Immunization Rules (North Carolina)
Last Modified on 12/16/2024 9:47 am CST
Tool Search: Vaccine Setup
Health vaccines and their associated compliance listings are based on state guidelines. While Infinite Campus maintains standard guidelines for all states, districts have the ability to enter additional compliances. The following information describes vaccine compliance rules as defined by the North Carolina Department of Health.
For more information on the creation, modification or deletion of vaccine compliance rules, see the Vaccine Setup article.
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For more information about Tool Rights and how they function, see this Tool Rights article.
DTaP
Rule | Requirements |
6 months and younger No Requirement | Students 6 months old and younger are not required to receive any doses of the DTaP vaccine. |
3 doses (7-18 months) Compliant | Students are considered compliant when:- they are at least 7 months, but no older than 18 months old, and
- they receive three doses of the DTaP vaccine.
|
4 doses (under 4 years) Compliant | Students are considered compliant when:- they are at least 19 months, but no older than 47 months old, and
- they receive four doses of the DTaP vaccine.
|
4 doses (4 years and older) Compliant | Students are considered compliant when:- they receive four doses of the DTaP vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 48 months with a 4 day tolerance.
|
Default Non-Compliant | N/A |
Polio
Rule | Requirements |
4 months and younger No requirement | Students 4 months old and younger are not required to receive any IPV or IPV/OPV Polio vaccine doses. |
18 years and older No Requirement
| Students 216 months (18 years) old or older are not required to receive any IPV or IPV/OPV Polio vaccine doses. |
2 doses (5-18 months) Compliant | Students are considered compliant when:- they are at least 5 months, but no older than 18 months old, and
- they receive two doses of the IPV or IPV/OPV Polio vaccine.
|
3 doses (under 4 years) Compliant
| Students are considered compliant when:- they are at least 19 months, but no older than 47 months old, and
- they receive three doses of the IPV or IPV/OPV Polio vaccine.
|
3 doses (4 years and older) Compliant | Students are considered compliant when:- They are at least 48 months, and
- they receive three doses of the IPV or IPV/OPV Polio vaccine.
- the difference between the third dose and previous dose is greater than or equal to 6 months with a 4 day tolerance.
- the difference between the last dose and the student's birthdate is greater than or equal to 48 months with a 4 day tolerance.
|
2 doses (4 years and older) In Progress
| Students are considered compliant when: - They are at least 48 months, and
- they receive three doses of the IPV or IPV/OPV Polio vaccine.
- the difference between the last dose and the student's birthdate is less than 5 months with a 1 day tolerance (looks for doses within 6 months of the student's birthdate)
|
4 doses (4 years and older) Compliant | Students are considered compliant when: - they are at least 48 months,
- they receive four doses of the IPV or IPV/OPV Polio vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 48 months with a 4 day tolerance.
|
Default Non-Compliant | N/A |
Hepatitis B
Rule | Requirements |
---|
2 months and younger No Requirement | Students 2 months old and younger are not required to receive any doses of the Hepatitis B vaccine. |
1 dose (3-4 months) Compliant | Students are considered compliant when:- they are at least 3 months, but no older than 4 months old, and
- they receive one dose of the Hepatitis B vaccine.
|
2 doses (5-18 months) Compliant | Students are considered compliant when:- they are at least 5 months, but no older than 18 months old, and
- they receive two doses of the Hepatitis B vaccine.
|
3 doses (19 months and older) Compliant | Students are considered compliant when:- the student is at least 19 months old,
- the student receives three doses of the Hepatitis B vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 168 days (24 weeks) with a 4-day tolerance.
|
Default Non-Compliant | N/A |
Measles Mumps Rubella
Rule | Requirements |
---|
11 months and younger No Requirement | Students 11 months old and younger are not required to receive any doses of the Measles Mumps Rubella (MMR) vaccine. |
1 dose 12-15 months Compliant | Students are considered compliant when:- they are no older than 15 months old,
- they receive one dose of the Measles, MMR, or MMRV vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance, OR
- they receive one dose of the Mumps, MMR, or MMRV vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance, OR
- they receive one dose of the Rubella, MMR, or MMRV vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance.
|
2 doses M & M, 1 dose R Compliant | Students are considered compliant when:- they receive two doses of the Measles, MMR, or MMRV vaccine,
- the difference between the second and previous dose is greater than or equal to 28 days with a 4-day tolerance, and
- the difference between the first dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance, OR
- they receive two doses of the Mumps, MMR, or MMRV vaccine, and
- the difference between the first dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance, AND
- they receive one dose of the Rubella, MMR, or MMRV vaccine, and
- the difference between the first dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance.
