(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