Wis. Admin. Code Department of Health Services § DHS 144.03 - Minimum immunization requirements

(1) INDIVIDUALS INCLUDED. The minimum immunization requirements authorized by s. 252.04, Stats., and required under this chapter, apply to any student admitted to a Wisconsin elementary, middle, junior or senior high school, or to a Wisconsin child care center.
(2) REQUIREMENTS FOR THE 2021-2022 school year and for school years following the 2021-2022 school year.
(a) Table DHS 144.03-A, as qualified by pars. (b) to (k), lists the number of doses of each required vaccine that each student in the 2021-2022 school year and following school years shall have received since birth for the age or grade of the student. These comprise the minimum immunizations required under s. 252.04(2), Stats. They do not, however, represent all the recommended immunizations according to currently accepted immunization schedules.

Note: CR 19-079 did not take effect until February 1, 2023, and the rule was therefore not in effect for the 2021-22 or 2022-23 school years.

(b) Immunization against measles, mumps, and rubella shall be received no sooner than 4 days before the student's first birthday. A second dose of MMR shall be received no sooner than 4 weeks after the first dose.

Table 144.03-A

Required Immunizations for the 2021-2022 School Year and the Following School Years

Age/Grade

Required Immunizations (Number of Doses)

5 months through 15 months

2 DTP/DTaP/DT

2 Polio

2 Hep B

2 Hib

2 PCV

16 months through 23 months

3 DTP/DTaP/DT

2 Polio

1 MMR

2 Hep B

3 Hib

3 PCV

2 years through 4 years

4 DTP/DTaP/DT

3 Polio

1 MMR

1 Var

3 Hep B

3 Hib

3 PCV

Kindergarten through grade 6

4 DTP/DTaP/DT

4 Polio

2 MMR

2 Var

3 Hep B

Grade 7 through grade 11

4 DTP/DTaP/DT

1 Tdap

4 Polio

2 MMR

2 Var

3 Hep B

Grade 12

4 DTP/DTaP/DT

1 Tdap

4 Polio

2 MMR

2 Var

3 Hep B

Note: On March 9, 2023, the Joint Committee for the Review of Administrative Rules (JCRAR) adopted a motion under s. 227.26(2) (d), Stats., that partially suspended s. Table DHS 144.03-A. The suspended parts of the table ("1 Mening" and "2 Mening") are shown above with striking. Pursuant to s. 227.26(2) (f), Stats., JCRAR took executive action to introduce 2023 LRB-2600/1 and LRB-2630/1 in the Senate and Assembly, in support of the JCRAR suspension.

Note: CR 19-079 did not take effect until February 1, 2023, and the rule was therefore not in effect for the 2021-22 or 2022-23 school years.

(c) The fourth dose of polio vaccine shall be received no sooner than 4 days before the student's fourth birthday. A student receiving a third dose of polio vaccine after the student's fourth birthday is not required to receive additional doses. No further doses of polio vaccine are required if the student has not met minimum polio vaccine requirements by the eighteenth birthday.
(d) The fourth or fifth dose of DTP/DT/DTaP/Td/Tdap shall be received no sooner than 4 days before the student's fourth birthday. Students receiving a third dose of DTP/DT/DTaP/Td/Tdap after the fourth birthday are not required to receive additional doses.
(e) For students age 5 years or older who attend a school that does not use grades, the immunization requirements are those for the grade which would normally correspond to the individual's age. Immunizations are required for all students age 19 years or older, as prescribed for Grade 12 in table DHS 144.03-A.
(f) Students who begin the Hib series at 12 to 14 months of age are only required to receive 2 doses of Hib, at least 2 months apart. Students who receive 1 dose of Hib 4 days before 15 months of age, or after, are not required to receive additional doses of Hib.
(g) The first dose of Var shall be received no sooner than 4 days before the first birthday. A second dose of Var shall be received no sooner than 4 weeks after the first dose. Students who have a reliable history of varicella disease are not required to receive Var. A physician, physician assistant, or an advanced practice nurse prescriber, must document a reliable history of varicella disease by indicating on the department's student immunization record form that the student has had varicella disease.

Note: On March 9, 2023, the Joint Committee for the Review of Administrative Rules (JCRAR) adopted a motion under s. 227.26(2) (d), Stats., that suspended s. DHS 144.03 (2) (g) in part as shown below. Pursuant to s. 227.26(2) (f), Stats., JCRAR took executive action to introduce 2023 LRB-2600/1 and LRB-2630/1 in the Senate and Assembly, in support of the JCRAR suspension.

ATCP 144.03 (2) (g) The first dose of Var shall be received no sooner than 4 days before the first birthday. A second dose of Var shall be received no sooner than 4 weeks after the first dose. Students who have a reliable history of varicella disease are not required to receive Var.

