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CDC ACIP Immunization Guidelines / State Health Regulations

School Immunization Requirement Checker

Check if your child's global vaccination record matches U.S. public school enrollment rules.

Vaccine Doses

Immunization Compliance

Enter your child's vaccine counts and click Check School Rules.

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How School Immunization Rules Actually Work

School vaccine requirements are primarily state-law requirements, not one nationwide CDC checklist. The required vaccines, number of doses, minimum ages and intervals, exemptions, acceptable evidence of immunity and provisional-enrollment rules can vary by state and grade.

Why This Checker Is Only a Preliminary Screen

A dose count alone cannot determine final compliance. Some states allow fewer doses when the final dose was given after a particular birthday, accept serologic evidence of immunity, recognize documented prior disease, or impose additional grade-specific requirements. A final determination should therefore use the child's age, grade and complete dated immunization record.

Foreign Records

Families moving to the United States should bring the original vaccination record and any available medical documentation. Do not assume a certified translation or U.S. physician transcription is mandatory everywhere. The receiving school, state registry or health department determines how the foreign record must be validated.

Catch-Up Vaccination

CDC catch-up guidance provides minimum intervals for children who start late or fall behind. Vaccine series generally do not need to be restarted because of long gaps, but the state school requirement and the child's age must still be checked.

Frequently Asked Questions (FAQ)

No. School immunization requirements are established under state law and vary by state, grade, age, dose dates and accepted evidence of immunity. Many states require vaccines such as DTaP/Tdap, polio, MMR, varicella and hepatitis B, but the exact number of doses and additional requirements such as Tdap or meningococcal vaccination are not nationally identical.

Foreign vaccination records can be accepted when they provide sufficient evidence of vaccination under the applicable state and school rules. The exact translation, validation and documentation process varies by jurisdiction. A certified translator or U.S. physician transcription is not a universal federal requirement. Parents should bring the original records and follow the receiving state's documentation rules.

No. Exemptions vary by state. California and New York currently do not allow nonmedical exemptions for school immunization requirements. Texas allows exemptions for reasons of conscience, including religious belief, using its statutory affidavit process, while Florida provides a religious-exemption process through county health departments. Exemption rules and outbreak-related exclusions can change, so the current state health-department rules should be checked.

Usually, parents should bring the original or official copy of the child's vaccination record and any supporting medical records available. The school or state may require additional verification, an official state immunization form or registry entry, or a provider review. For example, Florida uses Form DH 680 for school immunization certification, while California maintains its own school immunization record process. There is no single nationwide document checklist.

The child may need to complete the applicable catch-up schedule or qualify for a permitted exemption/provisional-enrollment pathway, depending on the state. CDC's catch-up schedule uses minimum ages and intervals and generally does not require restarting a vaccine series just because doses were delayed. The school or state health department should confirm exactly what is required before attendance.

Many states require a Tdap-containing vaccine for middle-school entry, but the exact grade, age, dose history and timing differ by state. For example, California requires Tdap for 7th-grade advancement, New York requires Tdap for grades 6-12, Texas has grade-specific Tdap/Td requirements, and Florida requires Tdap for 7th grade.

Have questions about grade-specific vaccine rules, foreign record translation, or exemptions?

⬆️ Refer to FAQ Section Above
Official U.S. Government References

• CDC Child & Adolescent Immunization Schedule: cdc.gov/vaccines

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