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| North Carolina Immunization Laws & Rules 
Office
of Administrative Hearings
NC General Statute 10A NCAC 41A
.0401
DOSAGE AND AGE REQUIREMENTS FOR IMMUNIZATION
[For an official version, see the North
Carolina General Assembly website.]
(a)
Every individual in North Carolina required to be immunized pursuant
to G.S. 130A-152 through 130A-157 shall be immunized against the
following diseases by receiving the specified minimum doses of
vaccines by the specified ages:
(1)
Diphtheria, tetanus, and whooping cough vaccine - five doses:
three doses by age seven months and two booster doses, one by
age 19 months and the second on or after the fourth birthday and
before enrolling in school for the first time. However:
(A)
Individuals who receive the first booster dose of diphtheria,
tetanus, and whooping cough vaccine on or after the fourth
birthday are not required to have a second booster dose;
(B)
Individuals attending colleges and universities are required
to have three doses of tetanus/diphtheria toxoid, one
of which must have been within the last 10 years. Those
individuals enrolling in college or university for the
first time on or after July 1, 2008 must have had three
doses of tetanus/diphtheria toxoid and a booster dose
of tetanus/diphtheria/pertussis vaccine if a tetanus/diphtheria
toxoid or tetanus/diphtheria/pertussis vaccine has not
been administered within the past 10 years. A dose of
tetanus/diphtheria/pertussis vaccine is not required for
any student over the age of 64 years;
(C)
A booster dose of tetanus/diphtheria/pertussis vaccine
is required for individuals attending public school who
are entering the sixth grade on or after August 1, 2008,
if five years or more have passed since the last dose
of tetanus/diphtheria toxoid. A booster dose of tetanus/diphtheria/pertussis
vaccine is required for individuals not attending public
schools who are 12 years of age on or after August 1,
2008, if five years or more have passed since the last
dose of tetanus/diphtheria toxoid. However, pertussis
(whooping cough) vaccine is not required for individuals
between 7 years of age through the fifth grade for those
attending public schools and 7 through 12 years of age
for those not attending public school.
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| (2)
Poliomyelitis vaccine--four doses: two doses of trivalent type
by age five months; a third dose trivalent type before age 19
months, and a booster dose of trivalent type before enrolling
in school for the first time. However:
(A)
An individual attending school who has attained his or
her 18th birthday is not required to receive polio vaccine;
(B)
Individuals who receive the third dose of poliomyelitis
vaccine on or after the fourth birthday are not required
to receive a fourth dose;
(C)
The requirements for booster doses of poliomyelitis vaccine
do not apply to individuals who enrolled for the first
time in the first grade before July 1, 1987. |
(3)
Measles (rubeola) vaccine--two doses of live, attenuated vaccine
administered at least 28 days apart: one dose on or after age
12 months and before age 16 months and a second dose before enrolling
in school for the first time. However:
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(A) An individual who has been documented by serological testing to have a
protective antibody titer against measles is not required
to receive measles vaccine;
(B) An individual who has been diagnosed prior to January
1, 1994, by a physician licensed to practice medicine
as having measles (rubeola) disease is not required to
receive measles vaccine;
(C) An individual born prior to 1957 is not required
to receive measles vaccine;
(D) The requirement for a second dose of measles vaccine
does not apply to individuals who enroll in school or
in college or university for the first time before July
1, 1994. |
(4)
Rubella vaccine--one dose of live, attenuated vaccine on or after
age 12 months and before age 16 months. However:
| (A) An individual who has been documented
by serologic testing to have a protective antibody titer
against rubella is not required to receive rubella vaccine;
(B) An individual who has attained his or her fiftieth
birthday is not required to receive rubella vaccine except
in outbreak situations;
(C) An individual who entered a college or university
after his or her thirtieth birthday and before February
1, 1989 is not required to meet the requirement for rubella
except in outbreak situations. |
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| (5)
Mumps vaccine--one dose of live, attenuated vaccine administered
on or after age 12 months and before age 16 months and a second
dose before enrolling in school, college or university for the
first time. However:
(A) An individual born prior to
1957 is not required to receive mumps vaccine;
(B) The requirements for mumps vaccine do not apply to
individuals who enrolled for the first time in the first
grade before July 1, 1987 or in college or university
before July 1, 1994;
(C) An individual who has been documented by serological
testing to have a protective antibody titer against mumps
is not required to receive mumps vaccine;
(D) An individual entering school, college, or university
prior to July 1, 2008 is not required to receive a second
dose of mumps vaccine. |
(6)
Haemophilus influenzae, b, conjugate vaccine--three doses
of HbOC or PRP-T or two doses of PRP-OMP before age seven months
and a booster dose of any type on or after age 12 months and by
age 16 months. However:
(A) Individuals born before October 1,
1988 are not required to be vaccinated against Haemophilus
influenzae, b;
(B) Individuals who receive the first dose of Haemophilus
influenzae, b, vaccine on or after 12 months
of age and before 15 months of age are required to have
only two doses of HbOC, PRP-T or PRP-OMP;
(C) Individuals who receive the first dose of Haemophilus
influenzae, b, vaccine on or after 15 months of age
are required to have only one dose of any of the Haemophilus
influenzae conjugate vaccines, including PRP-D.
