Ala. Admin. Code r. 420-6-1-.03 - Immunization Schedule

(1) Unless otherwise noted in paragraphs (2) and (3) below, vaccine doses should be administered according to the most recent version of the Recommended Immunization Schedules for Persons Aged 0 Through 18 Years, as published by the Advisory Committee on Immunization Practices. Vaccine doses administered <= 4 days before the minimum interval or age should be counted as valid. Doses administered >= 5 days earlier than the minimum interval or age should not be counted as valid doses and should be repeated as age-appropriate._

(2) Except as provided in Chapter 420-6-1-.02 and in the Code of Ala. 1975, § 16-30-4, each pupil, prior to entering Alabama school grade kindergarten through twelfth grade shall receive age-appropriate immunizations as below:

(a) 5 doses of diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP). Only 4 doses are needed if the fourth dose was administered on or after the fourth birthday. Booster doses of tetanus and diphtheria toxoids vaccine (Td) must be given 5-10 years after the preschool booster. However, effective for students entering sixth grade beginning fall of 2010, a booster dose of tetanus and diphtheria toxoids and acellular pertussis vaccine (Tdap) must be given at 11 or 12 years of age. This requirement will escalate by one successive grade each year for the following 6 years to include sixth through twelfth grades, beginning fall of 2016.

(b) 4 doses of inactivated polio vaccine. Only 3 doses are needed if the third dose was administered on or after the fourth birthday.

(c) immunization against mumps and rubella.

(d) 2 doses of measles-containing vaccine.

(e) varicella vaccine subject to the following schedule unless there is documentation of a positive varicella titer or a date of varicella disease. This requirement is effective for students entering kindergarten beginning fall of 2001 and will escalate by one successive grade each year for the following 12 years to include all grades, kindergarten through twelfth, beginning fall of 2013:

(i) 1 dose of varicella vaccine at 12 months of age or older for persons less than 13 years of age;

(ii) 2 doses of varicella vaccine separated by at least 28 days for persons 13 years of age or older beginning the vaccination series.

(3) Children entering any child care center/home shall, in addition to the vaccines listed above, also receive age-appropriate immunizations for:

(a) Haemophilus influenzae type b; and

(b) Pneumococcal disease using pneumococcal conjugate vaccine.

Notes

Ala. Admin. Code r. 420-6-1-.03

Filed May 19, 1989. Amended: Filed July 20, 1990; December 19, 1990. Emergency rule filed March 20, 1992. Amended: Filed July 22, 1992. Amended: Filed January 17, 1997; effective February 21, 1997. Amended: Filed July 19, 2000; effective August 23, 2000. Amended: Filed November 20, 2002; effective December 25, 2002. Amended: Filed October 20, 2005; effective November 24, 2005. Amended: Filed September 17, 2009; effective October 22, 2009.

Authors: Donald E. Williamson, M.D.,, Charles H. Woernle, M.D., M.P.H.

Statutory Authority: Code of Ala. 1975, §§ 16-30-5, et seq.