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State Immunization Requirements

State of Connecticut Department of Public Health

Immunization Requirements

for Enrolled Students in Connecticut Schools for the 2018-2019 School Year Nurse injecting smiling girl

Preschool

  • DTaP: 4 doses (by 18 months for programs with children 18 months of age)
  • Polio: 3 doses (by 18 months for programs with children 18 months of age)
  • MMR: 1 dose on or after 1st birthday
  • Hep B: 3 doses, last one on or after 24 weeks of age
  • Varicella: 1 dose on or after 1st birthday or verification of disease
  • Hib: 1 dose on or after 1st birthday
  • Pneumococcal: 1 dose on or after 1st birthday
  • Influenza: 1 dose administered each year between August 1st-December 31st (2 doses separated by at least 28 days required for those receiving flu for the first time)
  • Hepatitis A: 2 doses given six calendar months apart, 1st dose on or after 1st birthday
 

Kindergarten

  • DTaP: At least 4 doses. The last dose must be given on or after 4th birthday
  • Polio: At least 3 doses. The last dose must be given on or after 4th birthday
  • MMR: 2 doses separated by at least 28 days, 1st dose on or after 1st birthday
  • Hep B: 3 doses, last dose on or after 24 weeks of age
  • Varicella: 2 doses separated by at least 3 months-1st dose on or after 1st birthday; or verification of disease
  • Hib: 1 dose on or after 1st birthday for children less than 5 years old
  • Pneumococcal: 1 dose on or after 1st birthday for children less than 5 years old
  • Hepatitis A: 2 doses given six calendar months apart, 1st dose on or after 1st birthday
 

Grades 1-5

  • DTaP/Td: At least 4 doses. The last dose must be given on or after 4th birthday. Students who start the series at age 7 or older only need a total of 3 doses.
  • Polio: At least 3 doses. The last dose must be given on or after 4th birthday
  • MMR: 2 doses separated by at least 28 days, 1st dose on or after 1st birthday
  • Hep B: 3 doses, last dose on or after 24 weeks of age
  • Varicella: 2 doses separated by at least 3 months-1st dose on or after 1st birthday; or verification of disease
  • Hepatitis A: 2 doses given six calendar months apart, 1st dose on or after 1st birthday
 

Grade 6

  • DTaP/Td: At least 4 doses. The last dose must be given on or after 4th birthday. Students who start the series at age 7 or older only need a total of 3 doses.
  • Polio: At least 3 doses. The last dose must be given on or after 4th birthday
  • MMR: 2 doses separated by at least 28 days, 1st dose on or after 1st birthday
  • Hep B: 3 doses, last dose on or after 24 weeks
  • Varicella: 2 doses separated by at least 3 months-1st dose on or after 1st birthday; or verification of disease 2
 

Grades 7-12

  • Tdap/Td: 1 dose for students who have completed their primary DTaP series. Students who start the series at age 7 or older only need a total of 3 doses of tetanus-diphtheria containing vaccine, one of which must be Tdap
  • Polio: At least 3 doses. The last dose must be given on or after 4th birthday
  • MMR: 2 doses separated by at least 28 days, 1st dose on or after 1st birthday
  • Meningococcal: 1 dose
  • Hep B: 3 doses, last dose on or after 24 weeks of age
  • Varicella: 2 doses separated by at least 3 months-1st dose on or after 1st birthday; or verification of disease

Notes:

  • DTaP vaccine is not given on or after the 7th birthday and may be given for all doses in the primary series.
  • Tdap can be given in lieu of Td vaccine for children 7 years and older unless contraindicated. Tdap is only licensed for one dose.
  • Hib is not required for children 5 years of age or older.
  • Pneumococcal is required for all Pre-K and K students less than 5 years of age.
  • Hep A requirement for school year 2018-19 applies to all students born 1/1/07 or later.
  • Hep B requirement for school year 2018-2019 applies to all students in grades K-12. Spacing intervals for a valid Hep B series: at least 4 weeks between doses 1 and 2; 8 weeks between doses 2 and 3; at least 16 weeks between doses 1 and 3; dose 3 should not be given before 24 weeks of age.
  • Second MMR for school year 2018-2019 applies to all students in grades K-12.
  • Meningococcal Conjugate requirement for school year 2018-19 applies to all students in grades 7-12
  • Tdap requirement for school year 2018-19 applies to all students in grades 7-12
  • If two live virus vaccines (MMR, Varicella, MMRV, Intra-nasal Influenza) are not administered on the same day, they must be separated by at least 28 days (there is no 4 day grace period for live virus vaccines). If they are not separated by at least 28 days, the vaccine administered second must be repeated.
  • Lab confirmation of immunity is only acceptable for Hep A, Hep B, Measles, Mumps, Rubella, and Varicella.
  • Verification of varicella disease: Confirmation in writing by a MD, PA, or APRN that the child has a previous history of disease, based on family or medical history.
  • For the full legal requirements for school entry visit Immunization Laws and Regulations 
  • If you are unsure if a child is in compliance, please call the Immunization Program at (860) 509-7929.

New Entrant Definition:

New entrants are any students who are new to the school district, including all preschoolers and all students coming in from Connecticut private, parochial and charter schools located in the same or another community. All pre-schoolers, as well as all students entering kindergarten, including those repeating kindergarten, and those moving from any public or private pre-school program, even in the same school district, are considered new entrants. The one exception is students returning from private approved special education placements–they are not considered new entrants. 

Commonly Administered Vaccines:

Vaccine Brand name
DTaP-IPV-Hib Pentacel
DTaP-HIB TriHibit
HIB-Hep B Comvax
DTaP-IPV-Hep B Pediarix
Hepatitis A Havrix, Vaqta
MMRV ProQuad
PCV7 Prevnar
PCV13 Prevnar 13
DTaP-IPV Kinrix
Influenza Fluzone, FluMist, Fluviron, Fluarix, FluLaval