Immunization Rules (Maryland) [.2136 - .2227]

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Search Terms: Vaccines

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  Maryland Department of Health .

For more information on the creation, modification or deletion of vaccine compliances, see the Vaccines page.

General Compliance

  • Vaccine doses administered less than or equal to 4 days before the minimum interval of age are counted as valid.
  • Doses administered 5 days earlier than the minimum interval or age are not counted as valid doses and should be repeated as age appropriate. 
  • For compliance calculations, 4 weeks = 28 days
  • Intervals of 4 or more months is calculated by calendar months.

Additional Compliance Check

In Maryland, there is a scheduled task that runs nightly. This process determines whether a student is in compliance based on MD State rules. If the student meets the MD compliance rules, the box on the enrollment is checked. Once the checkbox is checked, it remains checked unless you manually clear the checkbox.

Immunizations

The following tables describe all Maryland immunization requirements per vaccine.

Hepatitis B

RuleRequirements

1 dose 0-3 months 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 3 months old and
  • the student receives 1 dose of the Hepatitis B (Hep B) vaccine.

2 doses 4-5 months  

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 4 months old and no older than 5 months old and
  • the student receives 2 doses of the Hepatitis B (Hep B) vaccine.

3 doses  

Compliant  

Student is considered compliant if the student has received 3 doses of the Hepatitis B (Hep B) vaccine.

2 doses Hep-B Over 11 yrs 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 132 months (11 years) old,
  • the student receives 2 doses of the Hepatitis B - 2 (Hep B - 2) vaccine, and 
  • the difference between the second dose and the previous dose is greater than 4 months with a 4 day tolerance.

1 dose Hep B-2 Over 11 yrs  

In Progress  

Student is considered in progress if the following conditions have been met:

  • student is at least 132 months (11 years) old,
  • the student receives 1 dose of the Hepatitis B - 2 (Hep B - 2) vaccine, and 
  • the difference between the last dose and the effective date is less than 4 months with a 0 (zero) day tolerance.

2 doses 

In-Progress  

Student is considered in progress if the following conditions have been met:

  • the student receives 2 doses of the Hepatitis B - 2 (Hep B - 2) vaccine, and 
  • the difference between the last dose and the effective date is less than 56 months with a 0 (zero) day tolerance.

2 doses 112 days 

In-Progress  

Student is considered in progress if the following conditions have been met:

  • the student receives 2 doses of the Hepatitis B (Hep B) vaccine, and 
  • the difference between the last dose and the first valid dose is less than 112 days with a 0 (zero) day tolerance.

1 dose 

In Progress  

Student is considered in progress if the following conditions have been met:

  • the student receives 1 dose of the Hepatitis B (Hep B) vaccine, and 
  • the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

Default 

Not Compliant  

N/A

DTaP

RuleCompliance

Age 0-1 months 

No Requirement  

N/A

1 dose Age 2-3 months 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 2 months old and no older than 3 months old and
  • student receives 1 dose of the DT, DTaP/DTP, TD, or Tdap vaccine.

2 doses Age 4-5 months 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 4 months old and no older than 5 months old and
  • student receives 2 doses of the DT, DTaP/DTP, TD, or Tdap vaccine.

3 doses Age 6-14 months 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 6 months old and no older than 14 months old and
  • student receives 3 doses of the DT, DTaP/DTP, TD, or Tdap vaccine.

4 doses under 7 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at no older than 83 months old and
  • student receives 4 doses of the DT, DTaP/DTP, TD, or Tdap vaccine.

3 doses Over 7 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 84 months old and
  • student receives 3 doses of the DT, DTaP/DTP, TD, or Tdap vaccine.

3 doses Under 7  

In-Progress  

Student is considered in progress if the following conditions have been met:

  • student is at least 15 months old and no older than 83 months old and
  • student receives 3 doses of the DT, DTaP/DTP, TD, or Tdap vaccine.

2 doses 

In-Progress  

Student is considered in progress if the following conditions have been met:

  • student is at least 6 months old,
  • student receives 2 doses of the DT, DTaP/DTP, TD, or Tdap vaccine, and
  • the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

1 dose 

In-Progress  

Student is considered in progress if the following conditions have been met:

  • student receives 1 dose of the DT, DTaP/DTP, TD, or Tdap 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

Tdap

RuleCompliance

1 dose 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is in state grade: 07, 08, 09, 10, 11, or 12, and
  • student receives 1 dose of the Tdap vaccine.

