Table 1. Immunization Requirements for Child Care or School Entry

Age at Entry into a Child Care or School	Number of Doses of Vaccine Required	Special Notes and Exceptions
<2 months	1 Hep B	(See Note 1)
2 through 3 months	1 DTP or DTaP 1 Polio 1 Hib 1 Hep B	(See Note 1)
4 through 5 months	2 DTP or DTaP 2 Polio 2 Hib 2 Hep B	(See Note 1)
6 through 11 months	3 DTP or DTaP 2 Polio 3 Hib    2 Hep B	(Hib exception - See Note 2 for a child 7 months through 59 months of age.) (See Note 1)
12 through 14 months	3 DTP or DTaP	(See Note 2)
	3 Polio
	1-4 Hib
	1 MMR	(See Note 3)
	3 Hep B	(See Note 1)
	1 Varicella	(See Note 6)

15 through 59 months	4 DTP or DTaP 3 Polio 1-4 Hib 1-2 MMR 3 Hep B 1 Varicella	(See Note 2) (See Note 3) (See Note 1) (See Note 8)
1 through 5 years (Only required for Mar- icopa County child care)	2 Hep A	(See Note 4)
Kindergarten or 1st grade entry 4 through 6 years	5 DTP or DTaP          4 Polio          2  MMR          3  Hep B       1 Varicella	Exception - A 5th dose is not required if the 4th dose of diphtheria-tetanus containing vaccine was received after the 4th birthday.    Exception - A 4th dose is not required if the 3rd dose of polio was received after the 4th birthday.    (See Note 3) A child entering school shall receive a 2nd dose, 1 month or more after the date of the 1st dose.             (See Note 8)
7 years through 10 years	4 Tetanus-diptheria containing vaccines (no pertussis)          4 Polio          2  MMR    3  Hep B          1 Varicella	Exception – A 4th dose is not required if the 1st dose of diphtheria-tetanus containing vaccine was received after 12 months of age.    Exception – A 4th dose is not required if the 3rd dose of polio was received after the 4th birthday. (See Note 7)    (See Note 3)    A child entering school shall receive the Hep B series according to Note 1.       (See Note 8)
11 years	1 MV	(See Note 5)

11 years or older

4 Tetanus-diphtheria containing vaccines including 1 Tdap.          1 Tdap, in addition to the 4 Tetanus-diph- theria containing vaccines, if 5 years have passed since the date of a child’s last dose of tetanus-diphtheria  containing  vaccine and the child has not received Tdap.    1 Tetanus-diphtheria containing vaccine, if 10 years or more have passed since the date of the child’s last dose of Tdap or tetanus- diphtheria containing vaccine.    4 Polio          2  MMR    3  Hep B       1-2 Varicella

(See Note 6) Exception – A 4th dose is not required if the 1st dose of diphtheria-tetanus containing vaccine was received after 12 months of age.                                  Exception – A 4th dose is not required if the 3rd dose of polio was received after the 4th birthday. (See Note 7)    (See Note 3)    A child entering school shall receive the Hep B series according to Note 1.    (See Note 8)

1.        A child shall receive the 1st dose of Hep B no later than 15 days following child care entry. A child shall receive the 2nd dose of Hep B 4 weeks or more after the date of the 1st dose. A child who is 6 months of age or older shall receive the 3rd dose 2-5 months after the date of the 2nd dose and 4 months or more after the date of the 1st dose. For a child 11-15 years of age who receives the optional Merck Recombivax HB Adult Formulation vaccine, only 2 doses are required 4 or more months apart.

2.        The recommended schedule for 4 dose Hib vaccine is 2, 4, and 6 months of age with a booster dose at 12-15 months of age. The optimal schedule for 3 dose Hib vaccine is 2 and 4 months of age with a booster dose at 12 -15 months of age. There shall be a minimum inter- val of 4 weeks between each of the first 3 doses. A child shall receive a booster dose no earlier than 12 months of age and no earlier than 8 weeks after the previous dose. A child who starts the Hib series after 7 months of age may be required to complete a full 3 or 4 dose series. A child who starts Hib at 15 months of age or older shall receive 1 dose at 15-59 months of age.

3.        A child who is 12 months of age or older, shall receive measles, mumps, and rubella vaccines as individual antigens or as a combined MMR vaccine. A child shall receive the 1st dose of MMR before school entry, or no later than 15 days following child care entry. A child who is 4 years of age or older and who is entering school shall receive a 2nd dose of MMR 1 month or more after the date of the 1st dose.

4.        A child who is 1 through 5 years of age shall receive the 1st dose of hepatitis A vaccine no later than 15 days following child care entry in Maricopa County. A child shall receive a 2nd dose 6 months following the date of the 1st dose.

5.        A child shall receive MV according to R9-6-702(C) no later than 15 days following school entry.

6.        A child shall receive a dose of Tdap before the 2 doses of tetanus-diphtheria containing vaccine.

7.        Polio vaccine is not required for individuals 18 years of age or older.

8.        A child shall receive VAR according to R9-6-702(B) no later than 15 days following child care or school entry. A child who receives VAR at 12 months through 12 years of age shall receive one dose. A child who receives the 1st dose of VAR at 13 years of age or older shall receive the 2nd dose if 4 weeks or more have passed since the date of the 1st dose.

Historical Note

Table 1 renumbered from placement after R9-6-706 and amended by final rulemaking at 8 A.A.R. 4274, effective September 16, 2002 (Supp. 02-3). Amended by final rulemaking at 11 A.A.R. 2283, effective June 7, 2005 (Supp. 05-2). Amended by final

rulemaking at 13 A.A.R. 4106, effective January 5, 2008 (Supp. 07-4).