Immunization Requirements

Pennsylvania School Immunization Requirements

For attendance in ALL grades, children need the following:

• 4 doses of tetanus, diphtheria, and acellular pertussis* (1 dose on or after 4th birthday)

• 4 doses of polio (4th dose on or after the 4th birthday and at least 6 months after

previous dose given)"**

• 2 doses of measles, mumps, rubella***

• 3 doses of hepatitis B

• 2 doses of varicella (chickenpox) vaccine or evidence of immunity

*Usually given as DTP or DTaP or if medically advisable, DT or Td

**A fourth dose is not necessary if the third dose was administered at age 4 years or older

and at least 6 months after the previous dose.

***Usually given as MMR


For attendance in 7th grade:

• 1 dose of tetanus, diphtheria, acellular pertussis (Tdap) on the first day of 7th grade.

• 1 dose of meningococcal conjuate vaccine (MCV) on the first day of 7th grade.


For attendance in 12th grade:

• Second dose of MCV on the first day of 12th grade.



These requirements allow for the following exemptions: medical reason, religious belief, or philosophical/strong moral or ethical conviction. Even if you child is exempt from immunizations, he or she may be excluded from school during an outbreak of vaccine preventable disease.

Illness Management Guidelines

The following information should be considered as guidelines for keeping an ill child home from school.  Parents who have specific questions or concerns should contact their child’s Primary Care Provider.


  1.  Colds- Children who are exhibiting signs and symptoms of a cold and has a fever over 100 should stay home from school.


  2. Fever- A child with a temperature of 100 degrees or above should stay home until the fever is normal for 24 hours without the use of Tylenol or Ibuprofen.  If the fever is accompanied by a sore throat, earache, nausea, listlessness, or a rash, the child may be contagious and should see their Primary Care Provider.


  3.  Diarrhea or Vomiting- Children need to stay home if diarrhea or vomiting has occurred during the previous night.


  4. Strep Throat or Scarlett Fever- Children diagnosed with strep throat and/or scarlet fever require treatment and may return to school with a written doctor’s permission after being treated with antibiotics for 24 hours and fever free.  Remember to complete the prescribed medication form if your child will require medication during school hours. Medication ordered for three times a day may be administered at home before school, after school, and at bedtime.


  5. Conjunctivitis (Pink Eye)- Is generally contagious depending on the causing organism.  Children diagnosed with pick eye who require antibiotic treatment may return to school after being treated with antibiotics for 24 hours.  Please remember to practice frequent hand washing.


  6. Ear infections- If your child complains of ear pain, parents should contact their child’s Primary Care Provider.  Children with ear pain/or fever over 100 should remain at home. 


  7. Chicken Pox- Children must stay home for at least 6 days after the last crop of vesicles appear.  Parents remember to never give aspirin or ibuprofen during a chicken pox outbreak.


  8. Lice- Children must be treated with a medicated lice shampoo before returning to school.  All nits (eggs) are to be removed as a part of the treatment.  Students sent home for love headlice will be rechecked by the school nurse before they can re-attend school.  Transportation must be provided by the family until condition is resolved. 


If you are not sure about when to keep your child home from school or have questions about treatment, call your child’s Primary Care