Kindergarten Through 12th Grade Vaccine Requirements

School Vaccination Requirements in Ohio (Kindergarten Through 12^th Grade).

Ohio Revised Code 3313.671 requires students to be fully protected against 10 vaccine-preventable diseases.

• Diphtheria.
• Hepatitis B.
• Measles.
• Meningococcal.
• Mumps.
• Pertussis.
• Polio.
• Rubella.
• Tetanus.
• Varicella.

Additional information regarding K-12 immunization requirements can be found in the Ohio Revised Code 3313.67 and 3313.671. 

Resources for Schools.

• Director's Journal-School Requirements. This document reviews the approved methods of immunization (e.g., doses, intervals, etc.) against the diseases specified in Ohio Revised Code.
• Immunization Summary for School. This document provides a high-level overview of vaccine dose requirements for each grade.
• Child and Adolescent Immunization Schedule by Age. The Advisory Committee on Immunization Practices (ACIP) approves immunization schedules for persons living in the United States. All vaccines should be administered according to the current version of the ACIP schedule.
• Recommended Catch-up Immunization Schedule for Child and Adolescents Who Start Late or Who Are More than 1 Month Behind. The Centers for Disease Control and Prevention (CDC) provides catch-up schedules and minimum intervals between doses for children whose vaccinations have been delayed.
• School and Head Start ImpactSIIS Registration Forms. ODH provides forms and instructions for licensed nurses working in schools and Head Start programs in order to gain access to the statewide electronic immunization registry.

Annual Required Assessment Reporting for Schools - Kindergarten Through 12th Grade. 

Ohio Revised Code section 3313.67 requires schools (K-12th) to report the immunization status of students by October 15 of each year. Each school or portion of a school that has its own Information Retrieval Number (IRN) must submit a separate report for all applicable grades. 

Ohio laws regarding school immunization requirements are found in two Ohio Revised Code sections, written under Title 33 regarding education and libraries. For additional information please refer to Ohio Revised Code 3313.671.

Access the online school reporting tool and reporting instructions.

Please note: the online school reporting tool is only available during the reporting period.

Resources for Parents and Guardians. 

Easy to read immunization schedule: birth through six years of age. 

• English immunization schedule: birth through six years of age
• Spanish immunization schedule: birth through six years of age

Easy to read immunization schedule: seven through 18 years of age.

• English immunization schedule: seven through 18 years of age.
• Spanish immunization schedule: seven through 18 years of age.

If you need help locating your child’s vaccination records, you can: 

• Ask your child’s healthcare provider, who will have a copy of their medical records and may be able to access the state system. 
• Contact your local health department, which may be able to access the state system.
• Ask a workplace, camp, or school that you may have provided the records to in the past.
• Complete and mail in an Ohio Department of Health Authorization to Disclose Form.
  • The Ohio Department of Health maintains the Ohio Impact Statewide Immunization Information System (ImpactSIIS), an online tool that allows providers to record immunizations/vaccinations administered in the state of Ohio. If you are seeking to obtain a copy of your child’s immunization records from the state system, it is important to know that such records are protected by medical confidentiality laws.
  • Medical providers in Ohio are not required to report immunizations to the state system. It is possible that other vaccinations will not be recorded in our system.

School Vaccination Coverage.

2024-2025 Ohio Kindergarten Measles, Mumps, Rubella (MMR) Up-To-Date Coverage, By County

2024-2025 Ohio Kindergarten Measles, Mumps, Rubella (MMR) Exemption Rates, By County

Coverage rates of selected vaccines among children in Kindergarten from the Centers for Disease Control and Prevention (CDC). 

• Centers for Disease Control and Prevention (CDC) Kindergarten Coverage full report.
• SchoolVaxView.

CDC Coverage Definitions for Kindergarten.

• Greater than or equal to four DTaP: Four or more doses of diphtheria, tetanus, and pertussis (DTaP) vaccine. If all four doses were given before the fourth birthday, a fifth dose is required. 
• Greater than or equal to three Hep B: Three or more doses of hepatitis B (hep B) vaccine.
• Greater than or equal to two MMR: Two doses of measles, mumps, and rubella (MMR) vaccine.
• Greater than or equal to three Polio: Three or more doses of inactivated polio vaccine (IPV). 
  • Oral polio vaccine given after April 1, 2016 should not be counted as a valid dose. 
• Greater than or equal to two Varicella (chickenpox): Two doses of varicella vaccine.
• Medical exemption: a medical exemption is allowed when a child has a medical condition that prevents them from receiving a vaccine. 
• Non-medical exemption: a vaccine exemption for religious or philosophical reasons. 
  • Ohio non-medical: Ohio law defines as reasons of conscience, including religious convictions.

DTaP

CDC Kindergarten DTaP Immunization Rates for Ohio and U.S.

Kindergarten DTaP coverage rates for Ohio and U.S. respectively, 2021-22 88.5% and 92.7%, 2022-23 89.4% and 92.7%, 2023-24 89.3% and 92.3%. Four or more doses of diphtheria, tetanus, and pertussis (DTaP) vaccine. If all four doses were given before the fourth birthday, a fifth dose is required.

Hepatitis B

CDC Kindergarten Hep. B Immunization Rates for Ohio and U.S.

Kindergarten hepatitis B coverage rates for Ohio and U.S. respectively, 2021-22 92.7% and 94.1%, 2022-23 93.0% and 94.3%, 2023-24 93.0% and 93.9%. Three doses of hepatitis B (hep B) vaccine.

MMR

CDC Kindergarten MMR Immunization Rates for Ohio and US.

Kindergarten MMR coverage rates for Ohio and U.S. respectively, 2021-22 88.3% and 93.0%, 2022-23 89.3% and 93.1%, 2023-24 89.2% and 92.7%. Two doses of MMR vaccine.

Polio

CDC Kindergarten Polio Immunization Rates for Ohio and U.S.

Kindergarten polio coverage rates for Ohio and U.S. respectively, 2021-22 88.9% and 93.1%, 2022-23 89.7% and 93.1%, 2023-24 89.6% and 92.6%. Three doses of IPV vaccine.

Varicella

CDC Kindergarten Varicella Immunization Rates for Ohio and U.S.

Kindergarten varicella coverage rates for Ohio and U.S. respectively, 2021-22 87.9% and 92.7%, 2022-23 88.8% and 92.8%, 2023-24 88.5% and 92.3%. Two doses of varicella vaccine.

Exemptions

CDC Kindergarten Medical and Non-Medical Exemption Rates for Ohio and U.S.

• Kindergarten reasons of conscience exemption rates for Ohio, 2018-19 2.6%, 2019-20 2.6%, 2020-21 2.4%, 2021-22 2.8%, 2022-23 3.6%, 2023-24 4.0%.
• Kindergarten non-medical exemption rates for U.S., 2018-19 2.2%, 2019-20 2.2%, 2020-21 1.9%, 2021-22 2.3%, 2022-23 2.8%, 2023-24 3.1%.
• Kindergarten medical exemption rates for Ohio and U.S. respectively,  2018-19 0.2% and 0.3%, 2019-20 0.2% and 0.3%, 2020-21 0.2% and 0.2%, 2021-22 0.2% and 0.2%, 2022-23 0.2% and 0.2%, 2023-24 0.2% and 0.2%.