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Acceptable presumptive evidence of immunity to measles, mumps, and rubella in children and adolescents[1]

Acceptable presumptive evidence of immunity to measles, mumps, and rubella in children and adolescents[1]
  Written documentation of age-appropriate vaccination* Laboratory evidence of immunity Laboratory confirmation of disease
Measles
  • Number of doses of live measles virus-containing vaccine
    • Age ≥12 month to <4 years: 1 dose
    • Age ≥4 years: 2 doses
  • Positive serum measles IgG
  • Refer to UpToDate content on measles diagnosis
Mumps
  • Number of doses of live mumps-containing vaccine:
    • Age ≥12 months to <4 years: 1 dose
    • Age ≥4 years: 2 doses
  • Positive serum mumps IgG
  • Refer to UpToDate content on mumps diagnosis
Rubella
  • Age ≥12 months: 1 dose of live rubella-containing vaccine
  • Positive serum rubella IgG
  • Refer to UpToDate content on rubella diagnosis
This table summarizes acceptable presumptive evidence of measles, mumps, and rubella immunity for children and adolescents; however, state and local requirements may vary. Refer to UpToDate content on measles, mumps, and rubella immunization in children for additional details.
IgG: immunoglobulin G.
* The first dose of vaccine should be given at age ≥12 months; the second dose should be given ≥28 days after the first dose. Parent-or caregiver-reported doses are not valid without appropriate documentation.
¶ Equivocal results should be considered negative.
Reference:
  1. McLean HQ, Fiebelkorn AP, Temte JL, et al. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: Summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2013; 62:1.
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