Tag: college

Catching up on 17 Years Worth of Vaccinations to Attend College

With California’s new vaccination law, it is not just kids in daycare, kindergarten, and high school who have to be up-to-date on their immunizations.

“If I chose to attend Berkeley, I would have to catch up on 17 years worth of vaccinations.”

Madeline Scott

Does that really mean that an unvaccinated, incoming freshman would have to get 17 years worth of vaccinations?

How To Catch Up On Missing Immunizations

Of course not. Teens don’t really need to get 17 years worth of vaccinations to get caught up, even if they had never had a single vaccine before.

Why not?

They are too old for some vaccines, like those for rotavirus, Haemophilus influenzae type b (Hib), and Streptococcus pneumoniae (Prevnar).

And because they are starting so late, they would get fewer doses of a few vaccines, so most older teens could get fully caught up after getting just:

  • 1 dose of MCV4 (a meningococcal vaccine)
  • 2 or 3 doses of MenB (a meningococcal vaccine)
  • 2 doses of MMR
  • 2 doses of the chicken pox vaccine
  • 1 dose of Tdap, followed by 3 doses of Td (instead of the standard 5 doses of DTaP vaccine that younger children get, which is followed by a Tdap booster at age 12 years)
  • 2 doses of HepA
  • 3 doses of HepB
  • 3 doses of IPV (instead of the standard 4 doses of polio vaccine that younger children get)
  • 3 doses of HPV vaccine
  • a flu shot

How quickly could they get caught up?

Probably in about 8 months – the minimal interval between all of the Tdap/Td doses. Most of the rest of the vaccines can be given over a 6 month interval or even quicker.

Catching up on 17 Years Worth of Vaccinations to Attend College

Surprisingly, the University of California at Berkeley actually requires very few of these immunizations for new students though.

Students at Berkeley are much more likely to march for science than against it.
Students at Berkeley are much more likely to march for science than against it.

The only vaccines that are required include:

  • two doses of MMR
  • two doses of the chicken pox vaccine
  • one dose of the MCV4 meningococcal vaccine
  • one dose of Tdap

Using the combination vaccine ProQuad (MMR and chicken pox together), that could mean as few as 4 shots instead of “17 years worth of vaccinations.”

Of course, that leaves the student unprotected against a lot of vaccine-preventable diseases.

Other vaccines that are recommended, but not required, include those that can protect students against flu, hepatitis B, MenB, HPV, hepatitis A, polio, and pneumococcal bacteria (if high risk).

More On College Vaccine Requirements

Immunization Requirements to Start School and Daycare

If you are following the latest immunization schedule and your kids are up-to-date on all of their vaccines, then they will likely be ready to start daycare, kindergarten, high-school, or college.

There aren’t usually any extra vaccines that they will need to start school.

Of course, if you have skipped or delayed any vaccines, then they might have to catch up on some immunizations before starting school.

Another situation where you might need to do some catching up is if you move, and instead of following the CDC schedule, you were just getting the minimum number of vaccines that were required to attend school where you used to live. For example, your kids could have been all set to start kindergarten in Arkansas, but if you suddenly moved to Texas, they might need a second MMR, a booster dose of Varivax, and two doses of hepatitis A vaccine, as none of those are required in Arkansas.

Immunization Requirements to Start Daycare and Preschool

Daycare rules in Idaho give parents a month to stay on schedule with all of the CDC immunization requirements.
Daycare rules in Idaho give parents a month to stay on schedule with all of the CDC immunization requirements.

Since many new parents have to go back to work when their baby is only about two to six weeks old, they won’t have time to get their first set of vaccines at two months.

That won’t keep them out of daycare, but delaying too much longer, usually more than a month, probably will.

To start daycare or preschool, infants and toddlers need to get most of the vaccines on the CDC immunization schedule. This includes DTaP, hepatitis B, Hib, Prevnar, and IPV (polio), and then once they are 12 months old, booster doses of the primary series of vaccines and the MMR, Varivax (chickenpox), and hepatitis A vaccines.

The only vaccine that is missing from many state mandates is the rotavirus vaccine. And that simply has to do with the strict timing requirements of when you need to start (before 15 weeks of age) and finish this vaccine (by 8 months).

Some states do require rotavirus though, and simply state that kids must follow “age appropriate dosing.” That way, if they are too old, they just don’t need to get it.

Immunization Requirements to Start Kindergarten

In addition to most of the vaccines they needed to start daycare or preschool, to start kindergarten, kids need their 4 to 6 year old boosters:

  • the fifth dose of DTaP to protect them against diphtheria, tetanus, and pertussis
  • the fourth dose of IPV to protect them against polio
  • the second dose of MMR to protect them against measles, mumps, and rubella
  • the second dose of Varivax to protect them against chicken pox

If using combination vaccines, these four immunizations can be combined into just two shots – Proquad (MMR + Varivax) and either Kinrix or Quadracel (DTaP + IPV), which your preschooler will appreciate to help reduce the pain from getting these shots.

If your kids were missing any vaccines, they will also need to get caught up on those before starting school.

Immunization Requirements to Start Middle School

Preteens and teens get a few vaccines when they start middle school when they are around 11 to 12 years old, including:

  • a dose of Tdap to protect them against diphtheria, tetanus, and pertussis
  • a dose of Menactra or Menveo to protect them against meningoccocal disease

Although not required by most schools, the HPV vaccine is also usually given around this time.

Immunization Requirements to Start College

And then, before going off to college, at around age 16 years, kids will usually need:

They can also get the MenB vaccine, although it isn’t yet required for all students. This vaccine (Bexsero or Trumenba) has a “permissive” recommendation, in that parents are told they can get it if they want their kids to avoid meningococcal B disease, but it is not required yet.

What about a third dose of MMR?

While an extra dose of the MMR vaccine is now being given in some situations, it is mainly if your child is at high risk because of a current mumps outbreak. A mumps booster shot is not currently recommended just because your child is going off to college.

What to Know About Immunization Requirements for Incoming Students

If you have been following the latest immunization schedule and your kids are up-to-date on all of their vaccines, then they will likely be ready to start daycare, kindergarten, high-school, and college without needing any extra vaccines.

More on Immunization Requirements for Incoming Students