Immunizations

Immunization Requirements 2024-2025 School Year for Middle School Students:

 3 doses of DTP, DTaP, DT, Td, Tdap with one on/after 4th birthday, AND 1 dose of Tdap is required within the last 5 years for 7th graders or 10 years for 8th. Td is acceptable in lieu of Tdap, if a contraindication to pertussis exists and documented.

3 doses of Polio, with 1 dose on/after 4th birthday 

2 doses of Measles, Mumps, Rubella, with one on/after the 1st birthday

2 doses of Hepatitis A, on or after the 1st birthday

3 doses of Hepatitis B  

2 doses of Varicella,  on/after 1st birthday (if the child has NOT had chickenpox disease)

1 dose of Meningococcal, after 11 years old. If received prior to 11, then a booster should be given after 5 years from the first dose.


This chart summarizes the vaccine requirements in Title 25 Health Services, §§ 97.61-97.72 of the Texas Administrative Code. This chart is not intended as a substitute for consulting the Texas Administrative code, which has other provisions and details. http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=5&ti=25&pt=1&ch=97&sch=B&rl=Y

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1.  Serologic confirmation of immunity to Measles, Mumps, Rubella, Hepatitis B, Hepatitis A, or Varicella or serologic evidence of infection is acceptable in place of vaccine.

2. Other schedules may apply.

3. Two doses of Varicella are required. Previous chickenpox 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.

4. Polio vaccine is not required for students 18 years or older.

DSHS Region 7                                                                                                                                                                              S:\IMM\AUDITNEW\SchoolRequirements                                                                                                                                                                                            

 NOTE: This Reference Guide is subject to change depending on immunization requirement changes made by DSHS after the revision date.