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7th & 8th Grade Immunization Assessment Instructions

This page is for reporting purposes (not for initial screening for admission). Information for this report must be obtained from the California School Immunization Record (Blue Card- CDPH286) or equivalent record. Use the worksheet to tally the immunization status of each student. List each student and check the designated box of their status for Tdap and Varicella separately. Report 7th and 8th grades separately.

Reporting Tools:

1. Review each child’s Blue Card

Determine the varicella and Tdap booster status for each student.

BlueCardVaricellaTdap

ExamplesOfSticker

Students need:

  • TetanusDiphtheriaPertussis (Tdap) —1 dose
    (Whooping cough booster usually given at 11 years and up)

  •  Varicella (Chickenpox) — 2 doses
    (Usually given at ages 12 months and 4-6 years)

The Tdap sticker may be used to document Tdap vaccine in the student's permanent record on older versions of the Blue Card. Versions of CDPH 286 dated 01/19 or later include a row to document Tdap vaccine; no Tdap sticker is needed.

Unconditional Admission:

Requirements Met

Varicella

  • 2 doses of varicella vaccine. Do not include students who have proof of disease for chickenpox. Please see criteria for permanent medical exemptions.

Tdap

  • 1 dose of a pertussis-containing vaccine on or after the 7th birthday. No conditional entrance possible.
Requirements Met, But Missing Doses 

PME- Permanent Medical Exemption

  • Submits a medical exemption issued in CAIR-ME for Tdap or varicella and immunization records for either Tdap or varicella if it was not exempted. If you have a student in this category, sign up for access to CAIR-ME by emailing medicalexemptions@cdph.ca.gov.

Other 

  • Schools may contact their authorized local educational agency (LEA) for additional information about these categories. 

  • Only use if students do NOT have All Required Vaccine Doses, a temporary medical exemption or conditional admission and WHO ARE: 
    IEP- Accessing special education or related services required by their individualized education program OR
    IND- Enrolled in an independent study program and do not receive classroom-based instruction, OR
    Home- Enrolled in a home-based private school

Conditional Admission, Need Follow-up:

Conditional – Missing Doses Not Currently Due 

  • If a child is missing the 2nd dose in the varicella series and that dose is not currently due at the time of reporting (as determined by intervals listed in Conditional Admission Schedule, column entitled "EXCLUDE IF NOT GIVEN BY" (table)(PDF).

TME- Temporary Medical Exemption

  • Submits a TME issued in CAIR-ME for varicella and has submitted immunization records for vaccines not exempted. If you have a student in this category, sign up for access to CAIR-ME by emailing medicalexemptions@cdph.ca.gov.

Requirements Not Met, Missing Doses, Need Follow-up:

Overdue- Needs Doses Now 

  • Out of compliance, missing doses are overdue and child may not attend school until overdue doses are received. Period of time listed in Conditional Admission Schedule, column entitled "EXCLUDE IF NOT GIVEN BY" (table)(PDF), has passed.

  • Homeless and foster students (allowed initial enrollment without records) counted here if still in the process of meeting requirements/waiting for records. If students do not have records, count the student as missing all doses.

2. Tally each child's Reporting Status on the Worksheet

Use the worksheet to tally the immunization status of each student. List each student and check the designated box of their status for varicella and Tdap separately. Report 7th and 8th grades separately.

Example:

7th8thGradeChart2

Total the columns for the number of children in each reporting category. The total must be equal the total enrollment since each child is only in one group. 

Note for children meeting criteria of multiple categories: 

  • If a student has an exemption and is also a conditional entrant, please report the student as having the exemption only. 
  • Only place a child in "Other" if they do not fit in any other category.  Email SchoolAssessments@cdph.ca.gov with difficult reporting cases.

Retain the worksheet for your records in case of audit and as a roster of students who do not meet all immunization requirements in the event of an outbreak.

3. Submit Report at 7th and 8th Grade Reporting Website 

7th-login

  • To log-in, confirm your CDE School Code, which is last 7 digits of the 14-digit county-district-school (CDS) code assigned to your school..

  •  If you are unsure of your CDE Code, try using the drop-down menu on the reporting site and see FAQ1.

  • Once logged in, confirm your

    • School Information.

    • Contact Information 

  • Submit Report using the totals from your worksheet. Fill out all required fields to complete the reporting form.

    •  If there are no students in a particular category or if the category is not applicable, place a zero in the box.

    • Changes can be made up until reporting closes. Log in again and click "Revise Your Submitted Report" to make any modifications based on changes in a student's status. 

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