Nevada Immunization Rules

Last Modified on 10/22/2022 9:56 am CDT

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Health vaccines and their associated compliance listing 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 Nevada Department of Health and Human Services.

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

Immunization Rules

The following tables describe all Nevada immunization rules per vaccine.

Immunization compliance rules are read-only.

DTaP

Rule

Conditions

0-1 months 

No Requirement

N/A

Student's age 0-1 month old are not required to receive any doses of the DTaP vaccine.

2-3 months 1 dose

Compliant

The student is considered compliant if the following conditions have been met:

  • the student is at least 2 months, and no older than 3 months old,
  • the student receives one dose of the DTaP, DTP or Tdap vaccine, and
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance.

4-5 months 2 doses

Compliant

The student is considered compliant if the following conditions have been met:

  • the student is at least 4 months, and no older than 5 months old,
  • the student receives two doses of the DT, DTaP/DTP, Td, or Tdap vaccine,
    • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
    • the difference between the second dose and the previous is greater than 28 days with a 4 day tolerance,
  • the student receives one dose of the DTaP, DTP or Tdap vaccine, and
    • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance.

6-11 months 3 doses 

Compliant  

The student is considered compliant if the following conditions have been met:

  • the student is at least 6 months, and no older than 11 months old,
  • the student receives three doses of the DT, DTaP/DTP, Td, or Tdap vaccine,
    • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
    • the difference between the second dose and the previous is greater than 28 days with a 4 day tolerance,
    • the difference between the last dose and the previous is greater than 28 days with a 4 day tolerance,
  • the student receives one dose of the DTaP, DTP or Tdap vaccine, and
    • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance.

3 doses Last over 7 yrs

Compliant

The student is considered compliant if the following conditions have been met:

  • the student receives three doses of the DT, DTaP/DTP, Td, or Tdap vaccine,
  • the difference between the first 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,
  • the difference between the third dose and the previous is greater than 6 months with a 4 day tolerance, and
  • the difference between the third dose and the student's birthdate is greater than 84 months with a 4 day tolerance. 
     

4 doses Under 4

Compliant  

The student is considered compliant if the following conditions have been met:

  • the student is at least 12 months, but no older than 47 months, old, 
  • the student receives four doses of the DT, DTaP/DTP, Td, or Tdap vaccine,
    • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
    • the difference between the second dose and the previous is greater than 28 days with a 4 day tolerance,
    • the difference between the third dose and the previous is greater than 28 days with a 4 day tolerance,
    • the difference between the fourth dose and the previous is greater than 28 days with a 4 day tolerance,
  • the student receives one dose of the DTaP, DTP or Tdap vaccine, and
    • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance.

4 doses DTaP 

Compliant
 

The student is considered compliant if the following conditions have been met:

  • the student receives four doses of the DT, DTaP/DTP, Td, or Tdap vaccine,
    • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
    • the difference between the second dose and the previous is greater than 28 days with a 4 day tolerance,
    • the difference between the third dose and the previous is greater than 28 days with a 4 day tolerance,
    • the difference between the fourth dose and the previous is greater than 4 months with a 4 day tolerance,
    • the difference between the fourth dose and the student's birthdate is greater than 48 months with a 4 day tolerance,
  • the student receives one dose of the DTaP, DTP or Tdap vaccine, and
    • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance.

5 doses DTaP 

Compliant
 

The student is considered compliant if the following conditions have been met:

  • the student receives five doses of the DT, DTaP/DTP, Td, or Tdap vaccine,
    • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
    • the difference between the second dose and the previous is greater than 28 days with a 4 day tolerance,
    • the difference between the third dose and the previous is greater than 28 days with a 4 day tolerance,
    • the difference between the fourth dose and the previous is greater than 4 months with a 4 day tolerance,
    • the difference between the fifth dose and the previous is greater than 6 months with a 4 day tolerance,
    • the difference between the fourth dose and the student's birthdate is greater than 12 months with a 4 day tolerance,
    • the difference between the last dose and the student's birthdate is greater than 48 months with a 4 day tolerance,
  • the student receives one dose of the DTaP, DTP or Tdap vaccine, and
    • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance.

1 dose 

 In Process 

The student is considered in process if the following conditions have been met:

  • the student receives one dose of the DT, DTaP/DTP, Td, or Tdap vaccine, and
  • the difference between the last dose and the effective date is less than 1 month with a 1 day tolerance.

3 doses 

 In Process 

The student is considered in process if the following conditions have been met:

  • the student receives three doses of the DT, DTaP/DTP, Td, or Tdap vaccine, and
  • the difference between the last dose and the effective date is less than 5 months with a 1 day tolerance.

