Immunization Information

The Tennessee Department of Health (TDOH) has issued new immunization rules and is issuing a new Official Certificate that is required for entry into school effective July 1, 2010. All newly required vaccines are routinely recommended for all children. Most children should have already received them. Below is a summary of the required immunizations for Dickson County Students.

For more information go to the Tennessee Department of Health.

 CHILDREN WITH EXEMPTIONS

Medical: Healthcare provider must indicate which specific vaccines are medically exempted (because of risk of harm) on the new form. Other vaccines remain required.

Religious: Requires only a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. If documentation of a health examination is required, it must be noted by the health care provider on the immunization certificate. In that case, the provider may explain the absence of immunization information by checking that the parent has obtained a religious exemption.


THE IMMUNIZATION LAW SPECIFIES THE FOLLOWING:

 PRE-K

Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)

Hepatitis B (HBV)

Poliomyelitis (IPV or OPV)

Haemophilus influenzae type B (Hib): age younger than 5 years only (this requirement is resumed following suspension during a national Hib vaccine shortage 2008-2009)

Pneumococcal conjugate vaccine (PCV): age younger than 5 years only

Measles, Mumps, Rubella (MMR) 1 dose of each, usually given together as MMR

Varicella (Chicken Pox) 1 dose or history of disease

Hepatitis A (1 dose by 18 months of age)



 KINDERGARTEN 

DTP-DTaP-DT-DTP/hib-Td
4 doses, one of which was given on or after the fourth birthday. If age seven or older three doses are required.

Poliomyelitis (OPV/IPV)
4 doses of OPV or IPV. Final dose on or after the 4th birthday now required.

MMR (Measles, Mumps, Rubella)
2 doses must be given on or after the first birthday, for entrance into grades K, 4, 8, 
and 12. A second dose of MMR is required and should be administered at least 30 days following the first dose.

Chickenpox (Varicella) 2 doses or history of disease: previously only one dose was required.

HEPATITIS B (HBV)
3 doses, for entrance into kindergarten. Proof of immunity to Hepatitis B is mandatory for entrance into the 7th 
grade.

HEPATITIS A
2 doses: effective July 1, 2011



 7th GRADE 

Tetanus-diphtheria-pertussis booster (“Tdap”) – not required if a Td booster dose given less than 5 years before 7th grade entry is recorded on the DTaP/Td line (no later than October 1, 2010)
Verification of immunity to varicella – 2 doses or history of disease (July 1, 2010)