Ariz. Admin. Code § R9-6-702 – Required Immunizations for Child Care or School Entry

1. Diphtheria;
2. Tetanus;
3. Pertussis;
4. Hepatitis A, for a child 1 through 5 years of age in child care in Maricopa County;
5. Hepatitis B;
6. Poliomyelitis;
7. Measles (rubeola);
8. Mumps;
9. Rubella (German Measles);
10. Haemophilus influenzae type b, for a child two months through 59 months of age;
11. Varicella; and
12. Meningococcal disease.
A. Vaccine Doses Required for Child Care Attendance
Vaccine
Against
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
Against
A. If a child does not meet the applicable requirements in Table 7.1, the child is required to have the first dose of vaccine for each of the diseases indicated in R9-6-702 before school entry or no later than 15 calendar days after child care entry.
B. If a child does not meet the applicable requirements in Table 7.1, the child is required to have the second and subsequent doses of vaccine for each of the diseases indicated in R9-6-702 either:
1. 1. Before school entry or no later than 15 calendar days after child care entry, or
2. 2. At the intervals specified below.

Except as provided in R9-6-706, documentary proof of immunization, according to Table 7.1 or Table 7.2, for each of the following diseases is required for child care or school entry:

Table 7.1. Immunization Requirements for Child Care or School Entry

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
VAR	=	Varicella vaccine
Kindergarten	=	The grade level in a school that precedes first grade

↓	Age →	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 influenzae* 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 VAR
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.

↓	Age →	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.

Historical Note

Table 7.1 made by final expedited rulemaking at 24 A.A.R. 2682, effective September 4, 2018 (Supp. 18-3).

Table 7.2. Immunization Schedule for a Child Who Has Not Completed the Vaccine Series Required in Table 7.1 before Entry into a Child Care or School

Intervals between Doses

Vaccine

Against

↓	Dose →	2nd Dose	3rd Dose	4th Dose	5th Dose
Diphtheria, Tetanus, Pertussis

Child < 7 years of age

(DTP or a combination of DTP and DTaP)

No sooner than four weeks after the first dose

No sooner than four weeks after the second dose

No sooner than six months after the third dose

No sooner than six months after the fourth dose, if the fourth dose was received at < 4 years of age

Child 7 through 10 years of age

(Tetanus-diphtheria containing vaccines)

No sooner than four weeks after the first dose

No sooner than six months after the second dose

No sooner than six months after the third dose, if the first dose was received at < 12 months of age

---

Child > 10 years of age

(Tetanus-diphtheria containing vaccine, including one Tdap)	No sooner than four weeks after the first dose	No sooner than six months after the second dose	No sooner than six months after the third dose, if the first dose was received at < 12 months of age	---
Poliomyelitis
Child < 4 years of age	No sooner than four weeks after the first dose	No sooner than four weeks after the second dose	No sooner than six months after the third dose, if the third dose was received at < 4 years of age	---
Child between 4 and 18 years of age	No sooner than four weeks after the first dose	No sooner than six months after the second dose	No sooner than six months after the third dose, if the third dose was received at < 4 years of age	---
Measles, Mumps, Rubella
Child 4 years of age or older	No sooner than one month after the first dose	---	---	---
*Haemophilus influenzae* type b
Child 7-11 months of age	No sooner than two months after the first dose	---	---	---
Child 12-14 months of age	No sooner than two months after the first dose	No sooner than two months after the second dose if the first or second dose was received at < 12 months of age	---	---
Child 15-59 months of age	--- (A child 15 through 59 months of age is required to have one dose of vaccine.)	---	---	---
Hepatitis B	No sooner than four weeks after the first dose (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.)	No sooner than four months after the first dose and two months after the second dose for a child ≥ 24 weeks of age who did not receive the adolescent series.	---	---

Hepatitis A

(Maricopa County only)

No sooner than six months after the first dose

---

Varicella

(A child 12 months through 12 years of age is required to have one dose of vaccine.)

No sooner than one month after the first dose for a child 13 years of age or older

---

Historical Note

Table 7.2 made by final expedited rulemaking at 24 A.A.R. 2682, effective September 4, 2018 (Supp. 18-3).

Historical Note

Former Section R9-6-115, Paragraph (1), renumbered and amended as R9-6-702 effective January 28, 1987 (Supp. 87-1). Former Section R9-6-702 renumbered to Section R9-6-302, new Section R9-6-702 renumbered from R9-6-502 and amended effective October 19, 1993 (Supp. 93-4). Former Section R9-6-702 renumbered to R9-6-703; new Section R9-6-702 renumbered from R9-6-701 and amended by final rulemaking at 8 A.A.R. 4274, effective September 16, 2002 (Supp. 02-3). Amended by final rulemaking at 11 A.A.R. 2283, effective June 7, 2005 (Supp. 05-2). Amended by final rulemaking at 13 A.A.R. 4106, effective January 5, 2008 (Supp. 07-4). Amended by final expedited rulemaking at 24 A.A.R. 2682, effective September 4, 2018 (Supp. 18-3).