2015-2016 Texas Minimum State Vaccine Requirements for Students Grades K-12
This chart summarizes the vaccine requirements incorporated in the Texas Administrative Code (TAC), Title 25 Health Services, Sections 97.61 to
97.72. This chart is not intended as a substitute for consulting the TAC, which has other provisions and details. Click here for complete TAC language
.
The Department of State Health Services (DSHS) is granted authority to set immunization requirements by the Texas Education Code, Chapter 38, Health &
Safety, Subchapter A, General Provisions.
IMMUNIZATION REQUIREMENTS
A student shall show acceptable evidence of vaccination prior to entry, attendance, or transfer to a child-care facility
or public or private elementary or secondary school in Texas.
Vaccine Required
(Attention to notes and footnotes)
Minimum Number of Doses Required by Grade Level
NOTES
–
Diphtheria/Tetanus/Pertussis
(DTaP/DTP/DT/Td/Tdap)
1
5 doses or
4 doses
3 dose primary
series and 1
Tdap/Td booster
within last 5
years
3 dose primary
series and 1
Tdap/Td booster
within last 10
years
For K – 6
grade: 5 doses of diphtheria-tetanus-pertussis vaccine; 1 dose must
have been received on or after the 4
th
birthday. However, 4 doses meet the
requirement if the 4
th
dose was received on or after the 4
th
birthday. For students
aged 7 years and older, 3 doses meet the requirement if 1 dose was received on or
after the 4
th
birthday.
For 7
th
grade: 1 dose of Tdap is required if at least 5 years have passed since the
last dose of tetanus-containing vaccine.
For 8
th
– 12
th
grade: 1 dose of Tdap is required when 10 years have passed since
the last dose of tetanus-containing vaccine.
Td is acceptable in place of Tdap if a medical contraindication to pertussis exists.
Polio
1
4 doses or 3 doses
For K – 12
th
grade: 4 doses of polio; 1 dose must be received on or after the 4th
birthday.
However, 3 doses meet the requirement if the 3rd dose was received on
or after the 4th birthday.
Measles, Mumps, and
Rubella
1,2
2 doses of MMR
2 doses of measles and 1 dose each
of rubella and mumps vaccine
The 1
st
dose of MMR must be received on or after the 1
st
birthday.
For K – 6
th
grade: 2 doses of MMR are required.
Hepatitis B
2
3 doses
For students aged 11 – 15 years, 2 doses meet the requirement if adult hepatitis B
vaccine (Recombivax
) was received. Dosage (10 mcg/1.0 mL) and type of
vaccine (Recombivax
) must be clearly documented. If Recombivax
was not
the vaccine received, a 3-dose series is required.
Varicella
1,2,3
2 doses
The 1
dose of varicella must be received on or after the 1
birthday.
For K – 12
th
grade: 2 doses are required.
Meningococcal
1
1 dose
For 7
– 12
grade, 1 dose of meningococcal vaccine is required upon
enrollment. For students 11 – 12 years of age entering 7
th
grade, 1 dose of
meningococcal vaccine is required.
Hepatitis A
1,2
2 doses
The 1
st
dose of hepatitis A must be received on or after the 1
st
birthday.
For K – 6
th
grade: 2 doses are required.
Special note: a child will not be considered delinquent in this series until 18
months have elapsed since receiving the 1
st
dose.
1
Receipt of the dose up to (and including) 4 days before the birthday will satisfy the school entry immunization requirement.
2
Serologic evidence of infection or serologic confirmation of immunity to measles, mumps, rubella, hepatitis B, hepatitis A, or varicella is acceptable in place of vaccine.
3
Previous illness may be documented with a written statement from a physician, school nurse, or the child's parent or guardian containing wording such as: "This is to verify that (name of student) had varicella disease
(chickenpox) on or about (date) and does not need varicella vaccine." This written statement will be acceptable in place of any and all varicella vaccine doses required.