• Everyone needs vaccinations!

  • Everyone needs vaccinations

  • Everyone needs vaccinations

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2016-2017 Missouri School Immunization Requirements

  • All students must present documentation of up-to-date immunization status, including month, day and year of each immunization before attending school.
  • The advisory Committee on immunization Practices allows a 4-day grace period. Students in all grade levels may receive immunizations up to four days before the due date.
  • For children beginning kindergarten during or after the 2003-04 school year, required immunizations should be administered according to the current Advisory Committee on Immunization Practices Schedule, including all spacing, (http://www.cdc.gov/vaccines/schedules/index.html).
  • To remain in school, students "in progress" must have an Immunization In Progress form (Imm.P.14), which includes the appointment date for needed immunizations, on file and must receive immunizations as soon as they become due. The student is in compliance as long as he/she continues to receive the appropriate immunization(s) at the correct intervals according to the ACIP recommendations.
  • In progress means that a child has begun the vaccine series and has an appointment for the next dose. This appointment must be kept and an updated record provided to the school. If the appointment is not kept, the child is no longer in progress and is non-compliant. (i.e., Hep B vaccine series was started but the child is not yet eligible to receive the next dose in the series.)
  • Religious (Imm.P.11A) and Medical (Imm.P.12) exemptions are allowed. The appropriate exemption card must be on file. Unimmunized children are subject to exclusion from school when outbreaks of vaccine-preventable diseases occur.


  1. Last dose on or after the fourth birthday and the last dose of pediatric pertussis before the seventh birthday. Maximum needed: six doses.
  2. 8-12 Grades: Tdap, which contains pertussis vaccine, is required. If a student received a Tdap, the student is up-to-date. Tdap is currently licensed for one dose only; an additional dose is not needed.
  3. Grade 8: One dose of MCV is required. Grade 12: Two doses of MCV is required unless the first dose was administered to a student who was 16 years of age or older, in which case only one dose is required.
  4. Kindergarten-6 Grade: Last dose must be administered on or after the fourth birthday. The interval between the next-to-last and last dose should be at least six month.
  5. 7-12 Grades: Last dose on or after the fourth birthday. If all four doses are administered appropriately and received prior to the fourth birthday, an additional does is not needed. Any combination of four doses of IPV and OPV by four-six years of age constitutes a complete series. Maximum needed: four doses.
  6. First dose must be given on or after twelve month of age.
  7. First dose must be given on or after twelve months of age.
  8. Kindergarten-6 Grade: As satisfactory evidence of disease, a licensed health care provider may sign and place on file with the school a written statement documenting the month and year of previous varicella (chickenpox) disease.
  9. 7-11 Grades: As satisfactory evidence of disease, a parent/guardian or MD or DO may sign and place on file with the school a written statement documenting the month and year of previous varicella (chickenpox) disease.

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School Immunization Requirements for 2016-17

School Immunization Requirement for 2016-17


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Public Health Registered Nurse

Nicole Ackley


Vaccine FAQs

  • What are vaccinations? +

    Vaccinations (vaccines) protect your child against serious diseases by stimulating the immune system to create antibodies against certain bacteria or viruses. Most vaccinations are given as injections.
  • What diseases do vaccines protect against? +

    Vaccines protect against diseases like measles, mumps, rubella, influenza, hepatitis B, hepatitis A, polio, tetanus, whooping cough, chickenpox, rotavirus, and more. Vaccines can’t protect children from minor illnesses like colds, but they can keep children safe from many serious diseases.
  • Are vaccinations safe? +

    Vaccines are safe, and scientists continually work to make sure they become even safer. Every vaccine undergoes many tests before being licensed, and its safety continues to be monitored as long as the vaccine is in use. Most side effects from vaccination are minor, such as soreness where the injection was given or a low-grade fever. These side effects do not last long and are treatable. Serious reactions are very rare. The tiny risk of a serious vaccine reaction has to be weighed against the very real risk of getting a dangerous vaccine-preventable disease. If you have concerns or questions, talk to your child’s healthcare provider.
  • How do I know when to take my baby in for shots? +

    Your healthcare provider should give you a reminder when the next doses are due. If you are not sure, call your clinic or health- care provider’s office to find out when you should bring your child back. Doses cannot be given too close together or immunity doesn’t have time to build up. On the other hand, you don’t want to delay your child’s shots and get behind schedule because during this time, your child remains unprotected against these diseases.
  • What if my baby has a cold or fever, or is taking antibiotics? Can he or she still get vaccinated? +

    Yes. Your child can still be vaccinated if he or she has a mild illness, a low-grade fever, or is taking antibiotics. Ask your child’s healthcare provider if you have questions. How many times do I need to bring my baby in for vaccinations? At least five visits are needed before age two, but the visits can be timed to coincide with well-child check-ups. Your baby should get the first vaccine (hepatitis B) shortly after birth, while still in the hospital. Multiple visits during the first two years are necessary because there are 14 diseases your baby can be protected against, and most require several doses of vaccine for the best protection.
  • What if I miss an appointment? Does my baby have to start the vaccines all over again? +

    No. If your baby misses some doses, it’s not necessary to start over. Your provider will continue from where he or she left off.
  • How do I keep track of my baby’s shots? +

    Your healthcare provider should give you a personal record card for your child’s vaccinations. If you don’t receive one, ask! Bring the card to all medical appointments. Whenever your child receives a vaccine, make sure the card gets updated. Your child will benefit by retaining an accurate vaccination record throughout his or her life. What if my child isn’t a baby anymore? Is it too late to get him or her vaccinated? No. Although it’s best to have your child be¬gin vaccinations as a newborn, it’s never too late to start. If your child has not received any, or all, of his or her vaccinations, now is the best time to start.
  • What if I can’t afford to get my child vaccinated? +

    Vaccinations are usually free or low cost for children when families can’t afford them. You can call the CDC-INFO Contact Center at (800) 232-4636 or your local health department to find out where to go for affordable vaccinations. Your child’s health depends on it!
  • Isn’t all this talk about diseases just a way to scare parents so they’ll bring their babies in for shots? +

    No. These diseases can injure and kill children in the United States. For example, pertussis is a dangerous disease for infants. During 1997–2000, nearly 30,000 pertussis cases were reported; 62 resulted in death. In 2003 alone, 11,647 cases and 18 deaths from pertussis were reported. Influenza also takes a toll on children. During the 2003–04 influenza season, 40 states reported 152 influenza-related deaths among children younger than 18 years of age.
  • I don’t know anybody who has had measles or rubella. Why does my baby need these shots? +

    You might not think that measles and rubella are a threat today because you don’t see or hear much about them, but they are still around. These diseases are common in other parts of the world and are just a plane ride away. If we stop vaccinating against these diseases, many more people will become infected. Vaccinating your child will keep him or her safe.
  • Isn’t there some way besides vaccination to protect my baby against these diseases? +

    No. Breastfeeding offers temporary immunity against some minor infections like colds, but it is not an effective means of protecting a child from the specific diseases preventable by vaccines. Likewise, vitamins don’t protect against the specific bacteria and viruses that cause these serious diseases. Of course, infection usually results in immunity, and some parents think that getting the “natural” disease is preferable to “artificial” vaccination. Some even arrange chickenpox “parties” to ensure their child is infected. However, the price paid for natural disease can include paralysis, retardation, liver cancer, deafness, blindness, or even death. Vaccination is definitely a better choice!
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