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The following are the immunization requirements set by the State of Missouri:

  • All students must present documentation of up-to-date immunization status, including month, day, and year of each immunization before they can attend school
  • The Advisory Committee on Immunization Practices (ACIP) allows a 4-day grace period (meaning 4 or fewer days prior to the recommended interval or age), so students in all grade levels may receive immunizations up to 4 days before they are due.
  • For children beginning kindergarten during or after the 2003-04 school year, required immunizations should be administered according to the current ACIP Schedule, including all spacing, (http://www.cdc.gov/vaccines/recs/schedules/child-schedule.htm).
  • To remain in school, students "in progress" must have an Imm.P.14 form (which includes appointment date for needed immunization(s)) on file and must receive immunizations as soon as they become due. In progress means that a child has begun the vaccine series and has an appointment for the next dose. This appointment must be kept and an updated record provided to the school. If the appointment is not kept, the child is no longer in progress and is noncompliant. (For example, hep B vaccine series was begun but the child is not yet eligible to receive the next dose in the series.)

In progress does not apply to the Tdap or Td booster.

  • Religious (Imm.P.11A) and Medical (Imm.P.12) exemptions are allowed. The appropriate exemption card must be on file. Unimmunized children are subject to exclusion from school when outbreaks of vaccine-preventable diseases occur.

Kindergarten through 4th Grade:

DTap:

  • Minimum of 4 doses needed.
  • The fourth dose may be administered as early as age 12 months, provided at least 6 months have elapsed since the 3rd dose.
  • Administer the final dose in the series at age 4 through 6 years.
  • Maximum of 6 doses needed.

Polio:

  • Minimum of 3 doses needed.
  • The final dose in the series should be administered on or after the 4th birthday and at least 6 months following the previous dose.
  • If 4 doses are administered prior to age 4 years a fifth dose should be administered at age 4 through 6 years.

MMR:

  • Minimum of 2 doses needed.
  • Administer the 2nd dose routinely at age 4 through 6 years. However, the 2nd dose may be administered before age 4, provided at least 28 days have elapsed since the 1st dose.

Hepatitis B:

  • Minimum of 3 doses needed.
  • Administer the 2nd dose a minimum of 4 weeks after the 1st dose and a maximum of 8 weeks.
  • Administer the 3rd dose a minimum of 8 weeks after the 2nd dose and a minimum age of 24 weeks (168 days).
  • If a 4th dose is needed, the final dose should be administered no earlier than age 24 weeks.

Varicella:

  • Minimum of 2 doses needed.
  • Administer the 2nd dose routinely at age 4 through 6 years. However, the 2nd dose may be administered before age 4, provided at least 3 months have lapsed since the first dose.
  • For children age 12 months through 12 years the minimum interval between doses is 3 months. However, if the 2nd dose was administered at least 28 days after the 1st dose, it can be accepted as valid.
  • As satisfactory evidence of disease, an MD or DO may sign and place on file with the school a written statement documenting the month and year of previous varicella disease.

5th Grade through 7th Grade:

DTaP:

  • Minimum of 4 doses needed.
  • The fourth dose may be administered as early as age 12 months, provided at least 6 months have elapsed since the 3rd dose.
  • Administer the final dose in the series at age 4 through 6 years.

Polio:

  • Minimum of 3 doses needed.
  • Last dose on or after 4th birthday. If all 4 doses are administered appropriately and received prior to the 4th birthday, an additional dose is not needed. Any combination of 4 doses of IPV and OPV by 4-6 years of age constitutes a complete series.
  • Maximum of 4 doses needed.

MMR:

  • 2 doses needed

Hepatitis B:

  • Minimum of 3 doses needed.
  • Administer the 2nd dose a minimum of 4 weeks after the 1st dose and a maximum of 8 weeks.
  • Administer the 3rd dose a minimum of 8 weeks after the 2nd dose and a minimum age of 24 weeks (168 days).
  • If a 4th dose is needed, the final dose should be administered no earlier than age 24 weeks.

Varicella:

  • 1 dose needed
  • As satisfactory evidence of disease, a parent/guardian or MD or DO may sign and place on file with the school a written statement documenting the month and year of previous varicella (chickenpox) disease.

