Immunizations

  

1. Last dose on or after the fourth birthday and the last dose of pediatric pertussis before the seventh birthday. Maximum needed: six doses. 

2. 8-12 Grades: Tdap, which contains pertussis vaccine, is required. 

3. Grade 8-11: One dose of MCV is required. Dose must be given after 10 years of age.  Grade 12: Two doses of MCV are required unless the first dose was administered to a student who was 16 years of age or older, in which case only one dose is required. At least one dose must be given after 16 years of age.

 4. Kindergarten-12 Grade: Last dose must be administered on or after the fourth birthday. The interval between the next-to-last and last dose should be at least six months. 

5. First dose must be given on or after twelve months of age. If MMR and Varicella are not administered on the same day, they must be at least 28 days apart. The 4-day grace period does not apply to live vaccines. 

6. There must be at least four weeks between dose one and two; at least 8 weeks between dose two and three; at least 16 weeks between doses one and three and final dose must be given no earlier than 24 weeks of age. 

7. First dose must be given on or after twelve months of age. If Varicella and MMR are not administered on the same day, they must be at least 28 days apart. The 4-day grace period does not apply to live vaccines. 

Kindergarten-12 Grade: As satisfactory evidence of disease, a licensed health care provider may sign and place on file with the school a written statement documenting the month and year of previous varicella (chickenpox) disease.

2025-2026 Missouri Immunization Requirements

All children must provide proof of up-to-date immunizations, showing the month, day, and year for each vaccine before attending child care, preschool, or school.

Before the first day of school, please ensure your child meets the following requirements:

General Guidelines:

• Vaccines may be administered up to 4 days early per ACIP guidelines.  It does not apply to the 28-day interval for live vaccines.
• All immunizations must follow the Missouri DHSS (Department of Health and Senior Services)-recommended schedule and spacing.
• Students who are “in progress” must have a completed Immunizations In Progress form on file and must not miss scheduled vaccine appointments.
• Medical exemptions and religious exemption are accepted with completed forms on file. Parental exemptions are only for preschool and good for 1 year.  When going to school they need to be changed to medical or religious.  Those forms can be found on health.mo.gov 
• During outbreaks of vaccine-preventable diseases, unimmunized students will be excluded from school.

Submit immunization records to:
enrollment@mjays.us

Questions? Contact:
Christina Roberts, BSN, RN
Health Services Director
christina.roberts@mjays.us
417-859-2120 ext. 4525