No Doses

Not Compliant

Student is considered compliant if the following conditions have been met:

  • student is in state grade: 07, 08, 09, 10, 11, or 12, and
  • student has not received any doses of the Tdap vaccine.

Default  

No Requirement  

N/A

Hib

RuleCompliance

Age 0-1 months 

No Requirement  

Students 1 month old and under are not required to receive any dose of the Hib vaccine.

1 dose Age 2-3 months 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 2 months old but no older than 3 months old and
  • student receives 1 dose of the Hib vaccine.

2 dose Age 4-11 months  

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 4 months old but no older than 11 months old and
  • student receives 2 doses of the Hib vaccine.

1 dose 4-11 months  

In Progress  

Student is considered in progress if the following conditions have been met:

  • student is at least 4 months old but no older than 11 months old,
  • student receives 1 dose of the Hib vaccine and
  • the difference between the dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

1 dose 12-59 months  

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 12 months old but no older than 59 months old and
  • student receives 1 dose of the Hib vaccine.

No Doses under 60 months  

Non-Compliant  

Student is considered non-compliant if the student is under 60 month old and has not received any doses of the Hib vaccine.

Default  

No Requirement  

N/A

Pneumococcal (PPV)

RuleCompliance

Age 0-1 months 

No Requirement  

Students 1 month old and under are not required to receive any dose of the Pneumococcal (PPV) vaccine.

1 dose required ages 2-3 months 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 2 months old but no older than 3 months old and
  • student receives 1 dose of the PPV vaccine.

2 doses required age 4-23 months 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 4 months old but no older than 23 months old and
  • student receives 2 doses of the PPV vaccine.

1 dose Under 24 months 

In-Progress  

Student is considered in progress if the following conditions have been met:

  • student is at least 4 months old but no older than 23 months old,
  • student receives 1 dose of the PPV vaccine, and
  • the difference between the dose and the effective date is less than 56 days with a 0 (zero) day tolerance.

1 dose over 24 months 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 24 months old but no older than 59 months old and
  • student receives 1 dose of the PPV vaccine.

No Doses Under 5 

Non-compliant  

Student is considered non-compliant if the student is 59 months old or younger and has not received any doses of the PPV vaccine.

Default 

No Requirement  

N/A

Polio

RuleCompliance

Age 0-1 months 

No Requirement  

Students 1 month old and under are not required to receive any dose of the Polio (IPV/OPV) vaccine.

Age 18+

No Requirement

Students 216 months (18 years) and older are not required to receive any dose of the Polio (IPV/OPV) vaccine.

1 dose Age 2-3 months 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 2 months old but no older than 3 months old and
  • student receives 1 dose of the IPV, OPV or Polio (IPV/OPV) vaccine.

2 doses Age 4-5 months 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 4 months old but no older than 4 months old and
  • student receives 2 doses of the IPV, OPV or Polio (IPV/OPV) vaccine.

3 doses 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 6 months old and
  • student receives 3 doses of the IPV, OPV or Polio (IPV/OPV) vaccine.

2 doses 

In-Progress  

Student is considered in progress if the following conditions have been met:

  • student is at least 6 months old,
  • student receives 2 doses of the IPV, OPV or Polio (IPV/OPV) vaccine, and
  • the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

1 dose  

In-Progress  

Student is considered in progress if the following conditions have been met:

  • student receives 1 dose of the IPV, OPV or Polio (IPV/OPV) vaccine, and
  • the difference between the last dose and the effective date is less than 28 days with a 0 (zero) da tolerance.

Default  

Non-compliant  

N/A

MMR

RuleCompliance

Age 0-11 months 

No Requirement  

Students 11 months old and under are not required to receive any dose of the MMR vaccine.

1 dose 12-59 months  

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 12 months old but no older than 59 months old,
  • student receives 1 dose of the MMR or MMRV vaccine, and
  • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance.

