Kindergarten through twelfth grade: All students must adhere to the state of Virginia’s Minimum Immunization Requirements for Entry into School:
Documentary proof shall be provided of adequate age appropriate immunization with the prescribed number of doses of vaccine indicated below for attendance at a public or private elementary, middle or secondary school, child care center, nursery school, family day care home or developmental center. Vaccines must be administered in accordance with the harmonized schedule of the Centers for Disease Control and Prevention, American Academy of Pediatrics, and American Academy of Family Physicians and must be administered within spacing and age requirements.
Diphtheria, Tetanus, & Pertussis (DTaP, DTP, or Tdap) - A minimum of 4 doses. A child must have at least one dose of DTaP or DTP vaccine on or after the fourth birthday. If the child has received six doses of DTaP or DTP before the fourth birthday, additional doses are contraindicated. DT (Diphtheria, Tetanus) vaccine is required for children who are medically exempt from the pertussis containing vaccine (DTaP or DTP). Adult Td is required for children 7 years of age and older who do not meet the minimum requirements for tetanus and diphtheria. Effective July 1, 2006, a booster dose of Tdap vaccine is required for all children entering the 6th grade, if at least five years have passed since the last dose of tetanus-containing vaccine. This immunization is also required for new students grades 7th through 11th.
Haemophilus Influenzae Type b (Hib) Vaccine - This vaccine is required ONLY for children up to 60 months of age. A primary series consists of either 2 or 3 doses (depending on the manufacturer) followed by a booster dose at age 12-15 months. However, the child’s current age and not the number of prior doses received govern the number of doses required. Unvaccinated children between the ages of 15 and 60 months are only required to have one dose of vaccine.
Hepatitis B Vaccine - A complete series of 3 doses of hepatitis B vaccine is required for all children born on and after January I, 1994. However, the FDA has approved a 2-dose schedule ONLY for adolescents 11-15 years of age AND ONLY when the Merck Brand (RECOMBIVAX HB) Adult Formulation Hepatitis B Vaccine issued. The 2 RECOMBIVAX HB Adult doses must be separated by a minimum of 4 months. If the 3-dose hepatitis B vaccine schedule is used, there should be at least 1 month spacing between the 1st and 2nd doses and 4 months spacing between the 1st and 3rd doses.
Measles, Mumps, & Rubella (MMR) Vaccine - Measles, Mumps, & Rubella (MMR) Vaccine - A minimum of 2 measles, 2 mumps, and 1 rubella. (Most children receive 2 doses of each because the vaccine usually administered is the combination vaccine MMR). First dose must be administered at age 12 months or older. Second dose of vaccine must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose 1 and dose 2.
Pneumococcal (PCV) Vaccine - Two to four doses, dependent on age at first dose, of pneumococcal 7-valent conjugate vaccine for children less than two years of age.
Polio Vaccine - A minimum of 4 doses of polio vaccine is required. One dose must be administered on or after the fourth birthday.
Varicella (Chickenpox) Vaccine - Varicella (Chickenpox) Vaccine - All susceptible children born on and after January 1, 1997, shall be required to have one dose of chickenpox vaccine administered at age 12 months or older. Effective March 3, 2010, a second dose must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose 1 and dose 2.
Human Papillomavirus (HPV) - State legislation requiring the HPV vaccine for female students entering the sixth grade will go into effect on October 1, 2008. The first dose shall be administered before the child enters sixth grade (Code of Virginia §32.1-46, subdivision 12). After reviewing educational material approved by the Board of Health, the parent or guardian at the parent’s or guardian’s sole discretion, may elect for the child not to receive the HPV vaccine. The letter went home with all 5th grade girls in the spring. A copy of the letter can be found here (add link).
Vaccines must be administered in accordance with the harmonized schedule of the Centers for Disease Control and Prevention, American Academy of Pediatrics, and American Academy of Family Physicians and must be administered within spacing and age requirements.