Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 6 - DEPARTMENT OF HEALTH SERVICE - COMMUNICABLE DISEASES AND INFESTATIONS › Article 7 - REQUIRED IMMUNIZATIONS FOR CHILD CARE OR SCHOOL ENTRY › Table 7.1 - Immunization Requirements for Child Care or School Entry

Current through Register Vol. 30, No. 28, July 12, 2024
Key:
DTaP= Diphtheria, tetanus, and acellular pertussis
				  vaccine
DTP= Diphtheria, tetanus, and pertussis vaccine
Hep A= Hepatitis A vaccine
Hep B= Hepatitis B vaccine
Hib =
Haemophilus influenzae
type b
				  vaccine
MMR = Measles, mumps, and rubella vaccine
MCV4= Quadrivalent meningococcal vaccine
Polio= Inactivated poliomyelitis vaccine (IPV) or trivalent
				  oral poliomyelitis vaccine (tOPV)
Td = Tetanus and diphtheria vaccine
Tdap= Tetanus, diphtheria, and acellular pertussis
				  vaccine
VA R = Varicella vaccine Kindergarten = The grade level in a
				  school that precedes first grade
A.
				Vaccine Doses Required for Child Care Attendance
Vaccine Age [RIGHT ARROW]
Against [DOWN ARROW]
2 months
4 months
6 months
12 months
15 months
18 months
19-59 months
Diphtheria, Tetanus, Pertussis
DTaP 1
DTaP 2
DTaP 3
---
DTaP 4
---
Documented 4 DTaP
Hepatitis B
Hep B 1
Hep B 2
---
Hep B 3
---
---
Documented 3 Hep B
Haemophilus influen-zae
type
							 b
Hib 1
Hib 2
Hib 31
---
Hib 3 or
							 41
---
Documented 3-4 Hib, as specified in Note
							 3
Poliomyelitis
Polio
							 12
Polio
							 22
---
Polio
							 32
---
---
Documented 3 Polio
Measles, Mumps, Rubella
---
---
---
MMR 1
---
---
Documented 1 MMR
Varicella
---
---
---
VAR 1
---
---
Documented 1 VA R
Hepatitis A
(Maricopa County
							 only)
---
---
---
Hep A 1
---
Hep A 2
Documented 2 Hep A
1 The recommended schedule for a
				  four-dose Hib vaccine is two, four, and six months of age with a booster dose
				  at 12-15 months of age. The recommended schedule for a three-dose Hib vaccine
				  is two and four months of age with a booster dose at 12 -15 months of
				  age.
2 Bivalent and monovalent oral
				  poliomyelitis vaccines do not meet these immunization requirements. An oral
				  poliomyelitis vaccine received before April 2016 is assumed to be trivalent
				  oral poliomyelitis vaccine, unless otherwise specified, and to satisfy
				  immunization requirements.
B. Vaccine Doses Required for School
				Attendance. A child at any age within the range designated by the black bar is
				required to have documentation of the indicated number of doses of the
				specified vaccine.
Vaccine Age [RIGHT ARROW]
Against [DOWN ARROW]
4 - 6 years and attendance in Kindergarten or
							 1st grade
7 - 10 years
11 years or older
Diphtheria, Tetanus, Pertussis
4 to 6
							 DTP/DTaP1
3 or 4 tetanus-diphtheria containing
							 vaccines2
3 to 5 tetanus-diphtheria-containing vaccines,
							 including 1 Tdap2,
															3
Meningococcal invasive disease
---
---
1 MCV4
Hepatitis B
3 to 4 Hep
							 B4
2 to 4 Hep B4,
															5
Poliomyelitis
3 or 4
							 Polio6
Measles, Mumps, Rubella
2 MMR
Varicella zoster
1-2
							 VAR7
1 Only four
				doses of DTP/DTaP are required if the fourth dose of DTP/DTaP was received
				after the child's fourth birthday; otherwise an additional dose is required
				after the child's fourth birthday, up to a maximum of six doses.
2 Only three doses of
				tetanus-diphtheria-containing vaccine are required if the first dose of
				tetanus-diphtheria-containing vaccine was received on or after the child's
				first birthday; otherwise four are required.
3 One dose of Tdap is required if five years
				have passed since the date of the child's last dose of
				tetanus-diphtheria-containing vaccine and the child has not received Tdap. At
				least one dose of a tetanus-diphtheria-containing vaccine is required to have
				been administered within the previous 10 years.
4 Only three doses are required if the third
				dose was received at or after the child was 24 weeks of age; otherwise four are
				required.
5 Only two doses, at least
				four months apart, are required if the child received the adolescent series
				using the Merck Recombivax HB Adult Formulation vaccine when the child was
				11-15 years of age.
6 Bivalent and
				monovalent oral poliomyelitis vaccines do not meet these immunization
				requirements. An oral poliomyelitis vaccine received before April 2016 is
				assumed to be trivalent oral poliomyelitis vaccine, unless otherwise specified,
				and to satisfy immunization requirements. Only three doses are required if the
				third dose was received after the child's fourth birthday and at least six
				months after the second dose; otherwise four doses are required, with the last
				received after the child's fourth birthday. Poliomyelitis vaccine is not
				required for individuals 18 years of age or older.
7 One dose is required if received by a child
				between 12 months and 12 years of age. A child who received a first dose of VAR
				at 13 years of age or older is required to receive a second dose if at least
				four weeks have passed since the date of the first
				dose.