2024-25 School Year
New York State Immunization Requirements
for School Entrance/Attendance
1
NOTES:
All children must be age-appropriately immunized to attend school in New York State. The number of doses depends on the schedule
recommended by the Advisory Committee on Immunization Practices (ACIP). Intervals between doses of vaccine must be in accordance
with the “ACIP-Recommended Child and Adolescent Immunization Schedule.” Doses received before the minimum age or intervals are not
valid and do not count toward the number of doses listed below. See footnotes for specific information for each vaccine. Children who are
enrolling in grade-less classes must meet the immunization requirements of the grades for which they are age equivalent.
Dose requirements MUST be read with the footnotes of this schedule
Vaccines Pre-
Kindergarten
(Day Care,
Head Start,
Nursery or
Pre-K)
Kindergarten and Grades
1, 2, 3, 4 and 5
Grades
6, 7, 8, 9, 10
and 11
Grade
12
Diphtheria and Tetanus
toxoid-containing vaccine
and Pertussis vaccine
(DTaP/DTP/Tdap/Td)
2
4 doses
5 doses
or 4 doses
if the 4th dose was received
at 4 years or older or
3 doses
if 7 years or older and the series
was started at 1 year or older
3 doses
Tetanus and Diphtheria
toxoid-containing vaccine
and Pertussis vaccine
adolescent booster (Tdap)
3
Not applicable 1 dose
Polio vaccine (IPV/OPV)
4
3 doses
4 doses
or 3 doses
if the 3rd dose was received at 4 years or older
Measles, Mumps and
Rubella vaccine (MMR)
5
1 dose 2 doses
Hepatitis B vaccine
6
3 doses
3 doses
or 2 doses of adult hepatitis B vaccine (Recombivax) for children who received
the doses at least 4 months apart between the ages of 11 through 15 years
Varicella (Chickenpox)
vaccine
7
1 dose 2 doses
Meningococcal conjugate
vaccine (MenACWY)
8
Not applicable
Grades
7, 8, 9, 10
and 11:
1 dose
2 doses
or 1 dose
if the dose was
received at
16 years
or older
Haemophilus influenzae
type b conjugate
vaccine (Hib)
9
1 to 4 doses Not applicable
Pneumococcal Conjugate
vaccine (PCV)
10
1 to 4 doses Not applicable
For further information, contact:
New York State Department of Health
Division of Vaccine Excellence
Room 649, Corning Tower ESP
Albany, NY 12237
(518) 473-4437
New York City Department of Health and Mental Hygiene
School Compliance Unit, Bureau of Immunization
42-09 28th Street, 5th floor
Long Island City, NY 11101
(347) 396-2433
New York State Department of Health/Division of Vaccine Excellence
health.ny.gov/immunization
2370 04/24
1. Demonstrated serologic evidence of measles, mumps or rubella antibodies
or laboratory confirmation of these diseases is acceptable proof of immunity
to these diseases. Serologic tests for polio are acceptable proof of immunity
only if the test was performed before September 1, 2019, and all three
serotypes were positive. A positive blood test for hepatitis B surface antibody
is acceptable proof of immunity to hepatitis B. Demonstrated serologic
evidence of varicella antibodies, laboratory confirmation of varicella disease
or diagnosis by a physician, physician assistant or nurse practitioner that a
child has had varicella disease is acceptable proof of immunity to varicella.
2. Diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccine.
(Minimum age: 6 weeks)
a. Children starting the series on time should receive a 5-dose series
of DTaP vaccine at 2 months, 4 months, 6 months and at 15 through
18 months and at 4 years or older. The fourth dose may be received as
early as age 12 months, provided at least 6 months have elapsed since
the third dose. However, the fourth dose of DTaP need not be repeated
if it was administered at least 4 months after the third dose of DTaP. The
final dose in the series must be received on or after the fourth birthday
and at least 6 months after the previous dose.
b. If the fourth dose of DTaP was administered at 4 years or older, and at
least 6 months after dose 3, the fifth (booster) dose of DTaP vaccine is
not required.
c. Children 7 years and older who are not fully immunized with the childhood
DTaP vaccine series should receive Tdap vaccine as the first dose in the
catch-up series; if additional doses are needed, use Td or Tdap vaccine.
If the first dose was received before their first birthday, then 4 doses are
required, as long as the final dose was received at 4 years or older. If the
first dose was received on or after the first birthday, then 3 doses are
required, as long as the final dose was received at 4 years or older.
3. Tetanus and diphtheria toxoids and acellular pertussis (Tdap) adolescent
booster vaccine. (Minimum age for grades 6 through 10: 10 years; minimum
age for grades 11 and 12: 7 years).
a. Students 11 years or older entering grades 6 through 12 are required
to have one dose of Tdap.
b. In addition to the grade 6 through 12 requirement, Tdap may also be
given as part of the catch-up series for students 7 years of age and
older who are not fully immunized with the childhood DTaP series,
as described above. In school year 2024-25, only doses of Tdap given
at age 10 years or older will satisfy the Tdap requirement for students in
grades 6 through 10; however, doses of Tdap given at age 7 years
or older will satisfy the requirement for students in grades 11 and 12.
c. Students who are 10 years old in grade 6 and who have not yet
received a Tdap vaccine are in compliance until they turn 11 years old.
