

Minimum intervals for administration: The first dose received on or after the 10th birthday; second dose at least eight weeks after the 1st dose. Only one dose is required if the first dose was received at 16 years of age or older. No proof of immunity allowed.

Source: Child Health Examination Code/Part 665, Immunization Code/Part 695, Public Act 095-0159 Prepared by: Illinois Department of Public Health Immunization Section, February 2015

Section 695. APPENDIX A Vaccination Schedule for Haemophilus influenzae type b Conjugate Vaccines (Hib) Vaccine

Age at 1st of doses for dose (mos.)

HbOC/PRP-T: HibTITERTM ActHibeTM OmniHibTM TETRAMUNETM PRP-OMP: PedvaxHIBTM

PRP-D: ProHIBITTM a b c

Primary series

Booster

2-6

3 doses, 2mos. aparta

12-15 mos.bc

7-11

2 doses, 2mos. aparta

12-18 mos.bc

12-14

1 dose

15 mos.bc

15-59

dosed

None

2-6

2 doses, 2mos.aparta

12 mos.bc

7-11

2 doses, 2mos.aparta

12-18 mos.bc

12-14

1 dose

15 mos.bc

15-59

1 dosed

None

15-59

1 dosecd

None

1

Minimally acceptable interval between doses is one month. At least 2 months after previous dose. After the primary infant Hib vaccine series is completed, any of the licensed Hib conjugate vaccines may be used as a booster dose

d

Children 15-59 months of age should receive only a single dose of Hib vaccine.

e

Reconstituted with DTP as a combined DTP/Hib vaccine Note: A DTP/Hib combination vaccine can be used in place of HbOC or PRP-T

(Source: Amended at 26 Ill. Reg. 10792, effective July 1, 2002)

Total number of Doses in series 4 3 2 1 3 3 2 1 1

Section 695. Appendix B Vaccination Schedule for Pneumococcal Conjugate Vaccines (PCV) Age of Child (Months) 2-6 minimum age of six weeks:

7-11

12-23

24-59 Healthy Children 24-59 Children at High risk a b

Total Doses Required Vaccination History

Primary Series and Booster Intervals

0 doses 1 dose 2 doses 0 doses 1 or 2 doses before age 7 months

3 doses, 2 months apart; 4th dose at age 12-15 months 2 doses, 2 months apart; 4th dose at age 12-15 months 1 dose, 2 months after most recent dose; 4th dose at age 12-15 months 2 doses, 2 months apart; 3rd dose at age 12 -15 months 1 dose, 2 months after most recent dose; 3rd dose at 12 months -15 months and > 2 months after prior dose 2 doses, ≥ 2 months apart 2 doses, ≥ 2 months apart 1 dose ≥ 2 months after most recent dose 1 dose, ≥ 2 months after most recent dose 1 dose, ≥2 months after most recent dose 2 doses separated by 2 months

0 doses 1 dose before age 12 months 1 dose on or after 12 months of age 2 or 3 doses before age 12 months Any incomplete schedule Any incomplete schedule

4 4 4 3 3-4 2 2 2 3-4 1 2

(Source: Added at 37 Ill. Reg. 13952, effective August 16, 2013)

a

Children with certain chronic conditions or immunosuppressive conditions are recommended to receive a dose of pneumococcal polysaccharide vaccine (PPV23) in addition to PCV13 two months after the last PCV7 or PCV13. CDC now recommends that for children with certain chronic conditions or immunosuppressive condition with no history of PPSV23 vaccination, administer PPSV23 at least 8 weeks after the most recent dose of PCV13. b

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