2 doses age 7+ 

 In Process 

The student is considered in process if the following conditions have been met:

  • the student is at least 84 months old,
  • the student receives three doses of the DT, DTaP/DTP, Td, or Tdap vaccine, and
  • the difference between the last dose and the effective date is less than 5 months with a 1 day tolerance.

Tdap

Rule

Conditions

1 dose 

 Compliant 

The student is considered compliant if the following conditions have been met:

  • the student is at least 120 months (10 years) old,
  • the student is in state grade: 07, 08, 09, 10, 11, 12,
  • the student receives one dose of the Tdap, Td, or DTap/DTP vaccine, and
  • the difference between the last dose and the student's birthdate is greater than 120 months with a 4 day tolerance.

1 dose 7th-12th grade 2019-2020

 Compliant

End Date: 06/30/2020

The student is considered compliant if the following conditions have been met:

  • the student is at least 84 months (7 years) old,
  • the student is in state grade: 07, 08, 09, 10, 11, 12,
  • the student receives one dose of the Tdap, Td, or DTap/DTP vaccine, and
  • the difference between the dose and the student's birthdate is greater than 84 months with a 4 day tolerance.

1 dose 8th-12th grade 2020-2021

 Compliant

Active Start Date: 07/01/2020

Active End Date: 06/30/2021

The student is considered compliant if the following conditions have been met:

  • the student is at least 84 months (7 years) old,
  • the student is in state grade: 08, 09, 10, 11, 12,
  • the student receives one dose of the Tdap, Td, or DTap/DTP vaccine, and
  • the difference between the dose and the student's birthdate is greater than 84 months with a 4 day tolerance.

5 Year Booster

 Non-compliant 

The student is considered non-compliant if the student is at least 84 months (7 years) old, is in state grade: 07, 08, 09, 10, 11, 12 and receives no doses of the DTaP/DTP or Tdap vaccine.

10 Year Booster

 Non-compliant 

The student is considered non-compliant if the student is in state grade: 07, 08, 09, 10, 11, 12 and receives no doses of the DTaP/DTP or Tdap vaccine in 120 months (10 years).

Hepatitis B

Rule

Conditions

No Requirement
  • First state enrollment before July 1, 2002. Day tolerance: 4

3 doses required

  • First state enrollment on or after July 1, 2002. Day tolerance: 4

  • 28 days (4 weeks) between dose 2 and previous. Day tolerance: 4

  • 56 days (8 weeks) between last dose and 2nd valid dose. Day tolerance: 4

  • 112 days (16 weeks) between last dose and 1st valid dose. Day tolerance: 4

  • Last dose on or after 24 weeks (168 days) of age. Day tolerance: 4

In Process

A student is considered In-Process if:

  • Student has at least 1 dose within the past 28 days (4 weeks) and student is not Compliant
  • Student has at least 2 doses and last dose was within the past 56 days (8 weeks) and student is not Compliant
  • Student has at least 2 doses and 2 previous doses were within the past 112 days (16 weeks) and student is not Compliant
  • Student has at least 2 doses and birth date is less than 6 months ago and student is not Compliant

Hepatitis A

Rule

Conditions

No requirement

  • First state enrollment before July 1, 2002
  • Student is under age 1.

2 doses required

  • First state enrollment on or after July 1, 2002. Day tolerance: 4
  • Attending school in Nevada for the first time (Usually PK, KG or out-of-state). Day tolerance: 4
  • 1st dose after 12 months of age. Day tolerance: 4
  • 6 months (24 weeks) between dose 2 and previous. Day tolerance: 4

In Process

A student is considered In-Process if:

  • Count between the last dose and the effective date is less than or equal to 5 months. Day tolerance: 1

MMR

Rule

Conditions

1 dose Compliant

  • Dose must be on or after 12 months of age. Day tolerance: 4
  • First state enrollment before July 1, 2008. Day tolerance: 4

2 doses required

  • First state enrollment on or after July 1, 2008. Day tolerance: 4
  • First dose on or after 12 months of age. Day tolerance: 4
  • 28 days (4 weeks) between dose 2 and previous dose. Day tolerance: 4

1 dose in process

  • Dose must be on or after 12 months of age
  • Student must be under 4 years of age

In Process

28 days (4 weeks) between last dose and current date and not Compliant.

Varicella

Rule

Conditions

No requirement

 1st state enroll < 7/1/2003 

First state enrollment before July 1, 2003

Start Enrollment end date 06/30/2003

1 dose Compliant


  • First state enrollment on or after July 1, 2003 - June 30, 2011. Day tolerance: 4
  • 1st dose on or after 12 months of age. Day tolerance: 4

2 doses Compliant

  • First state enrollment on or after July 1, 2011

  • 1st dose on or after 12 months of age. Day tolerance: 4

  • 28 days (4 weeks) between dose 2 and previous dose. Day tolerance: 4

1 dose In-process

  • Dose must be on or after 12 months of age. Day tolerance: 4
  • Student must be under 4 years of age
  • Difference between dose and effective date within the last 28 days

Polio

Students immunized with OPV after April 1, 2016 must be revaccinated with IPV in order for the polio series to be considered valid. The End Date of Polio OPV = 4/2/2016.

