Immunizations

Measles, Mumps & Rubella (MMR)*

You may satisfy the Measles, Mumps & Rubella (MMR) requirement in either of the following ways:

By vaccine:

• Two doses of the MMR vaccine (or two doses each of the separate vaccines for measles, mumps, and rubella).
• Doses must meet the following age/interval requirements:
  • First dose must be on or after your 1st birthday
  • Second dose must be at least 28 days after the first dose
• If you only have one dose that meets the age/interval requirements, you still need to get an additional dose.
• Note: since MMR is a live vaccine, it can be contraindicated in certain conditions (including if you are pregnant). 

By titer: 

A titer is a blood test checking for antibodies. If you actually had measles, mumps and/or rubella, or cannot find records for your past doses of the vaccines, you may want to consider a titer.

• One blood titer each for measles, mumps, and rubella showing evidence of immunity to each.
• If your titer results do not show evidence of immunity, you will still be required to get any outstanding doses of the vaccine(s) as indicated above.
• Note: when reporting your titer results, remember that "positive" means "positive for immunity" and "negative" means "negative for immunity."

Varicella (Chickenpox)*

You may satisfy the varicella requirement in either of the following ways:

By vaccine:

• Two doses of the varicella vaccine.
• Doses must meet the following age/interval requirements:
  • First dose must be on or after your 1st birthday
  • Second dose must be at least 28 days after the first dose
• If you only have one dose that meets the age/interval requirements, you still need to get an additional dose.
• Note: since varicella is a live vaccine, it can be contraindicated in certain conditions (including if you are pregnant). 

By titer:

A titer is a blood test checking for antibodies. If you actually had chickenpox or cannot find records for your past doses of the vaccines, you may want to consider a titer.

• Blood titer for varicella showing that you have immunity.
• Not everyone who has chickenpox or shingles necessarily develops varicella immunity, so a blood titer to prove that you are "positive" for immunity is required. A doctor's note stating that you had chickenpox or shingles is not sufficient.
• If your titer results do not show evidence of immunity, you will still be required to get any outstanding doses of the vaccine(s) as indicated above.
• Note: when reporting your titer results, remember that "positive" means "positive for immunity" and "negative" means "negative for immunity."

Tetanus, Diphtheria and Pertussis (Tdap)*

You must satisfy the tetanus, diphtheria, and pertussis (Tdap) requirement by vaccine:

• A booster of TDaP is required within 10 years of your first day attending Cal Poly.

Meningococcal Conjugate*

You may satisfy the meningococcal conjugate requirement in either of the following ways:

By vaccine:

• One (1) dose on or after age 16 for all students and age 21 or younger.
• Common brand names include Menactra (Men ACWY-D) and Menveo (Men ACWY-CRM) in the United States, and Nimenrix (Men ACWY-CRM) in parts of Western Europe.
• Men B and Bexsero DO NOT fulfill this requirement, nor do MCV4 vaccines received before your 16th birthday; if you only have these vaccines, you will still be required to get an MCV4 vaccine.
• While we strongly prefer the MCV4 vaccine, we will accept the MPSV4 vaccine as long as age and documentation requirements are met.
• Note: There are two types of meningococcal vaccines for serogroups A, C, W, and Y available in the United States: polysaccharide and conjugate vaccines. Neither type of vaccine contains live meningococcal bacteria.

By exemption based on age:

• If you are not yet 16 years old on the first day of class, you are exempt for the time being from this requirement. Once you turn 16, you will need to comply with this requirement.
• If you are already 22 years old on the first day of class, you are exempt from this requirement. If you turn 22 years old after the formal deadline, you are still required to get this vaccine.

Meningococcal A,B,C,W, and Y Vaccine

• A 2-dose series given 6 months apart administered from ages 10 to 25 years old. Second dose should be on or after the 16th birthday to meet the ACWY requirement.

Meningococcal B*

You may satisfy the meningococcal B requirement in either of the following ways:

By vaccine:

• A 2-or 3-shot series of meningococcal B vaccine given at ages16 to 23. There are two vaccine choices, Bexsero and Trumenba. Either type is a two-dose series given six months apart or three-dose series (one dose at 0, 1-2, and 6 months.). The 2-dose series for either brand provides adequate coverage unless the student is high-risk, in a high-risk setting, or there is an outbreak. We will accept the two-dose series as satisfying our requirements, but in the event of an outbreak of meningococcal Group B illness, a third dose will be required for full protection. According to the manufacturer, the effectiveness of the two-dose schedule against diverse N meningitidis group B strains has not been confirmed. The safety and effectiveness of mixing meningococcal group B vaccines interchangeably has not been assessed, please stay within one brand until full dosing schedule is complete.

By exemption based on age:

• If you are not yet 16 years old on the first day of class, you are exempt for the time being from this requirement. Once you turn 16, you will need to comply with this requirement.
• If you are already 24 years old on the first day of class, you are exempt from this requirement. If you turn 24 years old after the formal deadline, you are still required to get this vaccine.

