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Immunization Summary from TN Department of Health
Related Documents:
Tn School Immunization Requirements
Immunization Summary (PDF)

PLEASE SEE ATTACHED IMMUNIZATION INFORMATION

If you have additional questions, please contact your school nurse, or Kellie C. Smith, School Health Coordinator for Hamblen County Schools at 423-586-2543 Extension 1220.
Immunization Requirement Summary for Child Care through 12th Grades
Tennessee Department of Health Rule 1200-14-1-.29

Children enrolling in child care facilities, pre-school, pre-Kindergarten:

Infants entering child care must be up to date at the time of enrollment and are required to provide an updated certificate after completing all of the required vaccines due no later than 18 months of age.

• Haemophilus influenzae type B (Hib): if younger than 5 years only
• Pneumococcal conjugate vaccine (PCV): if younger than 5 years only
• Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
• Poliomyelitis (IPV or OPV)
• Hepatitis B (HBV)
• Hepatitis A: 1 dose, required by 18 months of age or older
• Measles, Mumps, Rubella (1 dose of each, normally given together as MMR)
• Varicella (1 dose or credible history of disease)

Children enrolling in Kindergarten:
• Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
• Poliomyelitis (IPV or OPV): final dose on or after the 4th birthday required
• Hepatitis B (HBV)
• Hepatitis A: total of 2 doses, spaced at least 6 months apart (recommended 6-18 months 
   apart)
• Measles, Mumps, Rubella (2 doses of each, usually given together as MMR)
• Varicella (2 doses or history of disease)
All children entering 7th grade (including currently enrolled students):
• Verification of immunity to varicella: 2 doses or credible history of disease
• Tetanus-diphtheria-pertussis booster (“Tdap”): evidence of one Tdap dose given any
   time before 7th grade entry is required regardless of Td history (2013 update)

Children who are new enrollees in a TN school in grades other than Kindergarten:
• Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
• Poliomyelitis (IPV or OPV): final dose on or after the 4th birthday required
• Hepatitis B (HBV)
• Measles, Mumps, Rubella (2 doses of each, normally given together as MMR)
• Varicella (2 doses or credible history of disease)
• New students entering grades other than 7th grade are not required to have Tdap

Children with medical or religious exemption to requirements:
• Medical: Physician (MD, DO) or Public Health Nurse authorized to indicate specific
   vaccines medically exempted (because of risk of harm) on the new form. Other
   vaccines remain required. The medical reason for the exemption does not need to
   be provided.
• Religious: This exemption requires a signed statement by the parent/guardian
   that vaccination conflicts with their religious tenets or practices. If the child
   needs documentation of a health examination for the school, it must be noted by
   the healthcare provider on the immunization certificate. In that case, the provider
   should check the box that the parent has sought a religious exemption to explain
   why immunization information is absent or incomplete.
Minimum ages or dose intervals: Tennessee follows published CDC guidelines. For vaccines with critical minimum age requirements or minimum dose intervals, doses are considered valid if given up to 4 days before the minimum age or dose interval. Doses administered more than 4 days early are considered invalid and should be repeated as recommended.

Injectable or nasally administered live vaccines not administered on the same day should be administered at least 4 weeks apart. The 4-day "grace period" should not be applied to the 28-day interval between injectable or nasally administered live vaccines not administered at the same visit. If injectable or nasally administered live vaccines are separated by less than 4 weeks, the second vaccine administered should not be counted as a valid dose and should be repeated. The repeat dose should be administered at least 4 weeks after the last invalid dose.

Alternative proof of immunity for certain diseases: A positive serology