Washington State immunization requirements and more immunization information:
Department of Health web site
WAC, Washington Administrative Code, WAC 246-105-030
The Certificate of Immunization form may be downloaded from the Documents section of the menu bar.
Requirements for 6th – 12th grade students for school year 2018-2019
It is important that you remember a student's grade level is determined by the number of credits they have, not their age.
3 doses within the correct timeframes
DTaP / Tdap
(Diphtheria, Tetanus, Pertussis)
Vaccine doses required may be fewer than listed
5 doses DTaP AND 1 dose Tdap, all within the correct timeframes
Vaccine doses required may be fewer than listed
4 doses within the correct timeframes
(Measles, Mumps, Rubella)
2 doses within the correct timeframes
2 doses within the correct timeframes
Healthcare provider verified child had disease
(Exceptions are allowed for certain students)
Immunizations are available from your private physician, licensed health care provider and many pharmacy's. If you don’t have a doctor, please call your local health department or public clinic listed below.
This list of providers is being supplied as a courtesy by the Shoreline School District. The list is not an endorsement of providers, services or fees. The Shoreline School district in no way assumes liability associated with providing this list, nor actions of the providers. You may use the services of other individuals, who are not included on the list at long as they are appropriately licensed and/or certificated.
Meridian Center for Health
10521 Meridian Ave N
Seattle, WA 98133
General information about Immunizations
What is DTaP?
The DTaP vaccine protects your child against three diseases: diphtheria, tetanus, and pertussis (whooping cough).
What is DTP?
This is the old vaccine that protects against diphtheria, tetanus and pertussis. Physicians are now using the newer DTaP vaccine which has fewer side effects.
- diphtheria — a serious infection of the throat that can block the airway and cause severe breathing difficulty
- tetanus (lockjaw) — a nerve disease, which can occur at any age, caused by toxin-producing bacteria contaminating a wound
- pertussis (whooping cough) — a respiratory illness with cold symptoms that progress to severe coughing (the "whooping" sound occurs when the child breathes in deeply after a severe coughing bout); serious complications of pertussis can occur in children under 1 year of age. Children under 6 months old are especially susceptible.
What is DT?
Diphtheria Tetanus immunization
I'm confused about the various vaccines that contain tetanus, diphtheria, and pertussis. Can you explain?
There are two basic products that can be used in children younger than age 7 years (DTaP and DT) and two that can be used in older children and adults (Td and Tdap). It is very easy to get confused between DTaP and Tdap and get confused between DT and Td.
Here's a hint to help you remember. The pediatric formulations usually have 3-5 times as much of the diphtheria component than what is in the adult formulation. This is indicated by an upper-case "D" for the pediatric formulation (i.e., DTaP, DT) and a lower case "d" for the adult formulation (Tdap, Td). The amount of tetanus toxoid in each of the products is equivalent, so it remains an upper-case "T."
What is IPV?
Inactivated Poliovirus Vaccine
Until recently, the oral poliovirus vaccine (OPV) was given in the United States. Updated recommendations by the Advisory Committee on Immunization Practices now call for IPV injections. This change eliminates the previous small risk of developing polio after receiving the live oral polio vaccine.
What is MMR?
Measles, Mumps and Rubella
Measles (also known as rubeola) is a highly contagious respiratory infection that's caused by a virus. It causes a total-body skin rash and flu-like symptoms, including a fever, cough, and runny nose.
Mumps is a disease caused by a virus that usually spreads through saliva and can infect many parts of the body, especially the parotid salivary glands. These glands, which produce saliva for the mouth, are found toward the back of each cheek, in the area between the ear and jaw. In cases of mumps, these glands typically swell and become painful. Complications may increase as the age of onset increases and may include all parts of the body.
Rubella — commonly known as German measles or 3-day measles — is an infection that usually affects the skin and lymph nodes. It is caused by the rubella virus (not the same virus that causes measles). Rubella is usually transmitted by droplets from the nose or throat that others breathe in. It can also pass through a pregnant woman's bloodstream to infect her unborn child. As this is a generally mild disease in children, the primary medical danger of rubella is the infection of pregnant women, which may cause birth defects in developing babies.
What is Hepatitis B?
