Section 665.240  Basic Immunization

a)         Diphtheria, Pertussis, Tetanus

1)         Any child two years of age or older entering a school program (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) shall show proof (see Section 665.250(b)) of having received four or more doses of Diphtheria, Tetanus, Pertussis (DTP or DTaP) vaccine.  The first three doses in the series shall have been received no less than four weeks (28 days) apart. The interval between the third and fourth or final dose shall be at least six months.

2)         Any child entering kindergarten or first grade for the first time shall show proof (see Section 665.250(b)) of having received four or more doses of Diphtheria, Tetanus, Pertussis (DTP or DTaP) vaccine, with the last dose being a booster and having been received on or after the fourth birthday.  The first three doses in the series shall have been received no less than four weeks (28 days) apart. The interval between the third and fourth or final dose shall be at least six months.  Children 6 years of age and older may receive Tetanus, Diphtheria (Td) vaccine in lieu of DTP or DTaP vaccine. 

3)         Any child entering school at a grade level not included in subsection (a)(1) or (2) of this Section shall show proof (see Section 665.250(b)) of receiving three or more doses of DTP, DTaP, pediatric DT or adult Tetanus, Diphtheria (Td) with the last dose being a booster and having been received on or after the fourth birthday.  The first two doses in the series shall have been received no less than four weeks (28 days) apart. The interval between the second and third or final doses shall be at least six months.

4)         Receipt of pediatric Diphtheria Tetanus (DT) vaccine in lieu of DTP or DTaP is acceptable only if the pertussis component of the vaccine is medically contraindicated. Documentation of the medical contraindication shall be verified as specified in Section 665.520.

5)         Beginning with school year 2011-12, any child entering sixth grade shall show proof (see Section 665.250(b) of receiving one dose of Tdap (defined as tetanus, diphtheria, acellular pertussis) vaccine regardless of the interval since the last DTaP, DT or Td dose.

6)         Students entering grades seven through 12 who have not already received Tdap are required to receive 1 Tdap dose regardless of the interval since the last DTaP, DT or Td dose.

b)         Polio

1)         Any child two years of age or older entering a school program (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) shall show proof (see Section 665.250(b)) of having received three or more doses of polio vaccine (defined as oral poliovirus vaccine (OPV) or inactivated poliovirus vaccine (IPV)).  Doses in the series shall have been received no less than four weeks (28 days) apart.

2)         Any child entering school at any grade level (K-12) shall show proof (see Section 665.250(b)) of having received three or more doses of polio vaccine (defined as oral poliovirus vaccine (OPV) or inactivated poliovirus vaccine (IPV)).  A child who received any combination of IPV and OPV shall show proof of having received at least four doses, with the last dose having been received on or after the fourth birthday. Doses in the series shall have been received no less than four weeks (28 days) apart.  A child who received IPV exclusively or OPV exclusively shall show proof of having received at least three doses, with the last dose having been received on or after the fourth birthday.  Doses in the series shall have been received no less than four weeks (28 days) apart.

c)         Measles

1)         Any child two years of age or older entering a school program (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) shall show proof (see Section 665.250(b)) of having received one dose of live measles virus vaccine on or after the first birthday, or other proof of immunity described in Section 665.250(c).

2)         Children entering at any grade level (K-12) shall show evidence of having received two doses of live measles virus vaccine, the first dose on or after the first birthday and the second dose no less than four weeks (28 days) after the first or other proof of immunity described in Section 665.250(c).

3)         For students attending school programs where grade levels (K-12) are not assigned, including special education programs, proof of two doses of live measles virus vaccine as described in subsection (c)(2) of this Section shall be submitted prior to the school year in which the child reaches the ages of five, 10, and 15.

d)         Rubella

            Any child two years of age or older entering a school program at any grade level, including nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district, shall show proof (see Section 665.250(b)) of receiving at least one dose of rubella vaccine on or after the first birthday. Proof of disease is not acceptable unless laboratory evidence of rubella immunity is presented (see Section 665.250(d)).

e)         Mumps

            Any child two years of age or older entering a school program at any grade level, including nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district, shall show proof (see Section 665.250(b)) of receiving at least one dose of mumps vaccine on or after the first birthday.  Proof of disease, if verified by a physician, or laboratory evidence of mumps immunity may be substituted for proof of vaccination (see Section 665.250(e)).

f)         Haemophilus influenzae type b (Hib)

1)         Any child two years of age or older entering a school program (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) shall show proof of immunization that complies with the Hib vaccination schedule in Appendix B of this Part.

2)         Children 24 to 59 months of age who have not received the primary series of Hib vaccine, according to the Hib vaccination schedule, shall show proof of receiving one dose of Hib vaccine at 15 months of age or older.

3)         Any child five years of age or older shall not be required to provide proof of immunization with Hib vaccine.

g)         Hepatitis B

1)         Any child two years of age or older entering a school program (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) shall show proof (see Section 665.250(b)) of having received three doses of hepatitis B vaccine.  The first two doses shall have been received no less than four weeks (28 days) apart.  The interval between the second and third dose shall be at least two months.  For children entering a school program for the first time on or after July 1, 2002, the interval between the first dose and the third dose must be at least 4 months.  The third dose must have been administered on or after 6 months of age. Proof of prior or current infection, if verified by laboratory evidence, may be substituted for proof of vaccination (see Section 665.250(f)).

2)         Children entering the fifth grade for the first time between July 1997 and June 30, 2002 must show evidence of having received three doses of hepatitis B vaccine.  The first 2 doses must have been received no less than 4 weeks (28 days) apart. The interval between the second and third dose must be at least 2 months.  Proof of prior or current infection, if verified by laboratory evidence, may be submitted for proof of vaccination (see Section 665.250(f)).

3)         Children entering the fifth grade for the first time on or after July 1, 2002 must show evidence of having received three doses of hepatitis B vaccine, or other proof of immunity described in Section 665.250(f).  The first two doses shall have been received no less than four weeks (28 days) apart.  The interval between the second and third dose shall be at least two months.  The interval between the first and third dose shall be at least four months.  Proof of prior or current infection, if verified by laboratory evidence, may be submitted for proof of vaccination (see Section 665.250(f)).

4)         The third dose of hepatitis B vaccine is not required if it can be documented that the child received two doses of adult formulation Recombivax-HB vaccine (10 mcg) and was 11 to 15 years of age at the time of vaccine administration, and that the interval between receipt of the two doses was at least four months.

h)         Varicella

1)         Any child two years of age or older entering a school program below the kindergarten level (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergrten child care programs offered or operated by a school or school district) for the first time on or after July 1, 2002, shall show proof (see Section 665.250(b)) of having received one dose of varicella vaccine on or after the first birthday, proof of prior varicella disease as described in Section 665.250(g), or laboratory evidence of varicella immunity.

2)         Children entering kindergarten for the first time on or after July 1, 2002, shall show proof of having received at least one dose of varicella vaccine on or after the first birthday, proof of prior varicella disease as described in Section 665.250(g), or laboratory evidence of varicella immunity.

3)         For students attending school programs where grade levels are not assigned, proof of having received at least one dose of varicella vaccine on or after the first birthday or other proof of immunity as described in subsection (h)(2) of this Section shall be submitted prior to the school year in which the child reaches the age of five.

(Source:  Amended at 35 Ill. Reg. 16723, effective September 27, 2011)