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It specifies minimum timing rules (including the 4-day grace period and age-based requirements), outlines laboratory evidence that can be accepted for specific diseases, and clarifies when live-virus vaccine doses must be repeated. The materials also explain documentation requirements, review workflow by IDPH immunization staff with parental consent, and how non-legible or unacceptable provider statements affect student compliance status.",{"@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/immunization-update-2022-school-compliance-aid-mandated-intervals-between-shots/537171/",{"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/immunization-update-2022-school-compliance-aid-mandated-intervals-between-shots/537171.png","ImageObject",300,407,{"name":92,"@type":93},"Alexandar","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","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},"What is the mandated interval between vaccine doses (for example, 1 month and 2 months)?","Question",{"text":113,"@type":114},"The guidance states 1 month equals 4 weeks/28 days and 2 months equals 8 weeks/56 days. It also provides additional interval rules such as 4 months equals 16 weeks/112 days.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"When is the 4-day grace period allowed, and when is it not accepted?",{"text":118,"@type":114},"The document notes that doses administered less than the minimum interval or age by \u003C4 days can be considered valid. It also states the 4-day grace period is not accepted on the 28-day interval between two live-virus vaccines such as MMR or Varicella.",{"name":120,"@type":111,"acceptedAnswer":121},"What documentation must be submitted for immunity reviews and how does IDPH handle consent or incomplete requests?",{"text":122,"@type":114},"The material requires student name, D.O.B., current grade level, immunization dates, physician notes/statements, and the Certificate of Child Health Examination Form, plus school contact details. It states IDPH staff must review proof with parental consent, and if a signed consent is not submitted with the initial request, the school must resubmit ALL documentation.","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},537171,1791657158,{"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":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},962090768658,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Immunization Update 2022  \nImmunization Program  \nSchool Health Days 2022  \nDisclosures  \nI have no relevant financial relationships with the manufacturer(s) of any commercial products(s) and/or provider(s) of commercial services discussed within this CNE activity.  \nI do NOT intend to discuss an unapproved or investigative use of a commercial  \nproduct/device in my presentation.  \nSchool Compliance Aid  \nMandated Intervals Between Shots  \n1 Month = 4 Weeks / 28 Days  \n2 Months = 8 Weeks / 56 Days  \n4 Months = 16 Weeks/112 Days  \nOne year of age = On or after the first birthday.  \nFor Preschool hepatitis B only: 6 months of age = 24 weeks = 168 days  \n• ACIP Best Practice guidelines consider vaccine doses that are administered \u003C4 days before the minimum interval or age as valid.  \n• Vaccine doses given within this 4 day grace period can be considered by the local school authority as “proof of immunity” per 77 Ill. Adm. Code 665.270.  \n• The 4-day grace period is not accepted on 28 day interval between 2 livevirus vaccines, consistent with ACIP Best Practices recommendations  \n•  If the interval between any 2 LIVE virus vaccines (i.e. MMR or Varicella) is \u003C28 days, the vaccine administered second cannot be counted as valid and must be repeated.   \nSchool Compliance Aid  \nLaboratory Evidence of Immunity  \n• Positive IgG or titers accepted for measles, rubella, mumps and varicella.  \n• Hepatitis B infection: HBsAg, anti-HBc and/or anti-HBs.  \n• Lab evidence of immunity is not allowed for Hib, pneumococcal, diphtheria, tetanus, pertussis, polio or meningococcal vaccines.  \nStudents Affected by School Requirements  \n• Public AND private schools  \n• Rules target students by grade.  \n• Students attending ungraded school programs (including special education), must comply in accordance with grade equivalent:  \no Kindergarten = 5 years of age  \no 6th graders = 11 years of age  \no 9th graders = 15 years of age  \n• Home school students who attend classes or programs at a school must comply with the school requirements   \nKEY POINTS for Immunity Reviews  \n➢ Any vaccine dose administered at an interval less than required in Illinois or prior to the age required cannot be accepted as valid (4-day grace period allowed as per previous slide ) .  \n➢ If a health care provider* feels that a child is adequately immunized, or a specific immunization is not necessary or indicated, then the provider must submit documentation (provider note) to school authorities.  \n➢ When a health care provider claims a child is immune, the provider must submit laboratory documentation of the child’s immunity to school authorities.  \nKEY POINTS for Immunity Reviews  \n➢ All proof of immunity documentation must be reviewed by designated IDPH Immunization staff with parental consent.  \nIf a signed parental consent is not submitted with initial request, school must resubmit ALL DOCUMENTATION.  \n➢ Include student’s name, D.O.B.; current grade level; immunization dates; all physician’s notes/statements and current Certificate Child Health Examination Form.  \n➢ School contact information; including school health official’s full name; phone number; fax number and email address.  \nKEY POINTS for Immunity Reviews  \n➢ Make sure that ALL documents being submitted are legible.  \n➢ While waiting for the notes to be reviewed, consider the student as in compliance but unprotected.  \n➢ If IDPH determines the provider statement is not acceptable to prove immunity, then the student is no longer considered to be in compliance and is subject to the exclusion provision of the law.  \nMinimum Immunization Requirements Entering Child Care Facility or School in  \nIllinois – Fall 2022  \n[http://www.dph.Illinois.gov/topics-services/prevention-wellness/immunization](http://www.dph.Illinois.gov/topics-services/prevention-wellness/immunization)  \nMinimum Immunization Requirements Entering Child Care Facility or School  \nin Illinois – Fall 2022  \n[http://www.dph.Illinois.gov/topics](http://www.dph","cbCairYNnQRg8jMN","https://ap.wps.com/l/cbCairYNnQRg8jMN","pdf",1218478,27,"English","# Immunization Update 2022\n## Immunization Program\n## School Health Days 2022\n## Disclosures and CNE Statements\n## School Compliance Aid\n## Mandated Intervals Between Shots\n## Laboratory Evidence of Immunity\n## Students Affected by School Requirements\n## Key Points for Immunity Reviews\n## Minimum Immunization Requirements (Illinois – Fall 2022)\n## Combination Vaccine Component Aid\n## New Vaccines in Blue Font","[{\"question\":\"What is the mandated interval between vaccine doses (for example, 1 month and 2 months)?\",\"answer\":\"The guidance states 1 month equals 4 weeks/28 days and 2 months equals 8 weeks/56 days. It also provides additional interval rules such as 4 months equals 16 weeks/112 days.\"},{\"question\":\"When is the 4-day grace period allowed, and when is it not accepted?\",\"answer\":\"The document notes that doses administered less than the minimum interval or age by \\u003c4 days can be considered valid. It also states the 4-day grace period is not accepted on the 28-day interval between two live-virus vaccines such as MMR or Varicella.\"},{\"question\":\"What documentation must be submitted for immunity reviews and how does IDPH handle consent or incomplete requests?\",\"answer\":\"The material requires student name, D.O.B., current grade level, immunization dates, physician notes/statements, and the Certificate of Child Health Examination Form, plus school contact details. It states IDPH staff must review proof with parental consent, and if a signed consent is not submitted with the initial request, the school must resubmit ALL documentation.\"}]","Immunization Update 2022 - School Compliance Aid - Mandated Intervals Between Shots | PDF",1791604129,68]