Hepatitis B**

Students who are 18 years of age or younger at the start of their first term at a CSU campus must provide proof of immunization or positive titer against hepatitis B prior to their second quarter. You may satisfy the hepatitis B requirement in either of the following ways:

By vaccine:

• Three (3) doses of vaccine over a minimum of a 4- to 6-month period (second dose given one month after the first dose, third dose given six months after the first dose), according to CA Health & Safety Code, Sec. 120390.5.

By titer:

• A titer is a blood test checking for antibodies.
• If your titer results do not show evidence of immunity, you may satisfy requirement by vaccine(s) as indicated above
• Note: when reporting your titer results, remember that "positive" means "positive for immunity" and "negative" means "negative for immunity."

By exemption based on age:

• If you are already 19 years old on the first day of class, you are exempt from this requirement. If you turn 19 years old after the formal deadline, you are still required to get this vaccine.
• If you are over 18 years old, the hepatitis B vaccine is still recommended.

IN-STOCK IMMUNIZATIONS, GENERAL (COVID, FLU, ETC.)

• Seasonal Flu Shot - Cost: Free
• COVID-19 Vaccine and Booster - Cost: Free

• HAV (Hepatitis A) - Cost: $78 each injection
  • Series of two injections
  • Second injection 6-12 months following the initial dose of vaccine (0, 6-12 months)
  • Effective for 15-20 years or more

• HBV (Hepatitis B) - Cost: $59 each injection
  • Series of three injections
  • Second injection one month following the initial dose of vaccine, third dose six months after the initial dose of vaccine (0, 1, 6 months)
• HPV (Human Papillomavirus) "Gardasil-9" - Cost: $266 each injection
  • Series of three injections
  • Return two and six months after the first shot (0, 2, 6 months)
  • To get the full benefit of the vaccine, all three shots must be given.
• Meningitis Vaccines:
  • Meningococcal Group A, C, Y and W-135 vaccine "Medquadfi"- Cost: $149/dose
    • Two doses (age 11-12 plus booster at age 16)
  • Meningococcal Group B vaccine "Bexsero" - Cost $196/dose
    • Two doses at least 30 days apart
  • Meningococcal Group B vaccine "Trumenba" - Cost $169/dose
    • Series of three shots
    • Return two and six months after the first shot (0, 2, 6 months)
• MMR (Mumps, Measles and Rubella) - Cost: $94 each injection
  • Series of two injections, separated by at least 28 days
  • The second dose is not a booster (necessary because about 2%-5% of patients do not develop immunity after the first dose of vaccine).
• Tetanus/Diptheria/Pertusis (Tdap) - Cost: $52 each injection
  • 1 dose routinely given at age 11-12y
  • Should receive dose ASAP if no history of receiving Tdap
  • Pregnant women receive 1 dose during every pregnancy
  • Td booster given every 10 years, which may be substituted with Tdap as one of the boosters. 
• TB (Tuberculosis) skin test - Cost: $12/dose (currently enrolled students)
  • The TB skin test cannot be administered on THURSDAYS.
  • The TB skin test is a way to find out if a person has TB infection.
  • A small amount of testing material is placed just below the top layers of skin, usually on the arm.
  • Two to three days later a health care worker checks the arm to see if a bump has developed and measures the size of the bump.

ANTI-MALARIAL MEDICATIONS

• Doxycycline Hyclate 100mg
  • 1 tablet daily; start 1-2 days before entering malaria area, daily while at risk, then daily for 28 days after departing malaria area
  • 1-week through 4-week exposure tabs available 
  • 1-week exposure (37 tabs): $7; 2-week exposure (44 tabs): $7
    3-week exposure (51 tabs): $8; 4-week exposure (58 tabs): $9
• Atovaquone/Proguanil 250/100mg
  • 1 tablet daily; start 1-2 days before entering malaria area, daily while at risk, then daily for 7 days after departing malaria area
  • 1-week through 4-week exposure tabs available
  • 1-week exposure (16 tabs): $32; 2-week exposure (23 tabs): $44
    3-week exposure (30 tabs): $57; 4-week exposure (37 tabs): $69

OTHER VACCINES

• Rabies
  • Pre-exposure: (2 doses): 0 & 7 days  (3 years of protection)
  • Booster: Check titer every 2 years, may give 1 booster dose if titer inadequate 
  • Post-exposure: (4 doses): 0, 3, 7, 14 days
  • *Special order 1-2 days
  • $365 each
• Varicella – Chickenpox
  • 2 doses 28 days apart
  • *Frozen - not stocked at CH&W
• Japanese Encephalitis
  • 2 doses, 7-28 days apart (complete at least 1 week prior to exposure)
  • *Special order 1-2 days
  • $298 each
• Yellow Fever (Unavailable to Cal Poly)
  • 1 dose > 10 days prior to travel (booster dose after 10 years for certain populations)
  • See the SLO County Public Health or Passport Health in Pismo Beach
• Other vaccinations are available by special order or through the SLO County Public Health Department.