|
1 dose In Progress | Students are considered in progress when:- they receive one dose of the Measles, MMR, or MMRV vaccine, and
- the difference between the first dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance,
- the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance, OR
- they receive one dose of the Mumps, MMR, or MMRV vaccine, and
- the difference between the first dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance, OR
- they receive one dose of the Rubella, MMR, or MMRV vaccine, and
- the difference between the first dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance,
- the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.
|
Default Non-Compliant | N/A |
Tetanus-Diphtheria and Acellular Pertussis Tdap
Rule | Requirements |
---|
1 dose 12 and older Compliant | Students are considered compliant when:- they are at least 144 months (12 years) old,
- they receive one dose of the Tdap vaccine.
|
1 dose 7th grade and up Compliant | Students are considered compliant when:- they are in state grades 07, 08, 09, 10, 11, or 12, and
- they receive one dose of the Tdap vaccine.
|
No doses 12 and Older Non-Compliant | Students are considered non-compliant when:- they are at least 144 months (12 years) old, and
- they have not received any doses of the Tdap vaccine.
|
No doses 7th grade and up Non-Compliant | Students are considered non-compliant when:- they are in state grades 07, 08, 09, 10, 11, or 12, and
- they have not received any doses of the Tdap vaccine.
|
Default No Requirement | N/A |
Meningococcal
Rule | Requirements |
---|
1 dose after 16 Compliant | Students are considered compliant when:- they receive one dose of the MCV4 or MenACWY vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 192 months with a 4-day tolerance.
|
2 doses 17 and older Compliant | Students are considered compliant when:- they are at least 204 months (17 years) old, and
- they receive two doses of the MCV4 or MenACWY vaccine.
|
1 dose 17 and older Compliant | Students are considered compliant when:- they are at least 204 months (17 years) old, and
- they receive one dose of the MCV4 or MenACWY vaccine.
|
2 dose 12th grade Compliant | Students are considered compliant when:- they are in state grade 12, and
- they receive two doses of the MCV4 or MenACWY vaccine.
|
1 dose 12th grade Non-Compliant | Students are considered non-compliant when:- they are in state grade 12, and
- they receive one dose of the MCV4 or MenACWY vaccine.
|
1 dose 12-16 years Compliant | Students are considered compliant when:- they are at least 144 months, but no older than 203 months, and
- they receive one dose of the MCV4 or MenACWY vaccine
|
1 dose 7-11th grade Compliant | Students are considered compliant when:- they are no older than 203 months,
- they are in state grades 07, 08, 09, 10, or 11, and
- they receive one dose of the MCV4 or MenACWY vaccine.
|
No Doses 12 and older Non-Compliant | Students are considered non-compliant when:- they are at least 144 months old, and
- they have not received any doses of the MCV4 or MenACWY vaccine.
|
No Doses 7-12th grade Non-Compliant | Students are considered non-compliant when:- they are in state grades 07, 08, 09, 10, 11, or 12, and
- they have not received any doses of the MCV4 or MenACWY vaccine.
|
Default No Requirement | N/A |
Pneumococcal
Rule | Requirements |
---|
6 months and younger No Requirement | Students 6 months old and younger are not required to receive any doses of the Pneumococcal vaccine. |
5 years and older No Requirement | Students 60 months (5 years) old and older are not required to receive any doses of the Pneumococcal vaccine. |
3 doses 7-11 months Compliant | Students are considered compliant when:- they are at least 7 months, but no older than 11 months, and
- they receive three doses of the Pneumococcal (PCV or PPV) vaccine.
|
4 doses 12 months and older Compliant | Students are considered compliant when:- they are at least 12 months old,
- they receive four doses of the Pneumococcal (PCV or PPV) vaccine, and
- the difference between the first dose and the student's birthdate is less than 6 months with a 1-day tolerance (looks for doses within 7 months of the student's birthdate).
|
3 dose catch up Compliant | Students are considered compliant when:- they receive three doses of the Pneumococcal (PCV or PPV) vaccine,
- the difference between the first dose and the student's birthdate is greater than or equal to 6 months with a 1-day tolerance,
- the difference between the first dose and the student's birthdate is less than 11 months with a 1-day tolerance ((looks for doses within 12 months of the student's birthdate),
- the difference between the second and previous dose is greater than or equal to 28 days with a 4-day tolerance, and
- the difference between the last dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance.
