North Carolina Immunizations Requirements and Exemptions
North Carolina state law (General Statute 130A-155.1) requires anyone entering college to
present a certificate of immunization that documents their compliance with all required
The statute applies to all college and university students, except:
¨ Students registered in distance-learning courses only
¨ Students attending classes scheduled at 5:00 pm or later only
¨ Students enrolled in weekend classes only
¨ Students enrolled in four (4) credit hours or less per semester
If at any time, the above student status changes to: on-campus courses, course load of more than
four credit hours, on-campus residence, and/or enrollment in day-time courses, a certificate or
record of immunization must be presented on or before the date the person first registers for a
semester. If the exempt student transfers, interrupts study for six (6) months or more, or
graduates, the statute is applicable upon re-entry to a college or university.
Students will be WITHDRAWN FROM THE UNIVERSITY 30 days after classes begin if
immunization requirements have not been met and the Immunization and Medical History
information have not been received by Campus Health Services staff.
Immunizations REQUIRED pursuant to North Carolina state law and institutional policy:
3 DTP 1 (Diphtheria, Tetanus, Pertussis) or Td (Tetanus, Diphtheria) doses; one Td
or Tdap (Tetanus, Reduced Diphtheria and acellular Pertussis) booster must have
been within the past 10 years
3 Polio 2
2 Measles 3 (Rubeola)
2 Mumps 4
1 Rubella 5
3 Hepatitis B 6
Footnote 1 - DTP (Diphtheria, Tetanus, Pertussis), Td (Tetanus, Diphtheria), Tdap
(Tetanus, Diphtheria, Pertussis): 3 doses of tetanus/diphtheria toxoid of which one must
have been within the past 10 years. Those individuals enrolling in college or university for
the first time on or after July 1, 2008 must have had three doses of tetanus/diphtheria
toxoid and a booster dose of tetanus/diphtheria/pertussis vaccine if a tetanus/diphtheria
toxoid or tetanus/diphtheria/pertussis vaccine has not been administered within the past 10
Footnote 2 - An individual attending school who has attained his or her 18th birthday is not
required to receive polio vaccine.
Footnote 3- 2 doses must have been given on or after the 1st birthday. Measles vaccines are
not required if any of the following occur: Diagnoses of disease prior to January 1, 1994;
An individual who has been documented by serological testing to have a protective
antibody titer against measles; or an individual born prior to 1957. An individual who
enrolled in college or university for the first time before July 1, 1994 is not required to have
a second dose of measles vaccine (must provide copy of transcript for verification).
Footnote 4- 2 doses must have been given on or after the 1st birthday. Mumps vaccine is not
required if any of the following occur: an individual who has been documented by
serological testing to have a protective antibody titer against mumps; an individual born
prior to 1957; or enrolled in college or university for the first time before July 1, 1994. An
individual entering college or university prior to July 1, 2008 is not required to receive a
second dose of mumps vaccine.
Footnote 5- Dose must have been given on or after the 1st birthday. Rubella vaccine is not
required if any of the following occur: 50 years of age or older; Enrolled in college or
university before February 1, 1989 and after their 30th birthday; an individual who has
been documented by serological testing to have a protective antibody titer against rubella.
Footnote 6- Hepatitis B vaccine is not required if any of the following occur: Born before
July 1, 1994.
In addition, International students or United States citizens who are currently living
abroad or who have traveled abroad for greater than two months during the year
preceding the date of matriculation are required to have a negative Tuberculin Skin Test
(TST), less than 5mm, within the 12 months preceding the first day of classes.
Documentation of the TST skin test is acceptable only from a United States facility trained
in public health or occupational medicine or equivalent US Institution. If the TST skin test
is equal to or greater than 5mm, you will be required to schedule a TB evaluation with a
CHS provider before your immunization status can be cleared.
All students MUST submit a total of at least 3 DTP/Td/Tdap vaccines.
2 MMR (Measles, Mumps, and Rubella Combo) vaccines will fulfill the Measles,
Mumps, Rubella requirement.
History of Measles (Rubeola) is acceptable if physician verifies that the student had
the disease prior to January 1, 1994.
Laboratory blood titer tests are acceptable for Measles, Mumps, Rubella, Hepatitis
B and Varicella. A copy of the laboratory report must be submitted along with the
<!--[endif]-->Health Science Students: Your program may require a copy of your
immunization record. It is YOUR responsibility to provide your program with this
information. You will need to keep a copy of your records to forward to your
program; Campus Health Services will not automatically forward this information
to your program.
Immunizations that MAY BE REQUIRED by certian colleges or departments (i.e. Health
Hepatitis B series - series of 3 vaccines and positive blood titer
Varicella (chicken pox) - series of 2 vaccines or immunity by positive blood titer
Consult individual college or department materials for specific requirements.
Immunizations may be waived for students who have certain medical conditions or for religious
reasons. Qualifying medical conditions may include pregnancy or breast feeding, diseases which
lover resistance to infection, or present use of medications which lower resistance to infection.
Religious exemptions include having a system of belief, practices or ethical values which
prohibit the use of immunizations. All student requesting immunizations exemption are required
to come to the Student Health Center in person within two (2) weeks of their first registered
term to sign a waiver form and receive verbal and written information about the waiver.
Students may call the Medical Records department at 336.334.7880 to request information
regarding immunization exemption.