Hepatitis B virus (HBV) affects the liver. Those who are infected can become lifelong carriers of the virus and may develop long-term problems such as cirrhosis (liver disease) or cancer of the liver.
- 2nd dose given 1-3 months after the 1st dose
- 3rd dose given 2-6 months after 2nd dose BUT
- 3rd dose not given less than 4 months after 1st and
- 3rd dose not be given before 24 weeks of age
Pertussis (Whooping Cough)
Pertussis (Whooping cough) is a highly contagious bacterial infection that causes a severe cough.
Symptoms appear 6 to 21 days (average 7-10 days) after exposure to an infected person.
Pertussis may start with cold symptoms or a dry cough followed by episodes of severe coughing, Gagging or vomiting may occur after severe coughing spells. Cough may be worse at night. The person may look and feel healthy between coughing episodes. Fever is absent or mild.
Immunized school children, adolescents, and adults often have milder symptoms than young children.
Infants with pertussis may not develop aq severe cough. They may only have a mild cough, decreaqsed feeding, and may have difficulty breathing or turn bluish.
How is it spread?
Pertussis is spread through droplets from the mouth and nose when a person with pertussis coughs,sneezes, or talks.
Untreated, persons with pertussis can spread the infection for several weeks.
Adults, older children, and healthcare workers with unrecognized pertussis can spread the infection to others, including young children and pregnant women.
Who gets it?
Anyone who is exposed to the bacteria can get pertussis
Pertussis vaccine prevents severe disease in young infants, but even a vaccinated person can get pertussis
Pertussis occurs in older children and adults beause protection from the vaccine (DTP DTaP) is not 100% and decreases over time.
Who is at greatest risk?
Infants less than one year old have the HIGHEST risk of severe pertussis, icluding hospitalization, pneumonia, convulsions, and rarely, brain damage or death.
Unimmuinized or partly immunized children are also at higher risk for pertussis infection and severe disease.
Pregnant women with pertussis near the time of delivery may spread it to their newborns.
Early in the disease, an antibiotic active against pertussis can help decrease transmission to others.
Persons treated with antibiotics are no longer contagious after the first 5 days of appropriate antibiotic treatment have been completed.
Get fully immunized against pertussis
Children should get 5 doses of DTaP vaccine before age 7 years.
The following people should get a single dose of Tdap vaccine
- Children 7-10 years who are not fully vaccinated against pertussis
- Adolescents 11-18 years who have completed the DTP/DTaP series
- Pregnant and post-partum women, preferably during the third or late second trimester, after 20 weeks gestation.
- All adults aged 19 years an older, especially adults who have or anticipate having close contact with infants less than 12 months old.
- Household members and other close contacts of infants are especially important to get immunized.
If you are sick with a cough, avoid contact with infants and expectant mothers. Do not visit or work in labor, delivery, and nursery areas of hospitals, and do not visit or work in child care settings.
If you live with or have close contact with someone who has pertussis, you may need antibiotics to prevent pertussis - contact your health care provider.
Cover coughs and sneezes, wash hands frequently with soap and water, and stay home from work or school when sick.
The King County Department of Health only recognizes a positive diagnosis of Pertussis IF the Health Care Provider has done a nasal swab and had that cultured positive. They do not recognize a diagnosis based on visual symptoms alone.
Washington State and King County are experiencing a widespread pertussis outbreak. In King County, there were 100 confirmed cases of pertussis reported in the first 3 months of 2012 - highest number reported for this time of year in the past decade, and more than the reports received in all of last year.
Immunization Information for Seniors
Copies of Senior immunization forms are available in the career center in each student's portfolio by October 1st of their Senior year. The health office has made every effort to add all immunizations families have provided the school district, including those added on sport physicals.
Students may take the immunization form home at any time - not the entire portfolio! Please make a copy for your home records and put it in a safe place (these records are rarely used and very easily lost in our homes!). Employers, Colleges etc. may ask for this information.
Your Shorecrest nurse recommends families have a conversation with their health care providers about the need for their individual students to receive the Meningococcal immunization. Especially if your student is going to college and will be living in a dorm. Please click on this link for more information prepared by the National Meningitis Association . There is also a brochure in the documents section of the health office site for you to view.
I also recommend all students have their Hepititis A and B and Tetanus immunizations up to date no matter what their after high school plans happen to be.