SHS0110 - Annual Immunization Status Report (DSHS)

Health > Reports > Health Reports > Immunizations > SHS0110 - Annual Immunization Status Report (DSHS)

This report summarizes total enrollment and the number of students in grade levels KG and 7 who are up to date, provisionally enrolled, exempt, delinquent, or have a history of illness. The report is submitted to the Department of State Health Services (DSHS).

NOTE: ASCENDER follows the Texas Minimum State Vaccine Requirements.

Grace periods for immunizations

Vaccine doses can be administered up to four days before the minimum interval or age as follows:

Vaccine	Dosage	Four-Day Grace Period
DTP		Does not apply
Hepatitis A	On or after first birthday	Applies
Hepatitis B		Does not apply
Hib	One dose on or after 15 months of age	Applies
Hib	Two doses at least two months apart	Applies
Measles	First dose - on or after first birthday	Applies
Measles	Second dose - two doses 28 days apart	Applies
Mumps	On or after first birthday	Applies
PCV	On first and second birthdays	Applies
Polio		Does not apply
Rubella	On or after first birthday	Applies
Varicella	First dose - on or after first birthday	Applies

Report field descriptions

Total Number of Conscientious Exemption Forms Filed in Your District	The total number of KG-12th grade students who filed exemptions for reasons of conscience is displayed.
Up to Date (Column 1)	The number of students who are up to date on all required immunizations for their age is displayed.
Provisional (Column 2)	The number of students who are marked as provisionally enrolled under the following circumstances is displayed: • Student has started a series of required vaccinations and is on schedule to receive remaining doses. • Student has transferred from one Texas school to another and is waiting for immunization records to be transferred from the previous school. • Student is a dependent of a person who is on active duty with the US armed forces and is waiting for immunization records to be transferred from the previous school. • Student is defined as homeless according to the McKinney-Vento Act. These students can be admitted provisionally for 30 days.
Conscientious/Religious (Column 3)	The number of students who have an affidavit on file from DSHS for exemption for reasons of conscience or religious belief is displayed. The affidavit is only valid for two years.
Medical (Column 4)	The number of students who have a valid medical exemption on file at the campus is displayed. The statement must be signed by the student's physician (MD or DO) and follow other state-defined guidelines. NOTE: A medical exemption is not the same as a conscientious exemption. The affidavit is only valid for one year.
Delinquent (Column 5)	The number of students who do not have all immunizations required for their age, do not qualify for provisional enrollment, and do not have a valid medical or conscientious exemption on file is displayed.
History of Illness (Column 6)	The number of students with a documented history of varicella (i.e., chickenpox) is displayed. Acceptable documentation is limited to written statement from parent/guardian/conservator, school nurse, or physician attesting to the child's positive history or immunity. These students are counted in column 6 only; they are not counted in columns 1-5.
Total from Columns 1-6 (Column 7)	The sum of columns 1-6 is displayed. This total must equal the total enrollment for the specified grade level. In Table 1, Column 7 must equal the total number of students in the grade level for pneumococcal, because students who are five or more years old are considered to have aged out of the requirement, and are therefore included in the count for Column 1 (Up to Date). In Table 3, the MMR (2) counts indicate the number of students who have the measles 1 and measles 2 requirements. Doses of immunization types 08, 09, 15, 16, and 27 fulfill the requirement. Students vaccinated in the United States usually have the MMR or MMRV doses.

Run the report:

Parameter	Description
Campus ID (Blank for All)	Type the three-digit campus ID, or click to select the campus. Leave blank to select all campuses in the district. NOTE: If you select to create the report for all campuses, any campuses excluded from district reporting (i.e., campuses that have the Exclude from District Reporting field selected on Registration > Maintenance > Campus Profile > Campus Information Maintenance > Control Info) are not included in the report. However, you can generate the report for an individual excluded campus by entering the campus ID.
As of Date (MMDDYYYY)	Type the date, or click to select the date from a calendar. This should be the Fall Snapshot Date or the As of Date specified by the Texas Department of State Health Services.
Name of Contact Person (First M. Last)	Type the name of the district employee who is reporting the information. This name will be displayed on the last page of the report.
Title of Contact Person	Type the title of the district employee who is reporting the information. The title will be displayed next to the name on the last page of the report.
Report	Select the report to print: Annual Immunization Status Report (DSHS) - Print the summary report. Annual Immunization Status Report (DSHS) - Detail - Print the detail report.

Student

Sidebar

Table of Contents

SHS0110 - Annual Immunization Status Report (DSHS)

Run the report:

Americans with Disabilities Act (ADA) and Web Accessibility

Student

User Tools

Site Tools

Sidebar

Table of Contents

SHS0110 - Annual Immunization Status Report (DSHS)

Run the report:

Page Tools

Americans with Disabilities Act (ADA) and Web Accessibility