6 CAR § 520-601 – Table I—Immunization requirements for child care and early childhood education facilities

Instructions for utilizing Table I: Table I is not a recommendation of vaccines to get, but of doses required to already have at that age. To determine what vaccines are required for a child to attend a licensed child care facility, refer to Column 1 on the left to see what age range is correct for the child. Then all the vaccines on the same row as the child’s age are required for attendance in a licensed child care facility. Vaccines are required based on the current age of the child. Column 1 is not an age range for when a child can be vaccinated.

Column 1	Column 2	Column 3	Column 4	Column 5	Column 6	Column 7	Column 8	Column 9
Current AGE of child	DTaPDTP/DT	POLIO	Hib**	HEPATITIS B	MMR****	VARICELLA****	PNEUMOCOCCAL**	HEPATITIS A
1-2Months	None	None	None	None (1-2 doses possible)	None	None	None
3-4Months	1 dose	1 dose	1 dose	1 dose(1-2 doses possible)	None	None	1 dose
5-6Months	2 dosesOR1 dose within last 8 weeks	2 dosesOR1 dose within last 8 weeks	2 dosesOR1 dose within last 8 weeks	2 dosesOR1 dose within last8 weeks	None	None	2 dosesOR1 dose within last8 weeks
7-12Months	3 dosesOR 1 dose within last 8 weeks	2 dosesOR 1 dose within last 8 weeks(3 doses possible)	2-3 dosesOR1 dose within last 8 weeks	2 dosesOR1 dose within last 8 weeks (3 doses possible)	None	None	2-3 dosesOR1 dose within last 8 weeks
13-15 Months	3 dosesOR1 dose within last 8 weeks	2 dosesOR1 dose within last 8 weeks(3 doses possible)	2-3 dosesOR1 dose within last 8 weeks(4 doses possible)	2 dosesOR1 dose within last 8 weeks(3 doses possible)	None(1 dose possible)	None(1 dose possible. A medical professional history of disease may be accepted in lieu of receiving vaccine.)	2-3 dosesOR1 dose within last 8 weeks(4 doses possible)
16-18Months	3 dosesor1 dose within last 8 weeks	2 dosesor1 dose within last 8 weeks(3 doses possible)	3-4 doses with last dose on/after 1^st birthdayOR2 doses if first dose is administered at age 12 - 14 months and doses are at least 8 weeks apart OR1 dose on/after 15 months of age if no prior doses	2 doses OR 1 dose within the last 8 weeks (3 doses possible)	1 dose	1 doseA medical professional history of disease may be accepted in lieu of receiving vaccine..	3-4 doseswith last dose must be on/after1st birthdayOR2 doses on/after 1^st birthday
19-48 months	4 doses OR 3rd dose within last 6 months OR 1 dose within last 8 weeks	3 dosesOR1 dose within last 8 weeks	3-4 doses with last dose on/after 1^st birthday OR2 doses if first dose is administered at age 12 - 14 months and doses are at least 8 weeks apart OR1 dose on/after 15 months of age if no prior doses	3 doses ***OR1 dose within last 8 weeks	1 dose	1 dose A medical professional history of disease may be accepted in lieu of receiving vaccine.	3-4 doseswith last dose must be on/after1st birthdayOR1 dose on/after 24 months of age if no prior dosesOR2 doses on/after 1^st birthday	For 19-24 months: 1 dose on or after first birthday(2 doses possible)For 25-48 months: 2 doses with one dose on or after 1st birthday and at least 6 months from first dose
≥49months	5 doses * OR4^th dose within last 6 monthsOR1 dose within last 8 weeksOR 4 doses with last dose on/after 4^thbirthday	4 doseswith a minimum interval of 6 months between the 3^rd and 4^th dose OR1 dose within last 8 weeks	3-4 doses with last dose on/after 1^st birthdayOR2 doses if first dose is administered at age 12 - 14 months and doses are at least 8 weeks apart OR1 dose on/after 15 months of age if no prior dosesNot required on/after 5^th birthday	3 doses ***OR1 dose within the last 8 weeks	1 dose	1 doseA medical professional history of disease may be accepted in lieu of receiving vaccine.	3-4 doseswith last dose on/after 1^st birthdayOR1 dose on/after 24 months of age if no prior dosesOR2 doses on/after 1^st birthdayNot required on/after 5^th birthday	2 doses with one dose on or after 1st birthday and at least 6 months from first dose

*5th DTaP/DTP/DT (Pre-school dose) must be given on/after the child's 4th birthday. Interval between 4th DTaP/DTP/DT and 5th DTaP/DTP/DT should be at least 6 months. If a child is currently ≥49 months of age and does not meet the above criteria or is in process within 15 days, they are not up-to-date and should be scheduled for immunization.

** For Hib and Pneumococcal, children receiving the first dose of vaccine at age 7 months or older require fewer doses to complete the series.

*** 3^rd dose of hepatitis B should be given at least 8 weeks after the 2^nd dose, at least 16 weeks after the 1^st dose, and it should not be administered before the child is 24 weeks of age.

**** Vaccine doses administered up to 4 days before the minimum interval or minimum age can be counted as valid for doses already administered. Exception: The minimum interval between doses of live vaccines (such as MMR and Varicella) must be 28 days.

*****A medical professional is a medical doctor (MD), advanced practice nurse (APN), doctor of osteopathy (DO), or physician assistant (PA). No self or parental history of disease will be accepted.