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Oregon School Immunization Assessment Cheat Sheet (DRAFT) by

This is a draft cheat sheet. It is a work in progress and is not finished yet.

DTP, DTap, Dt, Td, Tdap

Dose
When was the Dose received?
Status
0
Child is under 2 months of age
Up-to-Date
 
Child is 2 months of age or older
Incomplete
1
Less than 2 months ago or child is less than 4 months of age
Up-to-Date
 
2 months or more ago and child is 4 months or age or older
Incomplete
2
Dose 1 received at or after 1st birthday and dose 2 received less than 12 months ago
Up-to-Date
 
Dose 1 received at or after 1st birthday and dose 2 received 12 months or more ago
Incomplete
 
Child is 7 years of age or older and dose 2 received less than 12 months ago
Up-to-Date
 
Child is 7 years of age or older and dose 2 received 12 months or more ago
Incomplete
 
Less than 2 months ago or child is less than 6 months of age
Up-to-Date
 
2 months or more ago and child is 6 months of age or older
Incomplete
3
At or after 7th birthday (or within 4 days prior to the 7th birthday)
Complete
 
Less than 12 months ago
Up-to-Date
 
Dose 1 received at or after 1st birthday and child is less than 4 years of age
Up-to-Date
 
12 months or more ago and child is 18 months of age or older
Incomplete
4
At or after 4th birthday (or within 4 days prior to the 4th birthday)
Complete
 
Before 4th birthday and child is less than kinder­garten grade
Up-to-Date
 
Before 4th birthday and child is kinder­garten or higher grade
Incomplete
5
Complete
Complete

Tdap, Td, DTap, DT - Booster

Dose
When was the Dose received?
Status
0 - 2
Do not use this table - Use DTAP Table.
3 - 6
Last tetanu­s/d­iph­the­ria­/pe­rtussis dose was given at or after 7th birthday or within 4 days prior to the 7th birthday
Complete
7
Complete
Complete
Use this section for grades 7 to 12.

Hepatitis A

Dose
When was the Dose received?
Status
0
Child is less than 18 months of age
Up-to-Date
 
Child is 18 months of age or older
Incomplete
1
At or after 12 months of age , or within 4 days prior to age 12 months, and less than 12 months ago
Up-to-Date
 
At or after 12 months of age , or within 4 days prior to age 12 months, and 12 or more months ago
Incomplete
 
Prior to 12 months of age and child is less than 18 months of age
Up-to-Date
 
Prior to 12 months of age and child is 18 months or older
Incomplete
2
Both doses received at or after 12 months of age , or within 4 days prior to age 12 months
Complete
 
Dose 1 received prior to 12 months of age and dose 2 received less than 12 months ago
Up-to-Date
 
Dose 1 received prior to 12 months of age and dose 2 received 12 months or more ago
Incomplete
3
Complete
Complete
School Year 2018/19 Grades PK, KG, 1-9
School Year 2019/20 Grades PK, KG, 1-10
School Year 2020/21 All Grades
  

Varicella (Chick­enpox)

Dose
When was the Dose received?
Status
0
History of Chickenpox disease at any age (disease date not required)
Complete
 
Child is under 18 months of age
Up-to-Date
 
Child is 18 months of age or older
Incomplete
1
At or after 12 months of age, or within 4 days prior to age 12 months, AND prior to 13 years of age
Complete
 
Prior to 12 months of age and child is less than 18 months
Up-to-Date
 
Prior to 12 months of age and child is 18 months or older
Incomplete
 
At or after 13 years of age and less than two months ago
Up-to-Date
 
At or after 13 years of age and two months or more ago
Incomplete
2
At least one dose given between the ages of twelve months, or within 4 days prior to age 12 months, and twelve years
Complete
 
Dose 1 given at or after 13 years of age and second dose given 24 or more days after the first dose
Complete
 
Child is less than 18 months of age
Up-to-Date
 
Second dose given fewer than 24 days after the first dose and less than two months ago
Up-to-Date
 
Second dose given fewer than 24 days after the first dose and two or more months ago
Incomplete
3
Complete
Complete

Hepatitis B

Dose
When was the Dose received?
Status
0
Child is less than 2 months of age
Up-to-Date
 
Child is 2 months of age or older
Incomplete
1
At or after 11 years of age, or within 4 days prior to age 11 years, and less than 6 months ago
Up-to-Date
 
at or after 11 years of age , or within 4 days prior to age 11 years, and 6 months or more ago
Incomplete
 
before 11 years of age and less than 2 months ago or child is less than 4 months of age
Up-to-Date
 
before 11 years of age and less than 2 months ago or child is less than 4 months of age
Up-to-Date
 
before 11 years of age, 2 months or more ago and child is 4 months of age or older
Incomplete
2
1st dose received at or after 11 years of age , or within 4 days prior to age 11 years, and 2nd dose received at least 4 months after 1st dose
Complete
 
less than 5 months ago
Up-to-Date
 
5 months or more ago and child is less than 18 months old
Up-to-Date
 
5 months or more ago and child is 18 months of age or older
Incomplete
3
Complete
Complete

Polio

Dose
When was the Dose received?
Status
0
Child is less than 2 months of age
Up-to-Date
 
Student is 18 years of age or older
Not Required
 
Child is 2 months of age or older and less than 18 years of age
Incomplete
1
Less than 2 months ago or child is less than 4 months of age
Up-to-Date
 
2 months or more ago, and child is at least 4 months of age, and is less than 18 years of age
Incomplete
2
Less than 12 months ago
Up-to-Date
 
Child is less than 18 months of age
Up-to-Date
 
12 months or more ago and child is less than 18 years of age
Incomplete
3
Received on or after 4th birthday (or within 4 days of the 4th birthday)
Complete
 
Less than 12 months ago
Up-to-Date
 
Child is less than kinder­garten grade
Up-to-Date
 
12 months or more ago, and child is kinder­garten or higher grade, and less than 18 years of age
Incomplete
4
Complete
Complete