Missouri School Immunization Requirements 2009-2010 All students must present documentation of month, day, and year of each immunization before they attend school. All immunizations must be up-to-date before students are permitted to attend classes. The Advisory Committee on Immunization Practices (ACIP) allows a 4-day grace period, so students in all grade levels may receive immunizations up to 4 days before they are due. For children beginning kindergarten during or after the 2003-04 school year, required immunizations should be administered according to the current ACIP Schedule (httpa/
www.cdc.gov/vaccines/recs/scheduleslchild-schedule.htm). To remain in school, students "in progress" must have an Imm.P.14 form on file and must receive immunizations as soon as they become due. Religious (Imm.P.11A) and medical (Imm.P.12) exemptions are allowed. The appropriate exemption card must be on file.
Grades
Immunizations
4+ DTaP/DTP/DT/Td'
3+ hepatitis B
K-4
3+ poli02
1 varicella (chickenpox) or proof of
2 MMR (measles, mumps,
3
rubella) disease
4+ DTaP/DTP/DT/Td'
2 MMR (measles, mumps, rubella)
5-6
3+ poli02
3+ hepatitis B
4 DTaP/DTP/DT/Td'.4
2 measles, 1 mumps, 1 rubella,
7-10
3+ poli02
3+ hepatitis B5
3+ DTaP/DTP/DT/Td"
2 measles, 1 mumps, 1 rubella,
11-12
3+ poli02
3+ hepatitis 135
1. Last dose on or after fourth (4th) birthday and last dose of pediatric pertussis before seventh (7th) birthday. Maximum needed: six (6) doses. 2. Last dose on or after fourth (4th) birthday. If a combination of IPV/OPV is received, four (4) doses are required. Maximum needed: four (4) doses. 3. A statement signed by parent/guardian or physician indicating the month and year the child had chickenpox disease. 4. The ACIP and the Missouri Department of Health and Senior Services recommend Tdap, which contains pertussis vaccine, at age 11-12 years for those who have completed the recommended childhood DTP/DTaP vaccination series and have not received a Td booster dose. However, pertussis vaccine is not required for adolescents for school attendance at this time. A Td booster is required ten (10) years after the last dose of DTaP, DTP, DT, or Td. 5. Students who are 11-15 years of age may receive two doses adult formulation Merck Recombivax Hepatitis B vaccine on the following schedule:
Dose 1, initial visit
Dose 2, 4-6 months after Dose 1
Bureau of Immunization Assessment and Assurance (573) 751-6124 (866) 628-9891