|
2 dose catch up Compliant | Students are considered compliant when:- they receive two doses of the Pneumococcal (PCV or PPV) vaccine,
- the difference between the first dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance,
- the difference between the first dose and the student's birthdate is less than 23 months with a 1-day tolerance (looks for doses within 24 months of the student's birthdate), and
- the difference between the second and previous dose is greater than or equal to 56 days with a 4 day tolerance.
|
1 dose catch up Compliant | Students are considered compliant when:- they receive one dose of the Pneumococcal (PCV or PPV) vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 24 months with a 4-day tolerance.
|
1-2 dose catch up In Progress | Students are considered in progress when:- they receive one dose of the Pneumococcal (PPV) vaccine,
- the difference between the first dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance,
- the difference between the first dose and the student's birthdate is less than 23 months with a 1-day tolerance (looks for doses within 24 months of the student's birthdate), and
- the difference between the last dose and effective date is less than or equal to 56 days with a 4-day tolerance.
|
Default Non-Compliant | N/A |
Hib
Rule | Requirements |
---|
5 years and older No Requirement | Students 60 months (5 years) old and older are not required to receive any doses of the Hib vaccine. |
3 doses Compliant | Students are considered compliant when:- they receive three doses of the Hib vaccine,
- the difference between the second dose and the student's birthdate is less than or equal to 6 months with a 1-day tolerance (looks for doses within 7 months of the student's birthdate), and
- the difference between the last dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance.
|
3 dose catch up 7-12 months Compliant | Students are considered compliant when:- they receive three doses of the Hib vaccine,
- the difference between the first dose and the student's birthdate is greater than or equal to 7 months with a 4-day tolerance,
- the difference between the first dose and the student's birthdate is less than 11 months with a 1-day tolerance (looks for doses within 12 months of the student's birthdate), and
- the difference between the last dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance.
|
3 dose catch up 12-15 months Compliant | Students are considered compliant when:- they receive three doses of the Hib vaccine,
- the difference between the first dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance,
- the difference between the first dose and the student's birthdate is less than 14 months with a 1-day tolerance (looks for doses within 15 months of the student's birthdate), and
- the difference between the third and previous dose is greater than or equal to 2 months with a 4 day tolerance.
|
1 dose catch up Compliant | Students are considered compliant when:- they receive one dose of the Hib vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 15 months with a 4-day tolerance.
|
2-3 dose catch up 12-15 months In Progress | Students are considered in progress when:- they receive two doses of the Hib vaccine,
- the difference between the first dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance,
- the difference between the first dose and the student's birthdate is less than 14 months with a 1-day tolerance (looks for doses within 15 months of the student's birthdate), and
- the difference between the last dose and the effective date is less than one month with 1-day tolerance (looks for doses in the last 2 months).
|
Default Non-Compliant | N/A |
Varicella
Rule | Requirements |
---|
11 months and younger No Requirement | Students 11 months old and younger are not required to receive any doses of the Varicella vaccine. |
1 dose 10th grade and older Compliant Active Start Date: 7/1/2024 Active End Date: 6/30//2025 | Students are considered compliant when: - they are in state grade 10, 11, or 12,
- they receive one dose of the Varicella or MMRV vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance.
|
1 dose 11th grade and older Compliant Active Start Date: 7/1/2025 Active End Date: 6/30//2026 | Students are considered compliant when: - they are in state grade 11 or 12,
- they receive one dose of the Varicella or MMRV vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance.
|
1 dose 12th grade and older Compliant Active Start Date: 7/1/2026 Active End Date: 6/30//2027 | Students are considered compliant when: - they are in state grade 12,
- they receive one dose of the Varicella or MMRV vaccine, and
- the difference between the last dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance.
|
2 doses Compliant | Students are considered compliant when:- they receive two doses of the Varicella or MMRV vaccine,
- the difference between the second and previous dose is greater than or equal to 28 days with a 4-day tolerance, and
- the difference between the last dose and the student's birthdate is greater than or equal to 12 months with a 4-day tolerance
|
1 dose In Progress | Students are considered in progress when:- they receive one dose of the Varicella or MMRV vaccine, and
- the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.
|
Default Non-Compliant | N/A |