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Adolescent Immunization
teens on steps

Are you 11-19 years old? If so, YOU need to be vaccinated against some serious diseases. Many people think that shots are only for babies. Actually, there are millions of people between the ages of 11-19 who are at risk of getting serious diseases like tetanus, meningitis, chickenpox, infections leading to cervical cancer and others.

Are you at risk? Protecting your health is a lifelong project. Getting immunized is an adult responsibility that teens can start practicing now.

Frequently Asked Questions (what shots teens need, when and why to get shots)

Adolescent Well-Visit Information

English (style 1)

English (style 2)



Adolescent Immunization Schedule

View the Adolescent Immunization Schedule (7 - 18 years)
This schedule is recommended by the U.S. Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP).

School Immunization Requirements for Teens

Shots are required by law for children in attendance at public and private schools, preschools, childcare facilities, and Head Start programs in Oregon, unless a medical or nonmedical exemption is documented.

In school year 2012-13, one dose of Tdap (Tetanus, diphtheria, and acellular pertussis) vaccine is required for 7th through 11th grades. By school year 2014-2015, two doses of hepatitis A vaccine will be required for all grades. For more information, see Immunization Requirements for School.
College Immunization

Students need to show that they’ve been vaccinated against measles when enrolling in a college or university in Oregon as a full-time student (undergraduate and graduate). The Oregon college immunization law applies to any full time student born on or after January 1, 1957.

College Immunization Brochure (pdf)

Adolescent Reminder/Recall Project

The Oregon Immunization Program is launching a project to help your clinic increase your adolescent immunization rates. We will provide you with an assessment of your adolescent rates and assist you and your staff in using the new reminder/recall function in ALERT IIS to keep your patient population up to date.

Reminder/recall and assessment & feedback are proven methods for increasing adolescent immunization rates at all ages including adolescents and research shows that "practices may also benefit financially from conducting reminder/recall" through increased well-child visits.

For more information, please contact Scott Jeffries (971-673-0316 or

Adolescent Immunization Rates

National and State Data: National Immunization Survey—Teen, 2010

Oregon Data: ALERT Immunization Information System

How measured: Percent of Oregon teens 13–17 years of age who have had at least one dose of Td or Tdap vaccine

Rationale: Among the vaccine preventable diseases, pertussis (“whooping cough”) has the highest incidence in Oregon, with an average of 277 cases per year reported during 2000–2011. While vaccination rates are high among children, immunity wanes over time, leaving adolescents and adults susceptible; they, in turn, can transmit the infection to infants too young to be vaccinated, but who are at highest risk of severe disease and complications. In 2005, two pertussis-containing vaccines were approved for use among adolescents. A single dose of Tdap has since been recommended for all persons 11 years of age or older.

1+ Dose of Td/Tdap for Oregon 13 to 17 Year Olds
Year Td/Tdap Rate
2011 72%
2010 66%
2009 58%
2008 53%
2007 50%


Rates of vaccination of adolescents with Tdap are rising, but there is a lot of room for improvement.

 Additional Resources