Health Science Students - Immunizations

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Immunization Requirements for Health Science Students:

All incoming Health Science students are required to meet the NC Required Immunizations requirement for incoming students.  The list of required state immunizations can be found HERE.

In addition to the state required immunizations, to promote the health of our Health Science students and to minimize the potential for transmission of communicable diseases within our community, the following immunizations are required for all Health Science students:

Tetanus, Diphtheria, Pertussis:

Documentation of a Tdap vaccine (brand name Adacel or Boostrix) given in or after 2005.  This Tdap is a one-time required vaccine for all health science students.  A Td booster is required every 10 years thereafter.

Hepatitis B: 

3 documented hepatitis B vaccines and an adequate (>10 mIU/mL) serological quantitative hepatitis B surface antibody titer (HBsAb). 

  • The titer must be at least 30 days from the last vaccine.  Ideally the titer is done 1-2 months after the 3rd vaccine, but if the adequate titer was >1 month after the 3rd Hepatitis B vaccine, that is acceptable.  
  • If your titer was inadequate after the 3rd dose, you need a booster Hepatitis B vaccine (i.e. 4th dose) and recheck the titer 1-2 months after this dose.  If this repeat titer is still inadequate, 2 additional Hepatitis B vaccines are needed before a final titer is done.  Note:  If the student had a recent primary hepatitis B series (e.g. within the past year) AND the subsequent HBsAb titer was inadequate, then it is preferred that the student get a repeat Hepatitis B series (3 additional vaccines) and then have the final HBsAb titer done after the 6th vaccine dose. 
  • If you have received 2 series (6 vaccines total) and are still unable to obtain an adequate serological titer, you are considered a “non-responder” and must be evaluated by a Campus Health Services physician.


 2 documented varicella (chickenpox) vaccines OR a positive serological titer are required.  An affidavit or documentation of having had the disease will not be accepted.

Measles, Mumps, Rubella: 

2 Measles (rubeola), 2 Mumps, 1 Rubella are required.  2 MMR vaccines or positive titers will also meet this requirement.


UNC Health Care requires that all healthcare personnel receive the influenza vaccine yearly.  Thus, health science students rotating through UNC clinical sites are required to get the influenza vaccine yearly

TB Screening: 

A 2-step TST (Tuberculin Skin Test), performed in the United States, is required.  If the first TST is negative, a second TST is placed 1-3 weeks later.

  • If the first or second TST is positive, the student is required to meet with a CHS medical provider.  Note:  if a TST was placed within the previous 12 months and it was negative, it is acceptable to only do 1 additional TST to meet the 2-step requirement. 
  • If you have a history of a positive TB screening test (TST or TB blood test), please make an appointment with a campus health services provider for further evaluation and clearance.  Please bring previous records to that meeting.
  • For each subsequent year, either an annual TST or a TST review (a review is done if a student has had a positive TB screening test) by a nurse will be required. 
  • Note:  for individuals who have had the BCG vaccine or who may have difficulty returning to get the TST read (48-72 hours after placement), the TB blood test (e.g. QFT-G or the T-spot) is preferred and accepted as a TB screening test.