4. Inactivated polio vaccine (IPV) or oral polio vaccine (OPV). (Minimum age:
6 weeks)
a. Children starting the series on time should receive a series of IPV at
2 months, 4 months and at 6 through 18 months, and at 4 years or older.
The final dose in the series must be received on or after the fourth
birthday and at least 6 months after the previous dose.
b. For students who received their fourth dose before age 4 and prior to
August 7, 2010, 4 doses separated by at least 4 weeks is sucient.
c. If the third dose of polio vaccine was received at 4 years or older and
at least 6 months after the previous dose, the fourth dose of polio
vaccine is not required.
d. For children with a record of OPV, only trivalent OPV (tOPV) counts
toward New York State school polio vaccine requirements. Doses of
OPV given before April 1, 2016, should be counted unless specifically
noted as monovalent, bivalent or as given during a poliovirus
immunization campaign. Doses of OPV given on or after April 1, 2016,
must not be counted.
5. Measles, mumps, and rubella (MMR) vaccine. (Minimum age: 12 months)
a. The first dose of MMR vaccine must have been received on or after
the first birthday. The second dose must have been received at least
28 days (4 weeks) after the first dose to be considered valid.
b. Measles: One dose is required for pre-kindergarten. Two doses are
required for grades kindergarten through 12.
c. Mumps: One dose is required for pre-kindergarten. Two doses are
required for grades kindergarten through 12.
d. Rubella: At least one dose is required for all grades (pre-kindergarten
through 12).
6. Hepatitis B vaccine
a. Dose 1 may be given at birth or anytime thereafter. Dose 2 must be
given at least 4 weeks (28 days) after dose 1. Dose 3 must be at least
8 weeks after dose 2 AND at least 16 weeks after dose 1 AND no earlier
than age 24 weeks (when 4 doses are given, substitute “dose 4” for
“dose 3” in these calculations).
b. Two doses of adult hepatitis B vaccine (Recombivax) received at least
4 months apart at age 11 through 15 years will meet the requirement.
7. Varicella (chickenpox) vaccine. (Minimum age: 12 months)
a. The first dose of varicella vaccine must have been received on or after
the first birthday. The second dose must have been received at least
28 days (4 weeks) after the first dose to be considered valid.
b. For children younger than 13 years, the recommended minimum interval
between doses is 3 months (if the second dose was administered at least
4 weeks after the first dose, it can be accepted as valid); for persons
13 years and older, the minimum interval between doses is 4 weeks.
8. Meningococcal conjugate ACWY vaccine (MenACWY). (Minimum age
for grades 7 through 11: 10 years; minimum age for grade 12: 6 weeks).
a. One dose of meningococcal conjugate vaccine (Menactra, Menveo or
MenQuadfi) is required for students entering grades 7, 8, 9, 10 and 11.
b. For students in grade 12, if the first dose of meningococcal conjugate
vaccine was received at 16 years or older, the second (booster) dose is
not required.
c. The second dose must have been received at 16 years or older.
The minimum interval between doses is 8 weeks.
9. Haemophilus influenzae type b (Hib) conjugate vaccine. (Minimum age:
6 weeks)
a. Children starting the series on time should receive Hib vaccine at
2 months, 4 months, 6 months and at 12 through 15 months. Children
older than 15 months must get caught up according to the ACIP catch-up
schedule. The final dose must be received on or after 12 months.
b. If 2 doses of vaccine were received before age 12 months, only 3 doses
are required with dose 3 at 12 through 15 months and at least 8 weeks
after dose 2.
c. If dose 1 was received at age 12 through 14 months, only 2 doses are
required with dose 2 at least 8 weeks after dose 1.
d. If dose 1 was received at 15 months or older, only 1 dose is required.
e. Hib vaccine is not required for children 5 years or older.
f. For further information, refer to the CDC Catch-Up Guidance for Healthy
Children 4 Months through 4 Years of Age.
10. Pneumococcal conjugate vaccine (PCV). (Minimum age: 6 weeks)
a. Children starting the series on time should receive PCV vaccine at
2 months, 4 months, 6 months and at 12 through 15 months. Children
older than 15 months must get caught up according to the ACIP catch-up
schedule. The final dose must be received on or after 12 months.
b. Unvaccinated children ages 7 through 11 months are required to receive
2 doses, at least 4 weeks apart, followed by a third dose at 12 through
15 months.
c. Unvaccinated children ages 12 through 23 months are required to
receive 2 doses of vaccine at least 8 weeks apart.
d. If one dose of vaccine was received at 24 months or older, no further
doses are required.
e. PCV is not required for children 5 years or older.
f. For further information, refer to the CDC Catch-Up Guidance for Healthy
Children 4 Months through 4 Years of Age.