1 dose 12-59 months M, M, R 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is at least 12 months old but no older than 59 months old,
  • student receives 1 dose of the Measles, MMR, or MMRV vaccine, and 
    • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance, OR
  • student receives 1 dose of the Rubella, MMR, or MMRV vaccine, and
    • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance, OR
  • student receives 1 dose of the Mumps, MMR, or MMRV vaccine, and
    • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance.

2 doses 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student receives 2 doses of the MMR or MMRV vaccine,
  • the difference between the first dose and the student's birthdate is greater than 12 months with a 4 day tolerance, and
  • the difference between the second dose and the previous is greater than 28 days with a 4 day tolerance.

2 doses M, M, R 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student receives 2 doses of the Measles, MMR, or MMRV vaccine, and 
    • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance, 
    • the difference between the second dose and the previous is greater than 28 days with a 4 day tolerance, OR
  • student receives 2 doses of the Rubella, MMR, or MMRV vaccine, and
    • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance, 
    • the difference between the second dose and the previous is greater than 28 days with a 4 day tolerance, OR
  • student receives 2 doses of the Mumps, MMR, or MMRV vaccine, and
    • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance, 
    • the difference between the second dose and the previous is greater than 28 days with a 4 day tolerance.

1 dose 

In-Progress  

Student is considered in progress if the following conditions have been met:

  • student receives 1 dose of the MMR or MMRV vaccine, and
  • the difference between the dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

1 dose M, M, R 

In-Progress  

Student is considered in progress if the following conditions have been met:

  • student receives 1 dose of the Measles, MMR, or MMRV vaccine, and 
    • the difference between the dose and the effective date is less than 28 days with a 0 (zero) day tolerance, OR
  • student receives 1 dose of the Rubella, MMR, or MMRV vaccine, and
    • the difference between the dose and the effective date is less than 28 days with a 0 (zero) day tolerance, OR
  • student receives 1 dose of the Mumps, MMR, or MMRV vaccine, and
    • the difference between the dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

Default  

Non-Compliant  

N/A

Varicella

RuleCompliance

Age 0-11 Months 

No Requirement  

Students 11 months old and under are not required to receive any dose of the Varicella vaccine.

2 doses 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is in state grade: 91: Kindergarten, 01, 02, 03, 04, 05, 06, 07
  • student receives 2 doses of the Varicella or MMRV vaccine,
  • the difference between the first dose and the student's birthdate is greater than 12 months with a 4 day tolerance, and
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance.

2 dose 13 and older 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student receives 2 doses of the Varicella or MMRV vaccine,
  • the difference between the first dose and the student's birthdate is greater than 156 months (13 years) with a 4 day tolerance, and
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance.

1 dose 

In-Progress  

Student is considered in progress if the following conditions have been met:

  • student is in state grade: 91: Kindergarten, 01, 02, 03, 04, 05, 06, 07,
  • student receives 1 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.

1 dose 13 and older 

In-Progress  

Student is considered in progress if the following conditions have been met:

  • student receives 1 dose of the Varicella or MMRV vaccine,
  • the difference between the last dose and the student's birthdate is greater than 156 months (13 years) with a 0 (zero) day tolerance, and
  • the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

1 dose 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is in state grade: 95: Prekindergarten age 1, 96: Prekindergarten under age 1, 93: Prekindergarten age 3, 94: Prekindergarten age 2, 92: Prekindergarten age 4, 08, 09, 10, 11, or 12, 
  • student receives 1 dose of the Varicella or MMRV vaccine,
  • the difference between the last dose and the student's birthdate is greater than 12 months with a 4 day tolerance, and
  • the difference between the last dose and the student's birthdate is less than 155 months with a 0 (zero) day tolerance.

Default 

Non-compliant  

N/A

Meningococcal (MCV4)

RuleCompliance

1 dose 

Compliant  

Student is considered compliant if the following conditions have been met:

  • student is in state grade: 07, 08, 09, 10, 11, or 12, and
  • the student receives 1 dose of the Meningococcal (MCV4) vaccine.

No Doses 

Non-compliant  

Student is considered non-compliant if the following conditions have been met:

  • student is in state grade: 07, 08, 09, 10, 11, or 12, and
  • the student has not received any doses of the Meningococcal (MCV4) vaccine.

Default 

No Requirement  

N/A

Previous Versions

Maryland Immunization Rules [.2132 and previous]