The Tennessee Department of Health has immunization requirements for those who attend child care, pre-school, and school. The state’s immunization requirements follow the current schedule published by the Centers for Disease Control and Prevention (CDC) and endorsed by the American Academy of Pediatrics (AAP) and American Academy of Family Physicians (AAFP).
Children enrolling in child care facilities, pre-school, pre-Kindergarten
Infants entering child care facilities must be up to date at the time of enrollment and are required to provide an updated certificate after completing all of the required vaccines due no later than 18 months of age.
Hepatitis B (HBV)
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Poliomyelitis (IPV or OPV)
Haemophilus influenzae type B (Hib) – age younger than 5 years only
Pneumococcal conjugate vaccine (PCV) – age younger than 5 years only
Measles, Mumps, Rubella – 1 dose of each, normally given together as MMR
Varicella – 1 dose or credible history of disease
Hepatitis A – 1 dose, required by 18 months of age or older
Children enrolling in Kindergarten
Hepatitis B (HBV)
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Poliomyelitis (IPV or OPV) – final dose on or after the 4th birthday
Measles, Mumps, Rubella – 2 doses of each, normally given together as MMR
Varicella – 2 doses or credible history of disease
Hepatitis A – total of 2 doses, spaced at least 6 – 18 months apart
All children entering 7th grade (including currently enrolled students)
Tetanus-diphtheria-pertussis booster (Tdap) – evidence of one Tdap dose given any time before 7th grade entry is required regardless of Td history
Varicella – 2 doses or credible history of disease
Children who are new enrollees in a TN school in grades other than Kindergarten
Hepatitis B (HBV)
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Poliomyelitis (IPV or OPV) – final dose on or after the 4th birthday
Measles, Mumps, Rubella – 2 doses of each, normally given together as MMR
Varicella – 2 doses or credible history of disease
New students entering grades other than 7th grade are not required to have Tdap
Immunization Exemptions
Tennessee law allows exceptions for medical reasons and religious beliefs.
Medical
Physicians (MD or DO) or Public Health Nurses are authorized to indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines remain required. The medical reason for the exemption does not need to be provided.
Religious
This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices.