Pre-Kindergarten and Childcare Requirements
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Diptheria/Tetanus/Pertussis
(DTap) |
Polio |
Hepatitis B |
Haemophilus
Influnzae type b (HiB)
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Pneumococcal Conjugate Vaccine
(PCV) |
Measels, Mumps, Rubella (MMR) |
Varicella |
Hepatitis A (Hep A) |
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Birth through two months |
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By three months |
One dose |
One dose |
One dose |
One dose |
One dose |
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By five months |
Two doses |
Two doses |
Two doses |
Two doses |
Two doses |
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By seven months |
Three doses |
Two doses |
Two doses |
Two doses1 |
Three doses2 |
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By 16 months |
Three doses |
Two doses |
Two doses |
Three doses1 |
Four doses2 |
One dose3 |
One dose3 |
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By 19 months |
Four doses |
Three doses |
Three doses |
Three doses1 |
Four doses2 |
One dose3 |
One dose3 |
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By 25 months |
Four doses |
Three doses |
Three doses |
Three doses1 |
Four doses2 |
One dose3 |
One dose3 |
One dose3 |
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By 43 months |
Four doses |
Three doses |
Three doses |
Three doses1 |
Four doses2 |
One dose3 |
One dose3 |
Two doses3 |
Footnotes
1 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 - 59
months of age is in compliance with these
specified vaccine requirements. Children 60
months of age and older are not required to
receive Hib vaccine.
2 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. Please reference the
information below to assist with compliance:
- For
children seven through 11 months of age, two
doses are required.
- For
children 12 - 23 months of age: if three
doses have been received prior to 12 months
of age, then an additional dose is required
(total of four doses) on or after 12 months
of age. If one or two doses were received
prior to 12 months of age, then a total of
three doses are required with at least one
dose on or after 12 months of age. If zero
doses have been received, then two doses are
required with both doses on or after 12
months of age.
- 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. Children 60
months of age and older are not required to
receive PCV vaccine.
3 For MMR, Varicella, and Hepatitis A
vaccines, the first dose must be given on or
after the first birthday. Vaccine doses
administered within 4 days before the first
birthday will satisfy the requirement.
Information on exclusions from immunization
requirements, provisional enrollment, and
acceptable documentation of immunizations may be
found in §97.62, §97.66, and §97.68 of the Texas
Administrative Code, respectively.
Vaccines:
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DTaP: Diphtheria, tetanus, and acellular
pertussis (whooping cough); record may show
DT or DTP
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Polio: IPV - inactivated polio vaccine; OPV
– oral polio vaccine
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HepB: Hepatitis B vaccine
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Hib: Haemophilus influenzae type b vaccine
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PCV: Pneumococcal conjugate vaccine
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MMR: Measles, mumps, and rubella vaccines
combined
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Varicella: Chickenpox vaccine. May be
written VAR on record
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HepA: Hepatitis A vaccine
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