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Page County Public Health Immunization


Immunization Services

Public Health Immunization Clinics

Beginning with the 2017 2018 school year students entering grade 7 and grade 12 must be vaccinated against meningococcal disease in order to attend school in the state of Iowa.

The change requires a one-time dose of meningococcal (A, C, W, Y) vaccine received on or after 10 years of age for applicants in grades 7 and above, if born after September 15, 2004; and 2 doses of meningococcal (A, C, W, Y) vaccines for applicants in grade 12, if born after September 15, 1999; or 1 dose if received when applicants are 16 years of age or older. This aligns with the recommendations by the national Advisory Committee on Immunization Practices.

  • One dose of meningococcal vaccine before seventh grade. If a student had the first dose as a sixth grader, then another dose is not required until grade 12.
  • A total of two doses are required before grade 12. Most students entering grade 12 received their first dose when they were younger and will be due for their second dose, or booster. This booster is needed because protection from the vaccine decreases over time.
  • The only teens that will NOT need a second dose before grade 12 are those who received their first dose on or after their 16th birthday.

For additional information about meningococcal disease please visit the CDC website

Please Note: there are other immunization requirements for students attending licensed child care centers and elementary or secondary schools, please use the link below for more information:          



Page County Public Health Nursing Service is a Vaccine for Children Provider (VFC). The VFC program was created to meet the vaccination needs of children from birth through 18 years of age. VFC vaccines are provided at no cost to eligible children. 
A child is eligible to receive VFC vaccine if he/she:

  • Is enrolled in Medicaid (Title XIX)
  • Does not have health insurance
  • Is American Indian or Alaskan Native (AI/AN)
  • Is underinsured (has health insurance that DOES NOT   pay for vaccinations)




birth through 6 years old

Vaccinating your children according to the recommended schedule is one of the best ways you can protect them from the 14 harmful and potentially deadly diseases like measles. Most parents choose the safe, proven protection of vaccines and are vaccinating their children according to the recommended immunization schedule.

Schools are a prime venue for transmitting vaccine-preventable disease and school-age children can then further spread disease to their families and others they come in contact with. For additional information on school requirements Iowa Immunization Law and You Brochure

Parents can find out more about the recommended immunization schedule at
Recommended vaccine schedule for infants



7 through 18 years oldteen

Tdap, Meningococcal and HPV vaccination is recommended for ALL adolescents between 11 and 18 years old. Teens may also need a booster dose of one of the shots or get any shots they may have missed. You can use any health care visit, including sports physicals, checkups or sick visits, to get the shots your kids need.
Tdap is a booster shot against tetanus, diphtheria and pertussis (whooping cough). Whooping cough is a persistent cough keeps kids out of school and activities for weeks.

HPV is Cancer Prevention in women and men. HPV can cause future cancers of the cervix, vulva and vagina in women and cancers of the penis in men. In both women and men, HPV also causes mouth/throat cancer, anal cancer and genital warts.

Meningococcal protects against a bacterial infection around the brain and spinal cord.
Recommended vaccine schedule for pre-teens and Teens.

tough guy 

19 years and older   

All adults need:
Influenza vaccine every year
Td or Tdap vaccine every 10 years 

Other vaccines you may need as an adult are determined by factors such as:

  • Age
  • Lifestyle
  • Health Conditions
  • Job
  • Previous Vaccines You Have Received

 Take this short quiz to find out which vaccines you need


The vaccines you get during your pregnancy will provide your baby with some disease protection that will last the first months of life.

This early protection is critical for diseases like the flu and whooping cough because infants in the first several months of life are at the greatest risk of severe illness from these diseases. However, they are too young to be vaccinated themselves. Passing maternal antibodies on to them is the only way to help directly protect them.

For additional information on Vaccines Before, During and After pregnancy please see the Immunization and Pregnancy Vaccines Flyer 



TRAVEL SMART (click here for CDC Travel Guidelines)
Make your appointment 6-8 weeks prior to international travel to ensure completion of vaccine series and help build your immunity. Some vaccines are only available from certain registered providers.  Assure you are up to date with routine vaccines such as MMR, polio and tetanus. 


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