(D) No individual who has passed their fifth birthday
is required to be vaccinated against Haemophilus influenzae,
b. |
(7)
Hepatitis B vaccine--three doses: one dose by age three
months, a second dose before age five months and a third dose
by age 19 months.
(A)
The last dose of hepatitis B vaccine series shall not
be administered prior to 24 weeks of age;
(B)
Individuals born before July 1, 1994 are not required
to be vaccinated against hepatitis B. |
(8)
Varicella vaccine--1 dose administered on or after age 12 months
and before age 19 months. However:
(A) An individual with a laboratory test
indicating immunity or with a history of varicella disease,
documented by a health care provider, parent, guardian
or person in loco parentis is not required to receive
varicella vaccine. Serologic proof of immunity or documentation
of previous illness must be presented whenever a certificate
of immunization is required by North Carolina General
Statute. The documentation shall include the name of the
individual with a history of varicella disease and the
approximate date or age of infection. Previous illness
shall be documented by:
(i)
a written statement from a health care provider documented
on or attached to the lifetime immunization card or certificate
of immunization; or
(ii)
a written statement from the individual's parent, guardian
or person in loco parentis attached to the lifetime immunization
card or certificate of immunization.
(B) An individual born prior to April 1, 2001 is not
required to receive varicella vaccine. |
(b)
The healthcare provider shall administer immunizations in accordance
with this Rule. However, if a healthcare provider administers
vaccine up to and including the fourth day prior to the required
minimum age, the individual dose will not be required to be repeated.
Doses administered more than four days prior to the requirements
are considered invalid doses and shall be repeated.
(c) The State Health Director may suspend temporarily any portion
of the requirements of this rule due to emergency conditions,
such as the unavailability of vaccine. The Department shall give
notice in writing to all local health departments and other providers
currently receiving vaccine from the Department when the suspension
takes effect and when the suspension is lifted. When any vaccine
series is disrupted by such a suspension, the next dose shall
be administered within 90 days of the lifting of the suspension
and the series resumed in accordance with intervals determined
by the most recent recommendations of the Advisory Committee on
Immunization Practices. |
History Note: Authority G.S. 130A-152(c); 130A-155.1;
Eff. February 1, 1976;
Amended Eff. July 1, 1977;
Readopted Eff. December 5, 1977;
Filed as a Temporary Amendment Eff. February 1, 1988, for a period
of 180 days to expire on July 29, 1988;
Amended Eff. October 1, 1995; October 1, 1994; January 1, 1994;
January 4, 1993;
Filed as a Temporary Amendment Eff. May 21, 1999;
Temporary Amendment Eff. February 23, 2000; August 20, 1999;
Amended Eff. August 1, 2000;
Temporary Amendment Eff. May 17, 2002; April 1, 2002; February
18, 2002; August 1, 2001;
Amended Eff. January 1, 2008; October 1, 2005; January
1, 2005; April 1, 2003.
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