School immunizations

Percent of Minnesota kindergartners:

Protect children through immunization

To protect the population from vaccine-preventable disease, Healthy People 2020 Immunization and Infectious Diseases goals call for 95% coverage among children in kindergarten for five vaccines (see table below).

Minnesota school immunization law

The School Immunization Law in Minnesota requires all students enrolled in grades kindergarten through 12 to show they have received certain immunizations or an exemption. Schools are required to report immunization data to MDH each year through the Annual Immunization Status Report (AISR). The AISR is a useful resource for monitoring immunization coverage rates in the state. More information on Minnesota’s immunization laws can be found on Vaccines for Infants, Children and Adolescents.

Required kindergarten vaccines*

Required Vaccines Required number of doses

Diphtheria, tetanus, pertussis (DTaP)




Measles, mumps, rubella (MMR)


Hepatitis B (Hep B)


Varicella (chickenpox)


*Kindergarten students must be up-to-date on all of the required vaccines, or submit an exemption, by the first day of school in order to remain enrolled.
**The fifth dose of DTaP is not required if the fourth dose was given on or after the child’s fourth birthday.
***The fourth dose of polio vaccine is not required if the third dose was given on or after the child’s fourth birthday.

Percent of Minnesota kindergarteners fully vaccinated, by vaccine type


Source: Annual Immunization Status Report. DTaP: diphtheria, tetanus, pertussis vaccine. MMR: measles, mumps, rubella vaccine.

In the 2018-19 school year, vaccination rates for kindergarteners remained high in Minnesota – 90% or higher for each reported vaccine—providing a good base of protection. While vaccination rates remain high, we still have not met the Healthy People 2020 goal of having 95% coverage for kindergartners. Maintaining high coverage levels is important to protect the entire population from vaccine-preventable diseases, including those that are too young to be vaccinated or cannot be vaccinated for medical reasons.

Percent of Minnesota kindergarteners with non-medical exemptions, by vaccine type

Source: PRAMS 2014*-2017
*2012 contains eight months of data due to CDC software change.

Source: Annual Immunization Status Report. DTaP: diphtheria, tetanus, pertussis vaccine. MMR: measles, mumps, rubella vaccine.

The overall rate of non-medical exemptions remain low, but some schools have higher rates creating gaps that leave more students vulnerable to disease. Minnesota has seen a slight increase in the non-medical exemption rate for each of the past five school years. We continue to monitor these trends and work with partners to promote the importance of on-time vaccination.

MMR vaccination status of Minnesota kindergarteners


Source: Annual Immunization Status Report. MMR: measles, mumps, rubella vaccine. Missing doses: includes students who are partially vaccinated with MMR or who are missing documentation of MMR vaccination.

The above chart displays the MMR coverage and exemption levels by school type in Minnesota. All public, private, and charter schools are required to report immunization and exemption information to MDH each year. Private schools and charter schools have lower immunization coverage levels compared to public schools in Minnesota. It is important that all schools in Minnesota have a large percentage of their students vaccinated in order to protect individuals that cannot be vaccinated.

Other immunization data

State-level vaccine coverage rates are also available from the CDC's National Immunization Survey (NIS) and the Minnesota Immunization Information Connection (MIIC). AISR data differ from MIIC and NIS data on several important factors including: the age group represented, method of collection, and the individual vaccines that are included.

For more information regarding childhood immunization rates from MIIC and the NIS, see: