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Immunization Summary from TN Department of Health
Related Documents:
Immunization Requirements (PDF)
Immunization Summary (PDF)


The Tennessee Department of Health (TDOH) has issued new immunization rules and is issuing a new Official Certificate that is required for entry into school effective July 1, 2010. All newly required vaccines are routinely recommended for all children. Most children should have already received them.

  • There will now be only one official TDOH certificate of immunization that must be filled out by medical providers for delivery to schools prior to entry of their child into pre-school, pre-k, kindergarten, 7th grade, or as a new student. This form will only be available from a private healthcare provider or local health department.

  • Children entering the 7th grade, who are already enrolled, no longer are required to show proof of hepatitis B vaccine, but must show proof of two new immunizations.

  • For 7th grade students already enrolled in Tennessee schools, only proof of the two new immunizations is required on the new immunization certificate.

    Children entering 7th Grade

  • New immunization requirements:

    • ?  Tetanus-diphtheria-pertussis booster (“Tdap”)

    • ?  Verification of immunity to varicella (2 doses or history of


  • For children entering kindergarten, additional doses of existing vaccines are now required and one new vaccine will be required beginning in 2011.

    Children entering kindergarten

  • Current immunization requirements:

    • ?  Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)

    • ?  Hepatitis B (HBV)

    • ?  Measles, Mumps, Rubella (1 dose of each, usually given

      together as MMR)

  • New additional immunization requirements: th

    • ?  Poliomyelitis (IPV or OPV): final dose on or after the 4 birthday now required

    • ?  Varicella (2 doses or history of disease): previously only one dose was required

    • ?  Hepatitis A (2 doses): effective July 1, 2011

  • For children entering pre-school and pre-K, four new additional immunizations are required.
  • Children in Pre-School or Pre-K
  • Current immunization requirements:

    • ?  Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)

    • ?  Poliomyelitis (IPV or OPV)

    • ?  Measles, Mumps, Rubella (1 dose of each, usually given

      together as MMR)

    • ?  Varicella (1 dose or history of disease)

  • New additional immunization requirements:
  • ?  Hepatitis B (HBV)

  • ?  Haemophilus influenza type B (Hib): age younger than 5 years only (this requirement is resumed following suspension during a national Hib vaccine shortage in 2008-2009)

  • ?  Pneumococcal conjugate vaccine (PCV): age younger than 5 years old.

  • ?  Hepatitis A (1 dose by 18 months of age)
If you have additional questions, please contact your school nurse, Kellie C. Smith, School Health Coordinator Hamblen County Schools at 423-587-5316.