Rule

Conditions

0-1 months No RequirementN/A
2-3 months 1 dose - Compliant
  • 1 dose after 42 days of birth. Day tolerance: 4
4-5 months 2 doses - Compliant

  • 1 dose after 42 days of birth. Day tolerance: 4

  • 28 days (4 weeks) between the 2nd dose and the 1st dose. Day tolerance: 4

 3 doses under 4 - Compliant 

  • 1 dose after 42 days of birth. Day tolerance: 4

  • 28 days (4 weeks) between the 2nd dose and the 1st dose. Day tolerance: 4

  • 28 days (4 weeks) between the 3rd dose and the 2nd dose. Day tolerance: 4

3 doses Compliant

  • All IPV or all OPV.
  • 28 days (4 weeks) between dose 2 and previous dose. Day tolerance: 4
  • 6 months between dose 3 and previous dose. Day tolerance: 4
  • 1st dose after 42 days of birth. Day tolerance: 4
  • Dose 3 on or after 4 years of age. Day tolerance: 4

4 doses Compliant

  • 28 days (4 weeks) between dose 2 and previous dose. Day tolerance: 4
  • 28 days (4 weeks) between dose 3 and previous dose. Day tolerance: 4
  • 6 months between dose 4 and previous dose. Day tolerance: 4
  • 1st dose after 42 days of birth.  Day tolerance: 4
  • First state enrollment before October 1, 2010. Day tolerance: 4

4 doses 8/7/10 Compliant

  • Difference between the 1 dose and birthdate is greater than 42 days. Day tolerance: 4
  • Difference between the 2 dose and 1 previous is greater than 28 days. Day tolerance: 4
  • Difference between the 3 dose and 1 previous is greater than 28 days. Day tolerance: 4
  • Difference between the 4 dose and 1 previous is greater than 28 days. Day tolerance: 4

 4 doses 1st st enroll < 7/1/2011  

 Compliant 

  • Difference between the 1 dose and birthdate is greater than 42 days. Day tolerance: 4
  • Difference between the 2 dose and 1 previous is greater than 28 days. Day tolerance: 4
  • Difference between the 3 dose and 1 previous is greater than 28 days. Day tolerance: 4
  • Difference between the 4 dose and 1 previous is greater than 6 months. Day tolerance: 4

Last dose - In Process

A student is considered In-Process if

  • Student had last dose within the past 28 days (4 weeks) and student is not Compliant
2 dose - In Process

A student is considered In-Process if

  • Difference between the last dose and current date is less than 5 months. Day tolerance: 1

Meningococcal MCV4

RuleConditions
Enrolled before 7/1/2009 
No Requirement		Student enrolled before 07/01/2009 are not required to receive any doses of the Meningococcal (MCV4) vaccine.
7th-11th Grade 1 Dose
Compliant
Active Start Date: 06/30/2021		Students are considered compliant if the following conditions have been met:
  • the student is in state grade(s): 07, 08, 09, 10, 11,
  • the student receives one dose of the Meningococcal (MCV4) vaccine, and
  • the difference between the last dose and the student's birthdate is greater than or equal to 120 months, with a 4 day tolerance.
12th Grade 1 Dose After 16 years
Compliant
Active Start Date: 07/01/2022		Students are considered compliant if the following conditions have been met:
  • the student is in state grade(s): 12,
  • the student receives one dose of the Meningococcal (MCV4) vaccine,
  • the difference between the last dose and the student's birthdate is greater than or equal to 192 months, with a 4 day tolerance.

Note: This rule covers 12 graders who receive one dose after 16 years of age and 12th graders with 2 doses when the last dose is after 16 years of age.

No Dose 7-11th
Non-compliant
Active Start Date: 06/30/2021		Students are considered non-compliant if the following conditions have been met:
  • the student is in state grade(s): 07, 08, 09, 10, 11, and
  • they have not received any doses of the Meningococcal (MCV4) vaccine.
No Dose 7-12th
Non-compliant
Active Start Date: 07/01/2022		Students are considered non-compliant if the following conditions have been met:
  • the student is in state grade(s): 07, 08, 09, 10, 11, 12, and
  • they have not received any doses of the Meningococcal (MCV4) vaccine.
1 Dose 12th Grade
Non-compliant
Active Start Date: 07/01/2022		Students are considered non-compliant if the following conditions have been met:
  • the student is in state grade(s): 12, and
  • the student receives one dose of the Meningococcal (MCV4) vaccine.
Default
No requirement		N/A

Previous Versions

Immunization Rules (Nevada) (.2219 and previous)

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