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, 2011 - June 30, 2012
WAC 246-100-166
Month, Day & Year are required documentation of all vaccines. See Vaccines Required for School Attendance, Grades K-12  for complete details.
VACCINE |
Kindergarten |
Grades 1 - 3 |
Grades 4 - 5 |
Grade 6 |
Grades 7 - 10 |
Grades 11 - 12 |
HEPATITIS B (Hep B)
- Dose 2 > 4 weeks after dose 1
- Dose 3 > 8 weeks after dose 2
- Dose 3 > 16 weeks after dose 1
- Dose 3 > 6 months of age
|
Required: 3 doses
Acceptable: 2 doses of an adolescent vaccine (Recombivax HB®), IF given between ages 11 and 15 AND doses separated by > 4 months. |
DIPHTHERIA, TETANUS AND PERTUSSIS (DTaP/DT/Td/Tdap)
- DTaP: for children through age 6.
- Td: for children on or after the 7th birthday.
- Tdap: for children on or after the 11th birthday.
|
Required: 5 doses, IF child received dose 5 on or after the 4th birthday.
Acceptable: 4 doses DTaP/DT IF child got dose 4 on or after the 4th birthday. |
Required: 5 doses, IF child got dose 5 on or after the 4th birthday.
Required: 1 dose Tdap for 6th - 10th grade IF student is > 11 years old.
Acceptable:
 4 doses DTaP/DT IF child got dose 4 on or after the 4th birthday.
3 doses diphtheria and tetanus containing vaccines may complete the series for children > 7 years of age. |
POLIO (IPV or OPV)
- Not required for students 18 years and older.
|
Required: 4 doses, IF child got dose 4 on or after the 4th birthday AND dose 3 and 4 separated by > 6 months.
Acceptable: 3 doses IF child got last dose on or after the 4th birthday. |
Required: 4 doses, IF child got all doses before the 4th birthday.
Acceptable: 3 doses IF child got last dose on or after the 4th birthday.
|
MMR (MMR or MMRV) |
Required: 2 doses IF child got dose 1 on or after the 1st birthday AND dose 2 at least > 28 days later.
(4 day grace DOES apply between doses of the same live vaccine such as MMR/MMR or MMRV/MMRV). |
VARICELLA (VAR or MMRV)
- Varicella: must get the same day as MMR OR > 28 days apart.
(4-day grace DOES NOT apply).
|
Required: 2 doses
Child must get dose 1 on or after the 1stbirthday AND dose 2 given > 3 months later.
Acceptable:
Health care provider verification of disease.
> 28 days between doses. |
Required: 1 dose
Child must get dose 1 on or after the 1stbirthday.
Acceptable: Parent-reported history of disease. |
Recommended, but not required. |
See the Minimum Age and Interval Table on page 2 for recommended minimum age and spacing information.
Acceptable for all vaccines: blood test showing proof of immunity – must have health care provider’s signature AND attached lab report(s).
A vaccine series never needs to be restarted if the time between doses is longer than the recommended interval.
Valid: vaccine doses given up to 4 days before the minimum age or interval (4 day grace period).
The 4 day grace period DOES apply between dose 1 and dose 2 of the same live vaccines, such as between MMR and MMR, BUT NOT between MMR and MMRV.
The 4 day grace period DOES NOT apply between dose 1 and dose 2 of different live vaccines, such as between MMR and Varicella or between MMR and live flu vaccine.
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