81352 Immunization Alert Report

Overview

This report creates Alert notifications based on student's Immunization records in Genesis.  These alerts are based upon the minimum immunization requirements for school attendance in NJ.  

If you see an alert for a student, you should manually check that students records to make sure they meet the minimum requirements.

The report will look at Immunization doses recorded in each students immunization tab.  

In order for an immunization dose to count towards the reports requirements, that immunization must be tied to a corresponding Vaccine Code in Genesis.

Those ties can be viewed in the Nurse > Setup > Codes > Vaccines drop down.

The Immunizations the report will create alerts for are Diphtheria, Tetanus, Pertussis, Tdap, Polio, MMR,  Haemophilus B (HIB), Hepatitis B, Varicella, Pneumococcal, Meningococcal, and Influenza.

For more information on the immunizations and immunization requirements, click here:

https://www.nj.gov/health/cd/imm_requirements/

Please contact the Genesis help desk with any additional questions on this.

Minimum Requirements for Immunizations:

DTap/DTD

To Attend Preschool - student must have 4 doses.

To Attend Kindergarten and above: student must have 4 doses with one coming after 4th birthday OR 5 total doses

Students who do not enter district until grades 2+ – 3 doses.

for persons aged 7 years and older who are not fully immunized with diphtheria, tetanus and acellular pertussis (DTaP) vaccine, the Tdap and TD vaccine may used used in a catch-up serie

Tdap

Grades 6 or Higher – must have 1 dose given after 10th birthday.  Not required until 5 years after last DTD/DTap or TD.

DTaP is a vaccine given to young children (<age 7) to develop immunity to diphtheria, tetanus, and whooping cough (pertussis).

Tdap is a booster immunization given at age 11 that offers continued protection from those diseases for adolescents and adults.

Polio

Pre-K Students - 3 doses.

K-12 Ages 4-6* – 3 doses with ones given after 4^th birthday or 4 total doses.

K-12 Ages 7-17* – 3 doses.

* students age AS OF first day of school

MMR

Pre-K - 1 dose on or after 1^st birthday.

K-12 – 2 doses on or after 1^st birthday.

If student has one dose of one immunization tied to the MMR Vaccine Code in Genesis, and one does of another, the doses must be at least 28 days apart.

A student may also have a single dose AND a recorder entry for the Serology Titers, Measles, Mumps and Rubella.

Any MMR dose not administered on the same day as a Varicella dose must be separated by more than 28 days.  See table 3-3 below.

Varicella

All children, born on or after January 1, 1998 and is at least 19 months of age or older and attending a New Jersey school is required to receive one dose of varicella vaccine. Dose must be given AFTER student's first birthday.

Students with a Varicella Disease Date listed are exempt.

Students with a Serology Titer for Varicella listed are also exempt.

Any Varicella dose not administered on the same day as a MMR dose must be separated by more than 28 days.  See table 3-3 below.

Haemophilus B (Hib)

Pre-K students– 1 dose on or after 1^st birthday.

Hepatitis B

All K-12 students – 3 doses. (Children are not required to receive hepatitis B vaccine for child care/preschool attendance)

The minimum interval between the first and second dose:

• Weeks after first dose - 1 month or 4 weeks or 28 days

There are three minimum intervals that must be met for the third dose:

• Weeks after first dose - 4 months or 16 weeks or 112 days
• Weeks after second dose - 2 months or 8 weeks or 56 days
• Weeks after birth - 6 months or 24 weeks or 168 days.

The interval rule for the Hepatitis B immunization begins after 1/7/08.  Vaccines given prior to 1/7/2008 are exempt from minimum interval rule 

Pneumococcal

Pre-K students – 1 dose on or after 1^st birthday.

Meningococcal

6^th grade or older and born on or after 01/01/1997 – 1 dose.

Children who received the meningococcal vaccine prior to their tenth birthday will need to be revaccinated for NJ school attendance

Influenza

Pre-K students (aged 4 or less at start of school year) – One dose each school year on or after 08/01

Student marked Exempt

Students marked Exempt for an immunization will not generate alerts for that immunization

Student Age

As soon as a student turns 5 years old they will no longer trigger alerts for Influenza.

Grace Period

There is a Four Day Grace Period applied to vaccination dates where applicable.

TABLE 3-3. Guidelines for spacing of live and inactivated antigens (from https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/timing.html#t-03)

Guidelines for spacing of live and inactivated antigens

TWO OR MORE INJECTABLE OR NASALLY ADMINISTERED LIVE VACCINES NOT ADMINISTERED ON THE SAME DAY SHOULD BE SEPARATED BY AT LEAST 4 WEEKS (TABLE 3-3), TO MINIMIZE THE POTENTIAL RISK FOR INTERFERENCE. IF 2 SUCH VACCINES ARE SEPARATED BY <4 WEEKS, THE SECOND VACCINE ADMINISTERED SHOULD NOT BE COUNTED AND THE DOSE SHOULD BE REPEATED AT LEAST 4 WEEKS LATER. ON THE DAY A LIVE INJECTABLE OR INTRANASAL VACCINE WILL BE ADMINISTERED, PROVIDERS SHOULD ENSURE THAT NO LIVE INJECTABLE OR INTRANASAL VACCINE WAS GIVEN IN THE PREVIOUS 28 DAYS.

FAQ:

Question:  If a student transfers into a new school district in Grade 7, is the school district required to obtain evidence of that students Meningococcal vaccine?

Answer: Yes, he/she would still need to meet this requirement in the higher grade levels. All children born on or after January 1, 1997 attending or transferring into a NJ school at grade six or higher grade level from another district, state or country are subject to the meningococcal vaccine requirement. This also applies to the Tdap requirement.

Question: What about the Varicella vaccine?  If a student transferred into a school district after grade 1, would the district be required to obtain evidence of the vaccine?

Answer: All children, born on or after January 1, 1998 and who are at least 19 months of age or older and attending a New Jersey school is required to receive one dose of varicella vaccine. This applies to all transfer students, both out of state/ out of country and those transferring from another school district within the state.

Question: What about if the student did not transfer in but the vaccine requirements were overlooked?  Now that the student is in 3^rd grade, for example, does the district still need to require a Varicella vaccine?  Same question for an 7^th grader and his Meningococcal vaccine.

Answer:  Yes, if a child's vaccine requirements were overlooked they would need to fulfill the requirements ASAP.