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Immunizations Outreach - Clinical Services
Immunization Outreach staff are extensively trained in the immunization of infants, children, adolescents,and adults. Outreach activities are provided to the public to increase awareness and access to immunizations. We also serve as an immunization resource for community immunization providers.

Adult Immunization/Overseas Travel Clinic Information and Activities
  • Routine adult immunizations are available by appointment.
  • Adult immunizations required for employment, college entry, or special medical conditions are available by appointment.
  • The Clinic offers immunizations and information to travelers on how to avoid illness and stay healthy while traveling.  The clinic offers all immunizations required and recommended for travel. Travelers are encouraged to call the clinic 3 to 4 weeks prior to departure for an appointment and vaccine prices.  For more travel information visit www.cdc.gov/travel.

Please call the Adult Immunization/Overseas Travel Clinic at (423) 209-8340 for additional information. Vaccine costs vary.

Immunizations available:

  • MMR (measles, mumps, rubella)
  • Td (tetanus/ diphtheria)
  • Tdap (tetanus, Diphtheria and acellular Pertussis)
  • Hepatitis B
  • Hepatitis A
  • Twinrix
  • Varicella (chicken pox)
  • Rabies
  • Meningococcal
  • Japanese Encephalitis vaccines
  • Zostavax (Herpes Zoster)
  • HPV
  • Typhoid
  • Yellow Fever
  • Pnuemoccoccal
  • Influenza (during season)

Infant/Child Immunization Activities

  • Assessments in schools, preschools, and day care centers to monitor for compliance with state requirements
  • Participation in community health fairs
  • Friendly reminders to parents to immunize on time
  • Information to parents, schools, day care centers, and immunization providers available via telephone request, periodic media releases, and regular satellite courses.

Infant/ Childhood Immunization Information

·         Immunizations are an important part of your child’s health care, beginning in early infancy

·         Five visits to your immunization provider are needed between the ages of two months and two years to protect your child from eleven serious and potentially deadly diseases.

·         An additional series of immunizations are due prior to school entry between the ages of 4-6 years.

·         In Tennessee, the only exemptions from these immunization requirements for school or daycare entry are due to medical or religious exemption

·         Immunizations are available from the Health Department or your doctor

·         At the Health Department, immunizations are available at a low cost which can be adjusted according to family size and income. Inability to pay is not a reason not to vaccinate at the Health Department; our goal is to protect all children from vaccine-preventable diseases. Click Here for clinics that provide childhood immunizations.

·         Immunizations are safe and effective and protect your child from needless suffering and the possibility of disability or death from vaccine-preventable diseases. Additional resources: www.immunize.org and www.immunizationinfo.org

Adolescent Immunization Information

·         Tdap (tetanus, diphtheria and acellular pertussis) – all adolescents should have one dose of Tdap, then a Td (tetanus/diphtheria) every ten years

·         Meningococcal – 2 doses recommended between ages 11 through 18 years. Incoming college students, ages 19 through 21 years, who are not previously vaccinated should get 1 dose. Students younger than 22 years old who received a previous dose of meningococcal vaccine more than 5 years earlier, should get a booster dose.

·         HPV- 3 doses recommended for adolescents ages 9 through 26 years

·         Varicella – 2 doses for those who have not been previously vaccinated and have not had chickenpox

·         MMR – 2 doses for those who have not been previously vaccinated

·         Minors age 16 & 17 may come in for immunization services without a parent if the Immunization Consent Form for Minors is completed, signed and sent with the minor.


School Immunization Requirements

Children enrolling in child care facilities, pre-school, pre-Kindergarten

·         Infants entering child care facilities must be up-to-date at the time of enrollment and are required to provide an updated certificate after completing all of the required vaccines due by 18 months of age.

·         Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)

·         Poliomyelitis (IPV or OPV)

·         Measles, Mumps, Rubella (1 dose of each, usually given together as MMR)

·         Varicella (1 dose or history of disease)

·         Haemophilus influenzae type B (Hib) – age younger than 5 years only

·         Hepatitis B (HBV)

·         Pneumococcal conjugate vaccine (PCV) – age younger than 5 years only

·         Hepatitis A – 1 dose, required by 18 months of age or older

Children enrolling in Kindergarten

·         Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)

·         Hepatitis B (HBV)

·         Measles, Mumps, Rubella (2 doses of each, usually given together as MMR)

·         Poliomyelitis (IPV or OPV) – final dose on or after the 4th birthday now required

·         Varicella (2 doses or history of disease): previously only one dose was required (July 1, 2010)

·         Hepatitis A –total of 2 doses, spaced at least 6 months apart (July 1, 2011)

All children entering 7th grade (including currently enrolled students)

·         Tetanus-diphtheria-pertussis booster (“Tdap”) – not required if a Td booster dose given less than 5 years before 7th grade entry is recorded on the DTaP/Td line (no later than October 1, 2010)

·         Verification of immunity to varicella – 2 doses or history of disease

Children who are new enrollees in a TN school in grades other than Kindergarten or 7th

·         Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)

·         Measles, Mumps, Rubella (2 doses of each, usually given together as MMR)

·         Poliomyelitis (IPV or OPV) – final dose on or after the 4th birthday

·         Varicella (2 doses or history of disease) – previously only one dose was required

·         Hepatitis B (HBV) – previously only for Kindergarten, 7th grade entry

Full-time Tennessee college students

·         Measles, Mumps, Rubella (2 doses of each, usually given together as MMR): if born on or after January 1, 1957 only.

·         Varicella (2 doses or history of disease): if born on or after January 1, 1980 only, Effective (July 1, 2011)

·         Hepatitis B (HBV) – only for health science students expected to have patient contact (before patient contact begins). Effective (July 1, 2011)


Influenza vaccine is recommended for the following groups of people:

  • Persons age 50 years and older
  • Those with chronic conditions such as cancer, lung disease, heart disease, diabetes, immunosuppression, and asthma
  • Those in nursing homes and chronic care facilities
  • Children and teenagers on long-term aspirin therapy
  • Pregnant women
  • Those with HIV
  • Children 6-23 months and their out-of-home caregivers
  • Household contacts of those listed above
  • Health care providers and community personnel such as police and emergency medical providers
  • Others who want to avoid the flu
  • Influenza and Pneumococcal vaccines are available from the Health Department in our clinics and at outreach sites.
  • Specific availability, dates, and locations are announced each fall - Please call (423) 209-6010 and press option 6

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