immunization requirements

New upcoming Immunizations Requirement for all CSU campuses

Please see below for the NEW IMMUNIZATION REQUIREMENTS.  The implementation date of the new CSU immunization requirement is expected to be Spring semester 2021 or Fall semester 2021.  A system is in the process of being developed to verify Immunization requirements for incoming students, but has not yet been set up.  Students are strongly recommended to obtain all of the soon-to-be-required immunizations as soon as possible.  Students will be contacted 6 months prior to full implementation and enforcement (i.e. placing of holds) of this requirement and given instructions on how to input the records to allow for verification.

Immunization Requirements & Recommendations (Excecutive Order 803)

The California State University (CSU) is committed to the protection of health and wellness of all students. To comply with this overarching goal, CSU campuses implement procedures to ensure that students are educated about and receive immunizations to prevent potentially serious and contagious diseases.

Immunizations, Screening Requirements, and Recommendations are adopted from the California Department of Public Health (CDPH) IMMUNIZATION & SCREENING RECOMMENDATIONS FOR COLLEGE STUDENTS.

NOTE: Any revisions of the CDPH recommendations for colleges and universities as of February 1st each year will be reflected in CSU requirements for the subsequent fall academic term.


CSU students are REQUIRED to obtain the following vaccines and undergo screening/risk assessment for Tuberculosis:

Required Immunizations & Screenings

Required Dosage & Screening Information

Measles, Mumps and Rubella (MMR)

Two (2) doses with first dose on or after 1st birthday; OR positive titer (laboratory evidence of immunity to disease)

Varicella (Chickenpox)

Two (2) doses with first dose on or after 1st birthday; OR positive titer. History of contracting the disease does not meet compliance.

Tetanus, Diphtheria and Pertussis (Tdap)

One (1) dose after age 7

Meningococcal conjugate (Serogroups A, C, Y, & W‐135)

One (1) dose on or after age 16 for all students and age 21 or younger

Hepatitis B (Hep B)

Students age 18 and younger (CA Health & Safety Code, Sec. 120390.5)

Screening/Risk Assessment: Tuberculosis (TB)

All incoming students must complete a Tuberculosis risk questionnaire. Incoming students who are at higher risk* for TB

infection, as indicated by answering “yes” to any of the screening questions, should undergo either skin of blood testing for TB infection within 1 year of CSU entry.

*Higher risk include travel to or living in South and Central America, Africa,

Asia, Eastern Europe, and the Middle East; prior positive TB test; or exposure to someone with active TB disease.

CSU students are STRONGLY ENCOURAGED to obtain the following immunizations (please discuss with your provider):

Recommended Immunizations

Recommended Groups

Hepatitis A (Hep A)

All students regardless of age

Hepatitis B (Hep B)

Students age 19 and older

Human papillomavirus (HPV)

For women and men through age 26

Influenza (Flu)

Annually; All students regardless of age

Meningococcal B (Meningitis B)

Students age 16 – 23 who elect vaccination after discussion with their healthcare provider

Meningococcal conjugate (Meningitis)

Students up to age 23


For students with certain medical conditions (e.g., severe asthma, diabetes, chronic liver or kidney disease)

Poliovirus (Polio)

Regardless of age, if the series was not completed as a child

Immunizations for international travel

Based on destination

Immunization Requirements & Recommendations

There were many preventable diseases that were common before widespread vaccination programs began. Brief descriptions of common vaccine preventable diseases are listed below:

There were many preventable diseases that were common before widespread vaccination programs began. Brief descriptions of common vaccine preventable diseases are listed below:


Causes a thick covering in the back of the throat. It can lead to breathing problems, paralysis, heart failure, and even death.

Hepatitis A 

A serious liver disease that is usually spread by close personal contact or by eating contaminated food or water. Hepatitis A can cause mild, “flu-like” illness, jaundice (yellow skin or eyes), and severe stomach pains and diarrhea. Teens and adults are most likely to have a severe case.

Hepatitis B

Another serious liver disease that can cause short-term (acute) appetite loss, diarrhea, vomiting, fatigue, jaundice (yellow skin or eyes), and/or pain in muscles, joints, and stomach. It also can cause long-term (chronic) illness that leads to liver damage (cirrhosis), liver cancer, and death.

Human Papillomavirus

A virus that causes genital warts and a variety of cancers, and is spread by direct skin-to-skin contact.

Influenza (flu)      

A contagious viral disease spread through coughing or sneezing. Influenza can lead to pneumonia, sinus or ear infections, worsening of chronic conditions such as asthma or diabetes, and even death.


This virus causes a rash, cough, runny nose, eye irritation, and fever. It can lead to ear infections, pneumonia, seizures, brain damage, and even death.

Meningococcal Disease

A typically severe bacterial infection that can cause hearing loss, learning problems, brain damage, or loss of limbs. About 1 in 10 people with meningococcal disease will die from it. The disease is spread when people live in close contact or through other close contact such as partying or kissing. Teens and young adults have a higher risk for meningococcal disease.


This virus causes fever, headache, swollen glands and painful swelling of the testicles or ovaries. It can lead to deafness, meningitis (infection of the brain and spinal cord covering), and, rarely, death.


Also called whooping cough, causes prolonged coughing spells for weeks to months that can end in vomiting. It can lead to pneumonia, seizures (jerking and staring spells), brain damage, and death.


A disease caused by a virus which can cause paralysis (cannot move arms or legs). It can kill people who get it, usually by paralyzing the muscles that help them breathe.

Pneumococcal disease

A leading cause of bacterial meningitis in the United States. It causes many health problems in, including pneumonia, meningitis, blood infections, sinus infections, ear infections, and even death.


Also known as German Measles, this virus usually causes mild fever and a rash. However, if a woman gets rubella while pregnant, she could have a miscarriage or her baby could have serious birth defects.


Also called Lockjaw, this is a painful tightening of the muscles, usually all over the body. It can lead to “locking” of the jaw so the person cannot open their mouth or swallow. Tetanus can be fatal.


A disease caused by a bacterium called Mycobacterium tuberculosis. The bacteria usually attack the lungs, but can infect any part of the body, such as the kidney, spine, and brain. If not treated properly over several months, tuberculosis can be fatal.


Also known as Chickenpox, this virus causes a rash, itching, fever, and tiredness. While chickenpox is usually a mild illness, it also can lead to severe skin infections, scars, pneumonia, brain damage, or death.