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Immunization interval questions and exemption guidance","","Document汇集了关于IDPH相关疫苗免疫接种间隔、剂次合规与豁免申报的问答要点。内容涵盖脊髓灰质炎、乙肝、Tdap、MMR与水痘等疫苗的给药时点与最小间隔判断；对4天宽限期以及活疫苗剂次间隔的适用范围作出说明。另包含宗教豁免与医学反对意见需随每次体检更新、免疫证明与抗体检测资料提交至IDPH审核的情形及流程提醒。",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/idph-2-immunizations-faq-immunization-interval-questions-and-exemption-guidance/537165/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/idph-2-immunizations-faq-immunization-interval-questions-and-exemption-guidance/537165.png","ImageObject",300,407,{"name":92,"@type":93},"Guten tag","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"如果学生的脊髓灰质炎（Polio）末次接种已在4岁时完成，但医生认为年龄过大不再补种，该如何处理？","Question",{"text":113,"@type":114},"按ACIP建议和伊利诺伊学校要求，17岁及以下的学生仍需在4岁及以上且距离上次剂次至少6个月补种一剂。若因年龄原因未接种，可向学校提供健康照护提供者的免疫声明（Statement of Immunity）。","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Tdap需要多早接种才满足6年级要求？是否常规安排在什么年龄？",{"text":118,"@type":114},"为满足6年级要求，Tdap可在10岁生日或之后接种。通常在11到12岁之间常规接种。",{"name":120,"@type":111,"acceptedAnswer":121},"活疫苗（如MMR或Varicella）在满1岁前4天接种时，4天宽限期如何适用？",{"text":122,"@type":114},"若MMR或Varicella在1岁生日后4天内给药（即第1个生日附近），4天宽限期可适用。需注意：4天宽限期不适用于活疫苗剂次之间的28天最小间隔要求。","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},537165,1791792686,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":105,"preview_page_count":4},687212321768,"https://ap-avatar.wpscdn.com/avatar/a0010bdbe886d2fe77?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789897067658708522","Interval for immunizations  \n1. This question has been paraphrased to remove protected information and for clarity. A student’s last polio shot was administered at 4 years of age. The student’s doctor stated that the student was too old to get the last dose. How should I proceed?  \nAccording to both ACIP Recommendations and Illinois School Requirements, an additional dose of Polio vaccines must be given at 4 years of age or older and at least 6 months from previous dose, if the child is 17 years of age or younger. Per the ACIP, polio vaccine is not routinely recommended for U. S. citizens 18 years or older. If a provider does not vaccinate a child with polio vaccine due to age, a Health Care Provider Statement of Immunity may be provided to the school.  \n2. If there is a 6th grade student that already got three doses of hep B for pre-k, do they have to get another three doses in 6th grade?  \nIf a student is properly immunized for hepatitis B in Pre-K, then consider the student in compliance.  \n3. How early can Tdap be given?  \nFor Tdap to be considered for the 6th grade requirement, it can be administered at the 10th birthday or older. It is routinely administered between 11 and 12 years of age.  \n4. If a student meets all the minimal intervals for hepatitis b vaccination but received the third dose after 4 months (but before 6 months) can we accept it?  \nFor students in grade 6th and above, the interval for the 3rd dose of hepatitis B is 2 months from previous dose and at least 4 months from the first dose.  \n5. Is the 4-day grace period accepted for the live virus vaccine if it was given 4 days prior to age 1?  \nIf either an MMR or Varicella was administered within 4 days of the 1st birthday, the 4-day grace period would apply. However, the 4-day grace period does not apply to the 28-day minimum interval between live vaccine doses.  \n6. This question has been paraphrased to remove protected information and for clarity. It has been stated in previous years by IDPH that you can accept MMR and varicella 4 days before their first birthday.  \nThe rule is for 28 days between dose 1 and dose 2. If MMR or Varicella was administered within 4 days prior to the first birthday, then it would be compliant as part of the 4-day grace period. However, the 4-day grace period does not apply to the 28-day interval between live vaccines doses.  \n7. We must request a new religious waiver for each school vaccination interval. For example-a kindergarten  \nstudent with full vaccine exemptions due to religious beliefs must submit a NEW signed waiver for 6th grade entry.  \nEvery time a health exam is required, an updated or new medical objection and/or religious exemption is required.  \n8. Is it correct that children need the 3 doses of the hepatitis B vaccine to be compliant?  \nThe requirement for hepatitis B is 3 doses of the vaccine, properly spaced. Hepatitis B is required at grade level before kindergarten, and at sixth grade Code 665.240 (i)1 .  \nImmunity Reviews  \n9. When is a review of immunity by IDPH indicated?  \nA Health Care Provider Statement of Immunity is required when any vaccine dose administered at an interval less than required in Illinois or prior to the age required* (*4-day grace period) or if a health care provider feels that the student is adequately immunized, or immunization is not necessary or indicated.  \n10. When does \"proof of immunity\" need to be sent to IDPH staff for approval?  \nA Health Care Provider Statement of Immunity is required when any vaccine dose administered at an interval less than required in Illinois or prior to the age required* (*4-day grace period) or if a health care provider feels that the student is adequately immunized, or immunization is not necessary or indicated.  \n11. If a student has a blood titer result submitted with the physical and the titer is shown in ICARE, does this still need to be submitted for immunity review with the state?  \nPublic Health Code--665.250 a) states that documentatio","cbCaikkWyrelKF7m","https://ap.wps.com/l/cbCaikkWyrelKF7m","pdf",224626,"English","# Immunization interval questions\n## Polio (IPV) and Hepatitis B intervals\n## Tdap timing and Hepatitis B dose acceptance\n## Live virus grace period (MMR/Varicella)\n## Religious and medical exemptions\n# Immunity reviews and proof submission\n## When IDPH review is indicated\n## When proof of immunity is sent for approval\n## Laboratory evidence and titer documentation\n## Where to submit immunity reviews\n# Exemptions and required documentation\n## Varicella proof of immunity components\n## Religious exemption forms and update requirements","[{\"question\":\"如果学生的脊髓灰质炎（Polio）末次接种已在4岁时完成，但医生认为年龄过大不再补种，该如何处理？\",\"answer\":\"按ACIP建议和伊利诺伊学校要求，17岁及以下的学生仍需在4岁及以上且距离上次剂次至少6个月补种一剂。若因年龄原因未接种，可向学校提供健康照护提供者的免疫声明（Statement of Immunity）。\"},{\"question\":\"Tdap需要多早接种才满足6年级要求？是否常规安排在什么年龄？\",\"answer\":\"为满足6年级要求，Tdap可在10岁生日或之后接种。通常在11到12岁之间常规接种。\"},{\"question\":\"活疫苗（如MMR或Varicella）在满1岁前4天接种时，4天宽限期如何适用？\",\"answer\":\"若MMR或Varicella在1岁生日后4天内给药（即第1个生日附近），4天宽限期可适用。需注意：4天宽限期不适用于活疫苗剂次之间的28天最小间隔要求。\"}]","IDPH 2 Immunizations FAQ - Immunization interval questions and exemption guidance | PDF",1791604117]