Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 144 - Immunization Of Students › Section DHS 144.03 - Minimum immunization requirements

Current through June 24, 2024
(1)
				INDIVIDUALS INCLUDED. The minimum immunization requirements authorized by s.
				252.04, Stats., and required under this chapter, apply to any student admitted
				to a Wisconsin elementary, middle, junior or senior high school, or to a
				Wisconsin child care center.
(2)
				REQUIREMENTS FOR THE 2021-2022 school year and for school years following the
				2021-2022 school year.
(a) Table  DHS 144.03 -A,
				as qualified by pars. (b) to (k), lists the number of doses of each required
				vaccine that each student in the 2021-2022 school year and following school
				years shall have received since birth for the age or grade of the student.
				These comprise the minimum immunizations required under s. 252.04 (2), Stats.
				They do not, however, represent all the recommended immunizations according to
				currently accepted immunization schedules.
Note:
CR 19-079 did not take effect until
				  February 1, 2023, and the rule was therefore not in effect for the 2021-22 or
				  2022-23 school years.
(b)
				Immunization against measles, mumps, and rubella shall be received no sooner
				than 4 days before the student's first birthday. A second dose of MMR shall be
				received no sooner than 4 weeks after the first dose.
Table 144.03-A
Required Immunizations for the
							 2021-2022 School Year and the Following School Years
Age/Grade
Required Immunizations (Number
							 of Doses)
5 months through 15 months
2 DTP/DTaP/DT
2 Polio
2 Hep B
2 Hib
2 PCV
16 months through 23 months
3 DTP/DTaP/DT
2 Polio
1 MMR
2 Hep B
3 Hib
3 PCV
2 years through 4 years
4 DTP/DTaP/DT
3 Polio
1 MMR
1 Var
3 Hep B
3 Hib
3 PCV
Kindergarten through grade 6
4 DTP/DTaP/DT
4 Polio
2 MMR
2 Var
3 Hep B
Grade 7 through grade 11
4 DTP/DTaP/DT
1 Tdap
4 Polio
2 MMR
2 Var
3 Hep B
1 Mening
Grade 12
4 DTP/DTaP/DT
1 Tdap
4 Polio
2 MMR
2 Var
3 Hep B
2 Mening
Note:
CR 19-079 did not take effect until
				  February 1, 2023, and the rule was therefore not in effect for the 2021-22 or
				  2022-23 school years.
(c)
				The fourth dose of polio vaccine shall be received no sooner than 4 days before
				the student's fourth birthday. A student receiving a third dose of polio
				vaccine after the student's fourth birthday is not required to receive
				additional doses. No further doses of polio vaccine are required if the student
				has not met minimum polio vaccine requirements by the eighteenth
				birthday.
(d) The fourth or fifth
				dose of DTP/DT/DTaP/Td/Tdap shall be received no sooner than 4 days before the
				student's fourth birthday. Students receiving a third dose of
				DTP/DT/DTaP/Td/Tdap after the fourth birthday are not required to receive
				additional doses.
(e) For students
				age 5 years or older who attend a school that does not use grades, the
				immunization requirements are those for the grade which would normally
				correspond to the individual's age. Immunizations are required for all students
				age 19 years or older, as prescribed for Grade 12 in table  DHS 144.03 -A.
(f) Students who begin
				the Hib series at 12 to 14 months of age are only required to receive 2 doses
				of Hib, at least 2 months apart. Students who receive 1 dose of Hib 4 days
				before 15 months of age, or after, are not required to receive additional doses
				of Hib.
(g) The first dose of Var
				shall be received no sooner than 4 days before the first birthday. A second
				dose of Var shall be received no sooner than 4 weeks after the first dose.
				Students who have a reliable history of varicella disease are not required to
				receive Var. A physician, physician assistant, or an advanced practice nurse
				prescriber, must document a reliable history of varicella disease by indicating
				on the department's student immunization record form that the student has had
				varicella disease.
Note:
The student immunization record form (DHS
				  Form 04020L) is available by accessing:
https://www.dhs.wisconsin.gov/library/F-04020L.htm
.
(h) Students between the ages of 11 and 15
				years who receive 2 doses of a 2 dose formulation of Hep B are not required to
				receive a third dose of Hep B.
(i)
				Students who begin the PCV series at 12 to 23 months of age are only required
				to receive 2 doses of PCV at least 2 months apart. Students who receive their
				first dose of PCV 4 days before their second birthday or after are not required
				to receive additional PCV doses.
(j) Students who receive a dose of Td or Tdap
				within 5 years of entering a grade for which Tdap is required are not required
				to receive additional doses of Tdap.
(k) A 2nd dose of mening shall be received
				between the ages of 16 and 18 years to students who received a first dose of
				mening between the ages of 11 and 15 years. A second dose is not required for
				students who received their first dose of mening at age 16 years or
				older.