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School Children Immunizations                    











School Immunization Requirements

Students entering kindergarten need:
Students entering seventh grade need:
·        4 doses of tetanus* (1 dose, age 4);
·        1 dose of tetanus, diphtheria, acellular pertussis (Tdap) if five years have 
          passed since last tetanus immunization; and
·        1 dose of meningococcal conjugate vaccine (MCV).
·        4 doses of diphtheria* (1 dose, age 4);
·        3 doses of polio;
·        2 doses of measles; **
·        2 doses of mumps; **
·        1 dose of rubella (German measles); **
·        3 dose of hepatitis B; and
·        2 doses of varicella (chickenpox) vaccine
         or history of disease.
*Usually given as DTP or DTaP or DT or Td
** Usually given as MMR
The only exemptions to the school laws for  immunizations are: 
  • Medical reasons;  
  • Religious beliefs; or  
  • Philosophical/strong moral or ethical conviction.                                     
If your child is exempt from immunizations, he or she may be removed from school during an outbreak. 
School Requirement Algorithm                           

School Immunization Law Report (SILR)

2015-2016 SILR Instructional Packet

LMS Training for SILR Instructional Packet
The instruction packet has been mailed to schools for submission of the school year 2015-16 SILR. All web-based reports must be entered between    
March 1-31, 2016. If you have additional questions after reviewing this packet, contact Patti Matlock at 717-787-5681 or visit the website, Select "School Children Immunizations" for updates throughout the year.
A webinar has been recorded to assist schools with the changes to the 2015-16 SILR. The webinar is available here for educational purposes only. Participants may be required to download the Webex Viewer in order to access this training. To receive 1 hour of Act 48 or Act 50 for this session, participants will need to view the webinar via Learning Management System (LMS) at
Vaccine Safety 
  •  Vaccines are held to the highest standard of safety. 
  • The United States has the safest, most effective vaccine supply in history.
  • Vaccines are continually monitored for safety and effectiveness.                          

Pennsylvania's school immunization requirements can be found in 28 PA Code Ch.23 (School Immunization)


PA School Immunizations Requirements Rack Card                                   


Proof of immunization means a written record showing the dates (month, day, year) your child was immunized.

Keep a record of your child's immunizations.  Keep this record in a safe place.  Your doctor's office, medical clinic, or hospital may ask for this record.  As your children become adults, they may need the record for college, for their job or if they travel out of the country.                    

Centers for Disease Control and Prevention Pre-Teen and Adolescent Web Site                          


School Immunization Catch-Up (SICU) Program 2016 - 2017  

Steps to Implementing a School Immunization Catch-Up Program

SICU Program Eligibility Form

SICU Program Ordering Form

SICU Program Sample Letter to Parent

SICU Program Sample Permission Refusal Form

SICU Program Final Results