Immunization Requirements

 


Orientation Presentation Download


 

Requirement Checklist

Downloadable version of the checklist.

Hepatitis B (Titer) Quantitative lab report showing immunity
OR
Hepatitis B Non-Responder Form
Measles, Mumps, Rubella
(MMR)
2 doses of MMR
OR
2 doses of Measles, 2 doses of Mumps, and 1 dose of Rubella
OR
Quantitative lab report showing immunity
Varicella 2 doses of varicella vaccination
OR
Quantitative lab report showing immunity
Tetanus, Diptheria, Acellular Pertussis
(Tdap)
1 dose of Tdap within the past 10 years
OR
1 dose of Tdap more than 10 years ago with a Td booster
Tuberculin Skin Test 2 Step PPD (2 PPDs taken 1-3 weeks apart)
OR
Proof of annual PPD (2 PPDs within 13 months)
OR
Chest x-ray
OR
Quantiferon/T-Spot blood test
OR
Documentation of treatment for active or latent TB infection
Influenza (Flu) Annual flu vaccination provided in Fall/Winter each year
Meningitis
(students under 22 only)
1 vaccination within the past 5 years
Medical History and Physical
(not required for GSBS & SPH)

Medical history and physical examination results from no more than a year ago.

Optional: You can utilize the UNTHSC Health and Physical Form


 

Contact Us

health@unthsc.edu – if you know your student ID number, please include it in the email so we can accurately locate your records


Vaccination Information

 

Hepatitis B Series

How long does it take to complete the Hepatitis B series?
Full immunization for Hepatitis B requires a series of 3 shots administered over a period of approximately 6 months (schedule of 0,1,6 months). The second shot is due 1-2 months after the first, and the third shot is due 5-6 months after the second.

What do I do if I have to repeat the series?
If you do not show immunity to Hepatitis B, you must:
1.     Begin repeating the entire Hepatitis B series.
2.     Upload the lab report to Medicat.
3.     Upload the vaccinations to Medicat.
4.     Fill out the Repeating Hepatitis B Series form and upload it to Medicat.

 

Hepatitis B Titer

What is a titer?
A titer is a laboratory test that measures the presence and amount of antibodies in blood. A titer may be used to prove immunity to disease. A blood sample is taken and tested. If the test is positive (above a particular known value) the individual has immunity. This is not the same as a vaccination. Any titers submitted must be quantitative.

What if my titer shows that I am not immune?
If you do not show immunity, you must:
1.     Begin repeating the entire Hepatitis B series.
2.     Upload the lab report to Medicat.
3.     Upload the vaccinations to Medicat.
4.     Fill out the Repeating Hepatitis B Series form and upload it to Medicat.

What if my 2nd titer shows that I am not immune?
Students who have had 2 complete Hepatitis B series and 2 titers showing non-immune must complete the Hepatitis B Non-Responder form. Upload the completed form to the Medicat.

Measles, Mumps, Rubella (MMR)

How long does it take to complete the 2 MMR shots?
MMR shots are given 4 weeks apart.

Do I have to have a titer for MMR?
You are not required to provide a titer for MMR. 2 vaccinations of MMR will meet the requirement.

What do I do if I cannot find my vaccination records for MMR?
If you know you have had the 2 vaccinations in the past, you can have these titers drawn. Please make sure your titer includes measles, mumps and rubella. Titers must be quantitative and IgG (not IgM).

Varicella

If I have had chicken pox in the past, will that meet the varicella requirement?
A history of chicken pox is not proof of immunity. Only a titer can be used as proof of immunity. If you have had chicken pox in the past, you can get an IgG quantitative titer drawn.

Do I have to have a titer for Varicella?
You are not required to provide a titer for Varicella. 2 vaccinations of Varicella will meet the requirement.

What if my Varicella titer comes back as negative/equivocal?
If you cannot prove immunity through titer, you must have 2 vaccinations for varicella. Varicella vaccinations are given 4 weeks apart.

Tetanus, Diptheria, Acellular Pertussis (Tdap)

I had Td/DPT/DtaP in the past. Will this meet the requirement?
Only the Tdap vaccination will meet the requirement. Td/DPT/DtaP will not meet this requirement.

What is the expiration date for Tdap?
If your Tdap was taken more than 10 years ago, you must receive a Td booster.

Tuberculin Skin Test

How is the Tuberculin Skin Test administered?
The tuberculin skin test (TST) is performed by injecting 0.1 ml of tuberculin purified protein derivative (PPD) into the inner surface of the forearm. The skin test reaction should be read between 48 and 72 hours after administration. If it is not read within 72 hours will need to be rescheduled for another skin test. You can read more about the test on the CDC website.

Can I wait until school starts to receive a PPD?
Each year, we will have scheduled events from June-September for students to receive updated PPDs. These events are free for students. Our website usually has information about these test when they are scheduled.

What do I do if I have tested positive in the past to a PPD?
Please receive a chest x-ray or have lab work done to prove that you do not currently have tuberculosis.

What is a 2 Step PPD and why do we need to receive a 2 Step?
A 2 step PPD is 2 skin tests taken 1-3 weeks apart. Two-step testing is useful for the initial skin testing of adults who are going to be retested periodically, such as health care workers. This two-step approach can reduce the likelihood that a boosted reaction to a subsequent TST will be misinterpreted as a recent infection. You can read more about the booster phenomenon on the Official Website of the Executive Office of Health and Human Services.

I was told my tuberculosis screening was good for two years. Do I have to get screened again this year?
Any screening for tuberculosis expires after 1 year. This includes all forms of screening. If you received a skin test, x-ray, or blood test, it will expire in our system after exactly 1 year and you will need to provide updated documentation.

 

Influenza

The flu vaccination is not available this time of year and I have not had it within the last year. What do I do?
You will not be penalized for missing the flu vaccination requirement unless it is the appropriate time of year and you have not had it. As soon as the flu vaccination is offered, you will need to be vaccinated and upload documentation to Medicat. You will need to receive the flu vaccination every year around October or November.

History & Physical Examination

Am I required to provide a history and physical examination?
All students except GSBS & SPH students are required to provide documentation from a medical history and physical examination.

Is there a form that I am required to use?
You are not required to use any form. However, we recommend using the UNTHSC Health and Physical Form. Any form from your primary care provider that provides similar information will meet the requirements.

Does the form have to be signed by a physician?
The form must be signed by a licensed medical professional. This does not necessarily need to be a physician. It can be a physician assistant, nurse, or other licensed medical professional.

Meningitis

Am I required to submit the meningitis vaccination?
Only students who are under the age of 22 (21 and younger) are required to submit the meningitis vaccination.

For more information on the meningitis vaccination, please see our website specific to this vaccination.

 

This page was last modified on September 6, 2017