Required Immunizations for Michigan Childcare/Preschool Attendance

Communicable disease rules are the minimum standard for preventing disease outbreaks in child care settings.
healthcare professionals in Michigan should follow the
2016 Recommended Immunization Schedule at www.cdc.gov/vaccines or www.michigan.gov/immunize to protect patients from all diseases
**All doses of vaccines must be given with appropriate spacing between doses and at appropriate ages to be considered valid.

Childcare/Preschool Entry Requirements

Age                Birth        2 months        4 months        6 months        16 months               19 months          5 years
Vaccine          through    through           through          through           through                   through       
                      1 month    3 months        5 months       15 months      18 months               4 years
Diptheria,
Tetanus,         None        1 dose            2 doses         3 doses          3 doses                   4 doses              4 doses
Pertussis                         DTaP             DTaP            DTaP            

Pneumoccal    None        1 dose            2 doses         3 doses          4 doses OR age      1 dose on or       None
Conjugate                                                                                        appropriate             after 24 mo or
(PCV 13)                                                                                        complete series       complete series

H. influenzae   None        1 dose            2 doses         2 doses            1 dose on or after 15 months of        None
                                                                                                        age or age appropriate complete
                                                                                                        series

Polio               None        1 dose            2 doses        2 doses           2 doses                    3 doses              3 doses

Measles*,
Mumps*,        None        None              None           None               1 dose on or after 12 months of age
Rubella*

Hepatitis B*    None        1 dose            2 doses        2 doses           2 doses                    3 doses               3 doses

Varicella*       None         None             None           None               1 dose on or after 12 months of age or
(Chickenpox)                                                                                    current lab immunity or reliable history of disease

* If vaccination is not administered, current laboratory evidence of immunity is required.
+ Hepatitis B may be administered as early as birth. This table represents the minimum required immunizations for childcare centers
Parent/guardians must obtain a certified waiver from a local health departments.

Rev. March 31, 2016