Ariz. Admin. Code § tit. 9, ch. 6, art. 7, tbl. 7.1

Current through Register Vol. 30, No. 45, November 8, 2024

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

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.

Ariz. Admin. Code tit. 9, ch. 6, art. 7, tbl. 7.1

New Table by final expedited rulemaking at 24 A.A.R. 2682, effective 9/4/2018.