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Required Immunizations for Enrollment in Tennessee Schools

Children enrolling in child care facilities, pre-school, pre-Kindergarten?Infants entering child care facilities must be up to date at the time of enrollment and are required to provide an updated certificate after completing all of the required vaccines due by 18 months of age.
•    Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
•    Poliomyelitis (IPV or OPV)
•    Measles, Mumps, Rubella (1 dose of each, usually given together as MMR)
•    Varicella (1 dose or history of disease)
•    Haemophilus influenzae type B (Hib) – age younger than 5 years only (This requirement is resumed immediately, following suspension during a national Hib vaccine shortage 2008-2009)
•    Hepatitis B (HBV) (July 1, 2010)
•    Pneumococcal conjugate vaccine (PCV) – age younger than 5 years only (July 1, 2010)
•    Hepatitis A – 1 dose, required by 18 months of age or older (July 1, 2010)

Children enrolling in Kindergarten
•    Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
•    Hepatitis B (HBV)
•    Measles, Mumps, Rubella (2 doses of each, usually given together as MMR)
•    Poliomyelitis (IPV or OPV) – final dose on or after the 4th birthday now required
•    Varicella (2 doses or history of disease): previously only one dose was required (July 1, 2010)
•    Hepatitis A –total of 2 doses, spaced at least 6 months apart (July 1, 2011)
All children entering 7th grade (including currently enrolled students)
•    Tetanus-diphtheria-pertussis booster (“Tdap”) – not required if a Td booster dose given less than 5 years before 7th grade entry is recorded on the DTaP/Td line (no later than October 1, 2010)
•    Verification of immunity to varicella – 2 doses or history of disease       (July 1, 2010)

For more information about required immunizations, please consult the Tennessee Department of Health website at: