Immunizations
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HEALTH OCCUPATIONS DIVISION
IMMUNIZATION REQUIREMENTS REFERENCE SHEET

The following immunizations are required by law according to Rule 97.64 of the Texas Administrative Code Revised effective April 1, 2004 for all students enrolled in higher education courses involved in direct patient care contact.

Submit a copy of the records of the following immunizations with a validation stamp or signature, a signed statement from a physician, or lab report indicating serologic confirmation. Do not write dates on this form.

1. TETANUS/DIPHTHERIA/ACELLULAR PERTUSSIS (Immunization)

All students must have proof of a tetanus/diphtheria/acellular pertussis immunization within the last 10 years, unless the student has received a tetanus/diphtheria (Td) within the last two years. As soon as it has been two years since receiving the Td, the student must then get a TdaP.

2. RUBELLA (Immunization or blood test)

All students must have proof of one dose of rubella vaccine administered on or after their 1st birthday or serologic confirmation of rubella immunity or serologic evidence of infection.

3. MEASLES (Immunization or blood test)

All students born after January 1, 1957 must have proof of two doses of measles vaccines administered on or after their 1st birthday at least 30 days apart or proof of serologic confirmation of measles immunity or serologic evidence of infection.  At least one dose must be completed prior to patient contact. Measles is also known as rubeola.

4. MUMPS (Immunization or blood test)

All students born after January 1, 1957 must have proof of one dose of mumps vaccine administered on or after their 1st birthday or proof of serologic confirmation of mumps immunity or serologic evidence of infection.

5.  VARICELLA (Immunization, blood test or validated history)

All students must have one dose of varicella vaccine after their 1st birthday if the vaccine was received prior to the 13th birthday, two doses of varicella vaccine if the vaccine was received after the 13th birthday, serologic confirmation of varicella immunity, or history of varicella (chicken pox) illness validated by student, student's parents or physician. 

6.  HEPATITIS B (Immunization or blood test)

All students must receive a complete series of three hepatitis B vaccines or show serologic confirmation of immunity to hepatitis B prior to the start of direct patient care. If time is an issue, the Center for Disease Control (CDC) recommends an accelerated schedule with a first dose followed by a second dose in 4 weeks, and followed by the 3rd dose at least 4 months from the initial dose and eight weeks from the 2nd dose.   

Note: A MMR immunization includes one measles, one mumps, and one rubella vaccination.

PREGNANCY - Requirements for hepatitis B, varicella, measles, rubella and mumps vaccines are waived during pregnancy. Pregnancy is not a medical contraindication for administration of Tetanus/diphtheria toxoids, but it is best to delay until the second trimester. Check with your obstetrician regarding hepatitis vaccinations.

Female students who get the MMR vaccine must take precautions not to get pregnant within the three months following the vaccination.

VALIDATED HISTORY: A statement from student, physician, or parent must be submitted with the following wording: "This is to verify that (student's name) had varicella (chicken pox) illness on or about (date) and does not need the varicella vaccine."

Copies of records from physician’s offices, public health department, public schools, other colleges and the military are acceptable. Students should provide a copy of the records. Please do not turn in the originals.

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