Medium

 

 

 

Minimum Number of Doses Required Per Age

Vaccine Type

2-3

Months

4-5

Months

6-7

Months

8-11

Months

12-17

Months

18-24

Months

2-5*

Years

MMR
(Measles-Mumps-Rubella)

 

 

 

 

1

1

1

Varicella

(Chickenpox)

 

 

 

 

1

1

1

HAV

(Hepatitis A)

 

 

 

 

1

2

 

Rotavirus#

1

2

2 or 3¥

 

 

 

 

Hib§

(Haemophilus influenzae type b)

1

2

2 or 3

2 or 3

3 or 4

3 or 4

3 or 4

HBV

(Hepatitis B)

1

2

3

3

3

3

3

IPV

(Polio)

1

2

3

3

3

3

3

PCV

(Pneumococcal)

1

2

3

3

4

4

4

DTaP/DT

(Diphtheria-Tetanus-Pertussis)

1

2

3

3

4

4

4

 

§      If a child receives immunizations late, fewer doses may be required. Contact your local public health unit or the North Dakota Department of Health and Human Services (ND HHS) to determine the appropriate number of doses. Children ages five and older are exempt from the Hib requirement. Depending on vaccine brand the child may receive a series of three or four doses.       

¶          If a child receives immunizations late, fewer doses may be required. Contact your local public health unit or the ND HHS to determine the appropriate number of doses. Children ages five and older are exempt from the PCV requirement.

#         Children who do not receive the first dose by 15 weeks of age can no longer receive this vaccine and are exempt from the Rotavirus requirement. Children ages eight months and older are exempt from the Rotavirus vaccination requirement.

¥          Rotavirus vaccine may be given as a two or three dose series depending on the brand of vaccine.  The third dose of rotavirus vaccine may not be necessary depending on the brand of rotavirus vaccine given. 

*      Children attending kindergarten may require more doses, but these immunizations are not required to attend child care.

 

Exemptions

Children may be exempt from immunization requirements for the following reasons:

  • Medical Exemption: Requires a certificate signed by a licensed physician stating that the physical condition of the child is such that immunization would endanger the life or health of the child.
  • History of Disease: Requires a certificate signed by a physician stating that the child has a history of disease. History of disease exemptions may be claimed for measles, mumps, rubella, chickenpox, hepatitis A, or hepatitis B.
  • Personal Belief or Religious Belief Exemption: Requires a certificate signed by the parent or guardian whose sincerely held philosophical, moral or religious belief is opposed to such immunization.

 

Exclusion

All children need to be up-to-date according to the child care immunization requirements or have claimed an exemption within 30 days of enrollment or be excluded from child care.