health services
Immunizations
Healthy Kids Are Better Students
For information on the location and times for Good Samaritan Hospital's
Mobile Immunization Clinic call (253)-697-8160.
VACCINES REQUIRED FOR SCHOOL ATTENDANCE, GRADES K-12
July 1, 2009 – June 30, 2010  (1)
VACUNAS OBLIGATORIAS PARA ASISTIR A LA ESCUELA, GRADOS K-12
1 de julio de 2009 – 30 de junio de 2010 (1)
Vaccines Required For School Attendance, Grades K-12
July 1, 2009 - June 30, 2010
WAC 246-100-166
VACCINE (2) |
Kindergarten
|
Grade 1 |
Grades 2 - 3 |
Grades 4 - 5 |
Grade 6 |
Grades 7 - 8 |
Grades 9 - 12 |
HEPATITIS B
- Series must NOT be completed in
less than 4 months. Series should be
completed within 9 months of
starting school.
|
3 doses
Second dose can be given at least 1 month (24 days) after the 1st dose.
Third dose must be given at or after 6 months (24 weeks) of age.
Third dose must be given at least 2 months after the 2nd dose.
Third dose must be given at least 4 months after the 1st dose.
If the student receives 2 doses of an adolescent formulation of Recombivax HB between ages 11 and 15,
separated by 4 months, the student’s immunization status is “complete.” |
DTaP/DT/Td/Tdap
- Those older than 7 should not
receive DTaP.
- After the 7th birthday, children
should receive Td or Tdap.
|
4 doses DTaP
IF the last dose
is given on or
after the 4th
birthday. |
3 doses DTaP, DT or Td IF the last dose is given on or
after the 4th birthday. |
3 doses DTaP, DT or Td
IF the last dose is given on or
after the 4th birthday AND
1 dose Tdap IF student is 11 years old
and IF it has been at least 5 years since
the last DTaP, DT or Td. |
3 doses DTaP, DT
or Td
If the last dose is
given on or after the
4th birthday. Tdap
may substitute for 1
of the 3 doses. |
POLIO (IPV or OPV)
- Students 18 years and older are not
required to have IPV or OPV.
|
4 doses IF all doses are given before the 4th birthday.
3 doses IF the last dose is given on or after the 4th birthday. |
MMR
- Blood test (titer) showing immunity
to measles, mumps or rubella is
acceptable
|
2 doses
1st dose must be given on or after the 1st birthday (4 day grace applies).
2nd dose must be given at least 28 days after the 1st dose (4 day grace DOES NOT apply). |
VARICELLA
- Varicella must be received the same
day as MMR OR at least 28 days
apart (4 day grace DOES NOT
apply).
- The minimum interval between
varicella doses for children < 13
years of age is 28 days
(recommended interval is 3 mos).
- Blood test (titer) showing immunity
to varicella and/or provider
diagnosis/verification of disease is
acceptable.
|
2 doses
Must be given on or after the first birthday (4 day grace applies).
Parent-reported history of disease NOT acceptable. |
1 dose
Must be given on or after the first birthday (4 day grace applies).
Parent reported history of disease is acceptable. |
Recommended, but not required |
1 dose
Must be given on or after the first birthday (4 day grace applies).
Parent reported history of disease is acceptable. |
Recommended, but not required |
(1) |
To attend public/private school or licensed child care in WA State, each child must present a signed Certificate of Immunization Status form showing proof of
1) full
immunization per the 2007 Recommended Childhood Immunization Schedule (see http://www.doh.wa.gov/cfh/Immunize/schools/vaccine.htm),
2) an initiation of a schedule of
immunization,
3) a medical exemption (with health care provider signature), OR 4) personal or religious exemption (with a parent/guardian signature). |
(2) |
There is no maximum interval between doses. Even if the recommended interval is not met, the series does not need to be restarted. Vaccine doses given < 4 days before the
minimum interval or age are valid, except for the intervals between MMR doses, varicella doses and MMR and varicella doses. |
Available online only at: http://www.doh.wa.gov/cfh/Immunize/schools/vaccine.htm
DOH: 348-051 Revised: 10/15/08
 |
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