8th and 9th grade:

DTaP:

  • Minimum of 4 doses needed.
  • The fourth dose may be administered as early as age 12 months, provided at least 6 months have elapsed since the 3rd dose.
  • Administer the final dose in the series at age 4 through 6 years.
  • Maximum of 6 doses needed.

Tdap:

  • 1 dose required
  • Tdap, which contains pertussis vaccine, is required for students enrolled in the 8th & 9th grade who have completed the recommended childhood DTaP/DTP vaccination series and have not received a Td booster dose within the past 2 years. If a student received a Tdap the student is up-to-date. Tdap is currently licensed for one dose only; an additional dose is not needed.

Polio:

  • Minimum of 3 doses needed
  • Last dose on or after the 4th birthday. If all 4 doses are administered appropriately and received prior to the 4th birthday, and additional dose is not needed. Any combination of 4 doses of IPV and OPV by 4-6 years of age constitutes a complete series.
  • Maximum of 4 doses needed.

MMR:

  • 2 doses needed
  • Admiister the 2nd dose routinely at age 4 through 6 years. However, the 2nd dose may be administered before age 4, provided at least 28 days have elapsed since the 1st dose.

Hepatitis B:

  • Minimum of 3 doses needed.
  • Administer the 2nd dose a minimum of 4 weeks after the 1st dose and a maximum of 8 weeks.
  • Administer the 3rd dose a minimum of 8 weeks after the 2nd dose and a minimum age of 24 weeks (168 days)
  • If a 4th dose is needed, the final dose should be administered no earlier than age 24 weeks.

Varicella:

  • One dose is required. As satisfactory evidence of disease, a parent/guardian or MD or DO may sign and place on file with the school a written statement documenting the month and year of previous varicella (chickenpox) disease.

10th & 11th Grade:

DTaP/DTP/DT:

  • Minimum of 4 doses needed.
  • The fourth dose may be administered as early as age 12 months, provided at least 6 months have elapsed since the 3rd dose.
  • Administer the final dose in the series at age 4 through 6 years.
  • Maximum of 4 doses needed.

Tdap:

  • 1 dose required
  • Tdap, which contains pertussis vaccine, is required for students enrolled in the 10th grade who have completed the recommended childhood DTaP/DTP vaccination series and have not received a Td booster dose within the past 2 years. If a student received a Tdap booster the student is up-to-date.

Polio:

  • Minimum of 3 doses required.
  • Last dose on or after the fourth birthday. If all four doses are administered appropriately and received prior to the fourth birthday, an additional dose is not needed. Any combination of four doses of IPV and OPV by 4-6 years of age constitutes a commplete series.
  • Maximum of four doses required.

MMR:

  • 2 doses are required. First dose must be given on or after 12 months of age.

Hepatitis B:

  • Minimum of 3 doses needed.
  • Administer the 2nd dose a minimum of 4 weeks after the 1st dose and a maximum of 8 weeks.
  • Administer the 3rd dose a minimum of 8 weeks after the 2nd dose and a minimum age of 24 weeks (168 days).
  • If a 4th dose is needed, the final dose should be administered no earlier than age 24 weeks.

Varicella:

  • No doses required, however, vaccination is highly recommended.

12th Grade:

DTap:

  • Minimum of 4 doses needed.
  • Last dose on or after the fourth birthday and the last dose of pediatric pertussis before the seventh birthday.
  • Maximum of 4 doses needed.

Tdap:

  • Tdap, which contains pertussis vaccine, is required. If a student received a Tdap, the student is up-to-date. Tdap is currently licensed for one dose only; an additional dose is not needed.

Polio:

  • Minimum of 3 doses needed.
  • The final dose in the series should be administered on or after the 4th birthday.
  • If all four doses are administered appropriately and received prior to the fourth birthday, an additional dose is not needed. Any combination of four doses of IPV and OPV by four-six years of age constitutes a complete series.
  • Maximum of 4 doses needed.

MMR:

  • 2 measles, 1 mumps, 1 rubella are required. However, 2 MMRs are highly recommended.

Hepatitis B:

  • Minimum of 3 doses needed.
  • Administer the 2nd dose a minimum of 4 weeks after the 1st dose and a maximum of 8 weeks.
  • Administer the 3rd dose a minimum of 8 weeks after the 2nd dose and a minimum age of 24 weeks (168 days).
  • If a 4th dose is needed, the final dose should be administered no earlier than age 24 weeks.

Varicella:

No doses required, however vaccination is highly recommended