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Student Immunization Policy

Student Immunization Policy

Reviewed By: Administrative Council on
Approved By: President Morales on

For interpretation of this policy, please contact: Executive Director of Health, Counseling & Wellness (Student Health Center), 909-537-3070

California State University San Bernardino (CSUSB) has implemented the following requirements and recommendations in accordance with the California State University (CSU) Policy (Executive Order 803) on immunization requirements and based on authorized campus discretion. This policy applies to undergraduate and graduate students1, students1 matriculated in self-support degree programs and K-12 students1 participating in concurrent enrollment courses entering the CSU in or after fall 2023.

Required Immunizations

CSUSB requires that students are current for the immunizations listed below. This requirement is not an admission requirement but is a condition of enrollment at CSUSB for undergraduate and graduate students1, students1 matriculated in self-support degree programs and K-12 students1 participating in concurrent enrollment courses entering the California State University (CSU) in or after fall 2023.

Required immunizations:

  • Measles, mumps and rubella (MMR): Two doses with the first dose on or after the first birthday; OR positive titer (laboratory evidence of immunity to disease)
  • Hepatitis B (Hep B): Students age 18 and younger are required to complete the series. Based on the type of vaccine, the series is either two or three doses. (California Health & Safety Code, Section 120390.5)

Recommended Immunizations and Screenings

Recommended Immunizations to Reduce Outbreaks:

  • Influenza (flu): Annually for all students, regardless of age.
  • Meningococcal Conjugate (Serogroups A, C, Y, W-135): At least one dose at age 16 or older for students through age 21.
  • Meningococcal B (Meningitis B): Complete series, may be two or three doses, for students aged 16 through 21.
  • Tetanus, diphtheria, pertussis (Tdap): One dose within the last ten years.

Other Vaccines Recommended for Adults:

  • Hepatitis A (Hep A): All students regardless of age.
  • Hepatitis B (Hep B): Students age 19 and older.
  • Human Papillomavirus (HPV): For all students through age 45.
  • Pneumococcal: For all students age 65 and older and for students with certain medical conditions (e.g., severe asthma, diabetes, chronic liver or kidney disease)
  • Poliovirus (polio): Regardless of age, if the series was not completed as a child.

Recommended Screening/Risk Assessment:

  • Tuberculosis (TB) screening/risk assessment: All incoming students should complete a tuberculosis risk assessment questionnaire. Incoming students who are at higher risk for TB infection, as determined by the screening questions, should undergo testing for TB infection within 30 days of CSUSB entry.

Meeting the Requirement

Students may fulfill the immunization requirements by submitting medical documentation of immunization online through the secure Patient Portal on the Student Health Center website:


Students are permitted to seek exemptions to the above immunization requirements for medical or for sincerely held religious beliefs. Students seeking an exemption will be required to submit an Exemption Request Form to the University.

Additional Discretionary Requirements

In the event of a local or campus-based outbreak of a vaccine-preventable disease, the local public health department and/or the California Department of Public Health is authorized to require immunizations beyond those currently required. CSUSB will consult with the appropriate public health authority in case of an outbreak.

Academic Program and Fieldwork or Clinical Placement Requirements

All students enrolled in healthcare fields of study or teacher education programs are required to provide documentation regarding the completion of immunizations and health screenings as established by the state licensing agencies or clinic placement sites or fieldwork sites. Students should contact the academic program for the specific required immunizations, health screenings (e.g., Tuberculosis screening and physical examination), and any other fieldwork or clinic placement requirements.

Registration Holds

Students who are not compliant with the University’s immunization requirements may be subject to a registration hold. This hold may be implemented for the second semester of their enrollment at the University and will prevent registration for future terms.

Students are defined as all incoming students, with the exception of the following:

  • Students enrolled in fully online degree programs
  • Students enrolled in non-credit, professional development/extended education programs such as Extension or Open University