REQUIRED CHILDHOOD IMMUNIZATIONS FOR MICHIGAN CHILD CARE, PRESCHOOL, AND SCHOOL SETTINGS

-----------------------------Child care/preschool entry requirements ---------------------------

School entry requirements

AGE

VACCINE

Birth through 1 month

2 months through 

3 months

4 months through

5 months

6 months through

14 months

15 months

through

4 years

4 years

through

6 years

7 years

through

18 years

Diphtheria, Tetanus, Pertussis

None

1 dose

DTaP or DTP

2 doses

DTaP or DTP

3 doses

DTaP or DTP

4 doses

DTaP or DTP

4 doses

one dose must be >= 4 yrs

4 doses D and T OR 3 doses Td if #1 given >= 7 yrs of age.  Must have 1 dose within last 10 years. (See ! Note below)

H. influenzae type b

None

1 dose

2 doses

2 doses

1 dose >= 15 months, OR a completed series

None

None

Polio

None

1 dose

2 doses

2 doses

3 doses

3 doses

one dose must be >= 4 yrs

3 doses

Measles, Mumps, Rubella (See * Note below)

None

None

None

None

1 dose >= 12 months

2 doses >= 12 months

2 doses >= 12 months

Hepatitis B

None (#)

1 dose

2 doses

2 doses

3 doses

3 doses

3 doses

Varicella (Chickenpox)

None

None

None

None

1 dose >= 12 months OR current lab immunity OR reliable history of disease

(See Note @ below)

(See Note @ below)

@ = Beginning 2002/2003 School Year, 1 dose if given >= 12 months of age and prior to 13th birthday OR 2 doses if initiated >= 13th birthday OR current lab immunity OR reliable history of disease.

* = Current laboratory evidence of measles, mumps, or rubella immunity is acceptable instead of immunization with that antigen.

! = 2002/2003 School Year Routine 10 year Td booster is suspended due to vaccine shortage.

# = Hepatitis B may be administered as early as birth.  This table represents the minimum required immunizations for schools and child care centers.