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 |
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. |
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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: |
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. |
Parameter | Description |
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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) |
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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: |
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