USER NAME
school menu
|
scope
|
middle school
|
immunization requirements
School Vaccination Coverage
for Kindergarten and Middle School
THIS PAGE IS PROVIDED FOR INFORMATION PURPOSES ONLY. YOU CANNOT USE THIS PAGE TO SUBMIT YOUR ANNUAL SCHOOL COVERAGE REPORT. THE SCHOOL VACCINATION COVERAGE REPORT IS HOSTED ON A SECURE SITE REQUIRING A DIGITAL CERTIFICATE. IF YOU NEED INFORMATION ON HOW TO ACCESS THE SITE AND/OR OBTAIN A DIGITAL CERTIFICATE PLEASE CONTACT
Robert Avey
Grantee:
Your State
kindergarten enrollment
Please fill in the blank with the appropriate numbers. (You can get information on school enrollment from your department of education.)
12. What is the total number of schools in Your State that have kindergartens?
a. Public:
b. Private:
13. How many of the schools had data included in this report?
a. Public:
b. Private:
14. What is the total number of children enrolled in all kindergartens in Your State?
a. Public:
b. Private:
15. How many kindergartners did you survey? (This should include children with a missing vaccination record.)
a. Public:
b. Private:
16. How many surveyed kindergarten children did not have a vaccination record?
a. Public:
b. Private:
16a. What happens to these children?
i. Public:
(Check all that apply)
Given an exemption
Excluded from school
Grace period starts
Other
ii. Private:
(Check all that apply)
Given an exemption
Excluded from school
Grace period starts
Other
SDN imposes a 15 minute timeout. You must save data at least once every 15 minutes or entered/unsaved data will be lost
kindergarten exemptions
Instructions for completing the exemption section:
Please report permanent exemptions and temporary exemptions separately. If you are unable to do that, please use the spaces for permanent exemptions to report total exemptions in each category. Make a note in the comment section explaining how you reported the exemption data.
Type of Exemption
Is this type of exemption allowed?
Do you/can you track this type of exemption?
Number of surveyed children who were exempt.
Public
Private
17.
Medical
Yes
No
Yes
No
18.
Religious
Yes
No
Yes
No
19.
Philosophical
Yes
No
Yes
No
20.
Temporary
Yes
No
Yes
No
21. Comments regarding kindergarten exemptions:
vaccine information for kindergarten (required)
Comments and definitions on reporting vaccine requirements and doses:
Up-to-date(UTD) = received the appropriate doses of each vaccine.
Include a vaccine in your count whether it was administered individually or through combination vaccines.
Vaccine (doses for complete series)
# Doses for UTD status in your state.
Number of surveyed children meeting state rqmts.
Number of surveyed children UTD on complete series.
Public
Private
Public
Private
22.
Polio (3+)
23.
Diphtheria (4+)
24.
Tetanus (4+)
25.
Pertussis (4+)
26.
MMR (2)
27.
Hepatitis B (Hep B) (3+)
28.
Varicella (2)
29.
Influenza
30.
Vaccine related comments
Please select "Final" when you have completed all data entry for the Kindergarten section.
In-process
Final
Click on "Save/Continue" to save data input and/or navigate to the Middle school section.
cdc contacts
Report/Content Issues:
Contact CDC with questions or requests for assistance on school report content
Technical/Website Issues:
Robert Avey
Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30333, U.S.A
Tel: (404) 639-3311 / Public Inquiries: (404) 639-3534 / (800) 311-3435
Department of Health
and Human Services