Immunization Requirements

The Code of Virginia requires that children receive a comprehensive physical examination (§ 22.1-270) within 12 months prior to the start of school and be adequately immunized (§ 22.1-271.2) before entering public kindergarten or elementary school. No student shall be admitted by a school unless at the time of admission the student or his/her parent submits documentary proof of immunization on the State’s School Entrance Health Form (PDF) to the admitting official of the school or unless the student is exempted from immunization for medical or religious reasons, the student is a homeless child or youth or the student is in foster care.

Required Immunizations for K - 12

Diphtheria, Tetanus, & Pertussis (DTaP, DTP, or Tdap)

A minimum of four doses. A child must have at least one dose of DTaP or DTP vaccine on or after the fourth birthday. DT (Diphtheria, Tetanus) vaccine is required for children who are medically exempt from the pertussis containing vaccine (DTaP or DTP). Adult Td is required for children 7 years of age and older who do not meet the minimum requirements for tetanus and diphtheria. Effective July 1, 2019, a booster dose of Tdap vaccine is required for all children entering the 7th grade.

picture of child getting a vaccination

Influenzae Type b (Hib) Vaccine

This vaccine is required ONLY for children up to 60 months of age. A primary series consists of either two or three doses (depending on the manufacturer). However, the child’s current age and not the number of prior doses received govern the number of doses required. Unvaccinated children between the ages of 15 and 60 months are only required to have one dose of vaccine.

Hepatitis B Vaccine

A complete series of 3 doses of hepatitis B vaccine is required for all children. However, the FDA has approved a 2-dose schedule ONLY for adolescents 11-15 years of age AND ONLY when the Merck Brand (RECOMBIVAX HB) Adult Formulation Hepatitis B Vaccine is used. If the 2-dose schedule is used for adolescents 11-15 years of age it must be clearly documented on the school form.

Human Papillomavirus Vaccine (HPV)

Effective October 1, 2008, a complete series of 3 doses of HPV vaccine is required for females. The first dose shall be administered before the child enters the 6th grade. After reviewing educational materials approved by the Board of Health, the parent or guardian, at the parent’s or guardian’s sole discretion, may elect for the child not to receive the HPV vaccine.

HPV Vaccine Information for Parents of Rising 6th Graders (PDF)

Información sobre la vacuna contra el VPH para padres de estudiantes que van al sexto grado - Español (PDF)

Measles, Mumps, & Rubella (MMR) Vaccine

A minimum of two measles, two mumps, and one rubella. (Most children receive two doses of each because the vaccine usually administered is the combination vaccine MMR). First dose must be administered at age 12 months or older. Second dose of vaccine must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose one and dose two.

Pneumococcal (PCV) Vaccine

This vaccine is required ONLY for children less than 60 months of age. One to four doses, dependent on age at first dose, of pneumococcal conjugate vaccine are required.

Polio Vaccine

A minimum of 4 doses of polio vaccine. One dose must be administered on or after the fourth birthday. See supplemental guidance document for additional information.

Varicella (Chickenpox) Vaccine

All children born on and after January 1, 1997, shall be required to have one dose of chickenpox vaccine administered at age 12 months or older. Effective March 3, 2010, a second dose must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose one and dose two.

For further information, please call the Division of Immunization:
1-800-568-1929 (in state only) or 804-864-8055

For the latest information on state requirements visit: www.vdh.virginia.gov/immunization/requirements.

References:

School & Day Care Minimum Immunization Requirements - Virginia Dept of Health (PDF)

REQUISITOS MÍNIMOS DE VACUNACIÓN PARA LA ESCUELA Y LA GUARDERÍA (PDF)

Virginia Department of Education Enrollment and Health Information

Virginia Department of Health School Requirements


The Prince William Health District may be reached at the following locations and telephone numbers:

  • 9301 Lee Avenue, Manassas, VA 20110, 703-792-6301; and
  • 4001 Prince William Parkway, Ste. 101, Woodbridge, VA 22191, 703-792-7300.