Note: The student immunization record form (DHS Form 04020L) is available by accessing: https://www.dhs.wisconsin.gov/library/F-04020L.htm.

(h) Students between the ages of 11 and 15 years who receive 2 doses of a 2 dose formulation of Hep B are not required to receive a third dose of Hep B.
(i) Students who begin the PCV series at 12 to 23 months of age are only required to receive 2 doses of PCV at least 2 months apart. Students who receive their first dose of PCV 4 days before their second birthday or after are not required to receive additional PCV doses.
(j) Students who receive a dose of Td or Tdap within 5 years of entering a grade for which Tdap is required are not required to receive additional doses of Tdap.
(k) A 2nd dose of mening shall be received between the ages of 16 and 18 years to students who received a first dose of mening between the ages of 11 and 15 years. A second dose is not required for students who received their first dose of mening at age 16 years or older.
(4) FIRST DEADLINE. Within 30 school days after having been admitted to a school or child care center, each student who has not filed a waiver form shall submit written evidence of having completed at least the first dose of each vaccine required for that student's age or grade, as outlined in Table DHS 144.03-A.
(5) SECOND DEADLINE. Within 90 school days after having been admitted to a school or child care center, each student who has not filed a waiver form shall submit written evidence of having received the second dose of each vaccine required for that student's age or grade, as outlined in Table DHS 144.03-A.
(6) FINAL DEADLINE. Within 30 school days after having been admitted to a school or child care center for the following school year, each student who has not filed a waiver form shall submit written evidence of having received the third and, if required, the fourth dose of both DTP/DTaP/DT/Td/Tdap and polio vaccines and the final dose of Hep B as required under sub. (2) and, for students in child care centers, the final dose of Hib vaccine, if a dose has not been received at or after 15 months of age.
(7) RECORDS OF VACCINATION. Any person who immunizes a student under s. 252.04, Stats., shall maintain records identifying the manufacturer and lot number of the vaccine used, the date of immunization and the name and title of the person who immunized the student.
(10) RELEASE OF IMMUNIZATION INFORMATION.
(a) Between vaccine providers and schools or child care centers. Vaccine providers shall disclose a student's immunization information, including the student's name, date of birth, gender, and the day, month, and year the vaccine was administered, and the name of vaccine administered, to a school or child care center upon written or verbal request from the school or child care center. Written or verbal permission from a student or parent is not required to release this information to a school or child care center.
(b) Among vaccine providers. Immunization information, including the student's name, date of birth and gender and the day, month, year and name of vaccine administered, shall be provided by one vaccine provider to another without written or verbal permission from the student or the parent.

Notes

Wis. Admin. Code Department of Health Services § DHS 144.03
Cr. Register, June, 1981, No. 306, eff. 7-1-81; r. and recr. (2) and (3), am. (4) to (6), Register, June, 1988, No. 390, eff. 7-1-88; am. (2) (a) to (d), (3) (a) and (b), r. (2) (e), Register, January, 1989, No. 397, eff. 2-1-89; am. (2) (a), (4) and (5), r. and recr. (3), tables 144.03 -A and B, Register, July, 1990, No. 415, eff. 8-1-90; corrections made under s. 13.93(2m) (b) 7, Stats., Register, August, 1995, No. 476; r. and recr. (2) (a), Table 144.03-A and (3), am. (2) (c) and (4) to (7), cr. (2) (e) and (10), r. Table 144.03-B, Register, June, 1997, No. 498, eff. 7-1-97; r. and recr. (2) (a) and Table 144.03-A, cr. (2) (f), (g) and (3m), am. (3) (a) and (6), Register, May, 2001, No. 545, eff. 6-1-01; CR 03-033: am. (2) (b), (c), (e) and Table 144.03-A Register December 2003 No. 576, eff. 1-1-04; CR 07-077: r. and recr. (2) (a), (f), (3), (3m) and Table-A, cr. (2) (h) and (i), am. (10) (a) and (b) Register February 2008 No. 626, eff. 3-1-08. Amended by, CR 19-079: am. (1), (2) (title), (a), (b), r. and recr. Table 144.03-A, (2) (c) to (i), cr. (2) (j), (k), r. (3), (3m), am. (4) to (6), (10) (a) Register January 2023 No. 805, eff. 2-1-23; correction in (6) made under s. 13.92 (4) (b) 7., Stats., Register January 2023 No. 805, eff. 2/1/2023 Amended by, correction in (6) made under s. 13.92 (4) (b) 7., Stats., Register April 2023 No. 808, eff. 5/1/2023

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