Required Immunizations for Michigan Childcare/Preschool Attendance
Communicable disease rules are the minimum standard for preventing disease outbreaks in child care settings.
healthcare professionals in Michigan should follow the
2016 Recommended Immunization Schedule at www.cdc.gov/vaccines or www.michigan.gov/immunize to protect patients from all diseases
**All doses of vaccines must be given with appropriate spacing between doses and at appropriate ages to be considered valid.
Childcare/Preschool Entry Requirements
Age Birth 2 months 4 months 6 months 16 months 19 months 5 years
Vaccine through through through through through through
1 month 3 months 5 months 15 months 18 months 4 years
Tetanus, None 1 dose 2 doses 3 doses 3 doses 4 doses 4 doses
Pertussis DTaP DTaP DTaP
Pneumoccal None 1 dose 2 doses 3 doses 4 doses OR age 1 dose on or None
Conjugate appropriate after 24 mo or
(PCV 13) complete series complete series
H. influenzae None 1 dose 2 doses 2 doses 1 dose on or after 15 months of None
age or age appropriate complete
Polio None 1 dose 2 doses 2 doses 2 doses 3 doses 3 doses
Mumps*, None None None None 1 dose on or after 12 months of age
Hepatitis B* None 1 dose 2 doses 2 doses 2 doses 3 doses 3 doses
Varicella* None None None None 1 dose on or after 12 months of age or
(Chickenpox) current lab immunity or reliable history of disease
* If vaccination is not administered, current laboratory evidence of immunity is required.
+ Hepatitis B may be administered as early as birth. This table represents the minimum required immunizations for childcare centers
Parent/guardians must obtain a certified waiver from a local health departments.
Rev. March 31, 2016