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Vaccines Available at the Orange County Health Department

DTaP (Diptheria, Tetanus and Pertusis/Whooping Cough)

  • Required for entry into childcare or school
  • Only used for children ages 2 months through 6 years of age
  • Free for children through age 6 who are VFC eligible
  • Cost is $32.00 for those who are not VFC eligible

DTaP, Hep B and polio combination vaccine (Pediarix)

  • Combination vaccine may be used to meet individual vaccine requirements
  • Can be used instead of single vaccines for age-appropriate children
  • Free for children age 2-6 years who are VFC eligible*
  • Cost is $91.00 for those who are not VFC eligible

DTaP, Polio and Hib combination vaccine (Pentacel)

  • Combination vaccine that may be used to meet individual requirements
  • Free for children who are 2 months through 4 years of age and VFC eligible
  • Cost is $95.00 for those who are not VFC eligible

EIPV (Polio)

  • Required for entry into childcare or school until 18 years of age
  • Free through age 17 for children who are VFC eligible
  • Cost is $31.00 for those who are not VFC eligible

Flu/Influenza (Injectable)

  • Seasonal

    • State may provide at no cost for younger children; varies yearly

    • If not free,

      • 6-35 months - $16

      • Ages 3 years and up - $18

      • Ages 65 and over, high dose vaccine - $40

      • Flu Mist, the nasal spray vaccine for ages 2-49, healthy, and not pregnant - $23

Haemophilus Influenza Vaccine (Hib)  Note:  this is not regular flu vaccine

  • Required for entry into childcare or school
  • Not given after 4 years of age except for certain high risk children ages 5-18
  • Free through age 4 and high-risk children ages 5-18 who are VFC eligible
  • Cost is $26.00 for those who are not VFC eligible

Hepatitis A

  • Free for children ages 12 months through 18 years who are VFC-eligible*
  • $25 for ages 1-18 who are not VFC eligible*
  • $74 for ages 19 and up
  • 2 doses required

Hepatitis B

  • Required for entry into childcare or school
  • Free for the following:
    • Children age 0-18 years who are VFC eligible
    • Household contacts to carriers
    • Refugees from endemic countries
    • Sexual or needle sharing contacts to acute or chronically infected persons
  • Cost is $58 per dose for persons age 20 and older, including those needing Hepatitis B vaccine for employment (3 doses needed)
  • Cost is $30.00 for those 0-19 years who are not VFC eligible

Human Papilloma Virus (HPV – Gardasil)

  • Free for females and males 9-18 years who are VFC eligible*
  • $141 for others
  • Recomended for males and females 9-26 years of age (3 doses series)

Measles/Mumps/Rubella (MMR)

  • Required for entry into childcare or school
  • $56 for those needing repeat doses for employment purposes
  • Not given if younger than 12 months old
  • Free for those age 0-18 years of age who are VFC eligible
  • Free for those entering an NC college for the first time
  • Free for adults without proof of prior MMR vaccination

 Meningococcal Conjugate Vaccine (Menactra)

  • Required for entry into some colleges(only for persons ages 2-55)
  • One dose needed

  • Free for 2-10 year olds who are VFC eligible AND at high risk

  • $105 for those not VFC eligible

  • Free for those entering an NC college for the first time

Pneumococcal Conjugate Vaccine (PCV 13)

  • Not required by law
  • No cost children under 5 years who are VFC eligible*, uninsured children, underinsured children whose insurance does not cover vaccine cost and for children 6-7  years of age with certain medical conditions
  • $116 for those not eligible for free vaccine - may have to order

Pneumococcal Polysaccharide 23-valent (PPV23) (Pneumonia vaccine)

  • Free for high risk children ages 2-18 who are VFC eligible
  • $45 for non-high risk people.
  • High risk include those with functional or anatomical asplenia, immuno-compromised, bone marrow transplant or cochlear implant recipients, Alaskan natives or American Indians.

  • One dose recommended for anyone age 65 and older; Medicare B will usually cover.

Rotavirus (only for children ages 6-32 weeks of age)

  • Free for children who are VFC eligible and who are high risk
  • Cannot begin series after 12 weeks of age and cannot be given after 32 weeks of age
  • $99 for others; for-pay vaccine not always in stock; will order as needed

Tetanus/Diphtheria (Td)

  • Required for school attendance if older than 6 years of age and  not fully immunized with DTaP previously and not yet eligible to receive Tdap (see below)
  • No cost
  • Used in age 7 and up; Booster doses recommended for all persons every 10 years (also, see Tdap)

Tdap (Tetanus, diphtheria & pertussis/whooping cough) 

  • Required for students entering 6th grade in a public school on or after August 1, 2008  if 5 or more years have elapsed since last dose of Td; and for students not in public schools who are 12 years of age on or after August 1, 2008 if 5 or more years have elapsed since the last dose of Td
  • One dose is recommended for anyone 10 years of age or older to replace one dose of Td
  • Free for 10-18 years of age who are VFC eligible
  • Free for NC college entrants who have never had Tdap
  • Free if needed for wound management
  • Cost is currently free for a limited time

Twinrix (Hepatitis A/Hepatitis B Combination)

  • Free for ages 18 and up who meet high risk criteria (3 doses)

    (Free Twinrix vaccine cannot be used for the accelerated, 4 dose series or for persons with a documented history of a completed hepatitis A or B series)

  • High risk persons are:
    • men who have sex with men
    • IV drug users
    • Persons with multiple sex partners
    • Persons who have been incarcerated
    • Persons who are Hepatitis C or HIV positive
    • Persons seeking treatment for an STD
    • Persons with chronic liver disease
    • persons receiving family planning services who are not in a mutually monogamous relationship

Varicella (Chickenpox)

  • Required for persons born after April 1, 2001

  • Not given if younger than 12 months of age (2 doses needed)

  • Free for children through age 18 who are VFC eligible

  • Cost is $89 for ages 19 and up

Zostavax (Shingles vaccine)

  • One dose recommended for adults ages 60 and older
  • Cost is $179