Health Services Region 6-5 Immunization Program

Immunization Program Vaccine Picture

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Stephanie Martin, R.N., B.A.
Immunization Program Manager
Main number: 713-767-3410

Immunization Information for the Public
Immunization Information for Providers How to obtain copies of shot records. vaccine education online 

Health Service Region 6/5South (HSR 6/5S) Immunization Branch Vision Statement:
“To provide safe and effective vaccines to Texas’ children, teens and adults.”

The Mission of the Immunization Program is:

  • to prevent and control vaccine-preventable disease
  • to promote proper vaccine management, storage and handling by providing support and education to our Providers
  • provide and administer vaccines
  • promote age-appropriate vaccination of all Texans
  • conduct disease surveillance activities; assess vaccine coverage levels and 
  • establish partnerships and collaborations with public and private participants who share the common vision of community well-being to improve the quality and longevity of the people in HSR 6/5S

Health Service Region 6/5 South is committed to raising and maintaining the vaccine coverage levels of all Texans by:

  • Performing community outreach activities designed to Increase awareness of the importance of early childhood, adolescent and adult vaccination to prevent disease
  • Promoting age-appropriate vaccination for all Texans
  • Assessing vaccine coverage levels
  • Providing and administering vaccines
  • Conducting disease surveillance activities
  • Establishing partnerships and collaborations with public and private healthcare providers sharing the vision of enhanced community well-being while also improving the longevity and quality of life of the people in HSR 6/5S
Collaborating and partnering with others to improve vaccine coverage levels and promote immunizations

HSR 6/5S Immunization Program works with community and civic groups, schools, faith-based organizations and other agencies to promote immunizations and provide immunization information and education to these groups and the public.  

Providing immunization education to the public and medical providers

HSR 6/5S Immunization Program provides education and educational materials to the public on the importance of vaccines, vaccine-preventable diseases and promotes vaccines and immunizations during National Infant Immunization Week in April , National Immunization Awareness Month in August, Adult Immunization Week in November and National Infant Immunization Week in December.

HSR 6/5S Immunization Program provides education and training to medical providers on immunization recommendations and requirements, vaccines and vaccine-preventable diseases and surveillance, vaccine storage and handling, vaccine inventory reporting, Texas Vaccines For Children program requirements, ImmTrac, recall/reminder systems and minimum state vaccine requirements for children and students as well as information on CDC immunization trainings and conferences.

For free immunization educational materials and literature visit 

Promoting the effective use of the statewide Immunization registry, ImmTrac

ImmTrac is designed to consolidate immunization records from multiple sources throughout the State, and offers many benefits to health care providers and their patients. HSR 6/5S Immunization staff members provide assistance with enrollment in ImmTrac, education and training on use of the registry and assistance in locating a shot record. You may visit for additional ImmTrac information.

Determining the vaccine coverage levels in Health Service Region 6-5 South

The Immunization Program determines the vaccine coverage levels in HSR 6/5S by conducting population assessments in childcare facilities, public and private schools and in counties using the Texas Country Retrospective Immunization School Survey (TCRISS).  Assessments are also conducted at these facilities to ensure that they are compliant with Texas’s school and child care vaccine requirements.  For more information on these requirements please visit:

Vaccine Recommendations

Vaccines for Infants
A child’s health may be at risk if parents choose to delay or refuse vaccinations. To  protect your baby’s health, it is recommended that infants receive vaccines at 2 months, 4 months, 6 months, 12 months and 15-18 months.  

  • Hepatitis B  - Three doses ,
  • DTaP (Diphtheria, Tetanus, and Pertussis) – Four doses, a booster will be needed at age 4-6 years prior to school entry.
  • Polio  - Four doses
  • Hib (Haemophilus influenzae type b) – Four doses
  • PCV13 Pneumococcal Conjugate Vaccine  - -Four doses
  • Rotavirus – Two or three doses
  • MMR (Measles, Mumps, Rubella)  - Two doses
  • Varicella – Two doses
  • Hepatitis A – Two doses
  • Seasonal Influenza - Annually - One or two doses, four weeks apart, can be  given as early as 6 months  of age.

Vaccines for Adolescents

Children between 11 and 12 years of age need vaccine “boosters” for vaccines that do not provide lifetime immunity. Other vaccines are also recommended to protect adolescents from diseases they may be exposed to as they get older:

  • Tdap - A booster dose for protection against diphtheria, tetanus, and pertussis (whooping cough) is due at 11-12 years of age
  • Meningococcal conjugate vaccine (MCV) – first dose is due at 11-12 years of age, with a booster between 16-18 years of age.
  • Pneumococcal vaccine (PCV13) – in 2013 a new recommendation was established that previously unvaccinated adolescents in certain high-risk groups may receive a dose of PCV13.
  • Human papillomavirus vaccine (HPV) – recommended for girls between 9-26 years of age to protect against cervical, vulvar and vaginal cancers and for males and females between 9-26 years of age for the prevention of anal cancer, precancerous or dysplastic lesions and genital warts that are caused by some types of HPV.
  • Seasonal flu vaccine – all adolescents should receive a dose of seasonal flu vaccine annually.

Vaccines for All Adults

Adults need immunizations too. Immunity to some diseases wane over time and other vaccines may be needed based on a person’s age and activity level.

  • Td (tetanus-diphtheria) booster is recommended for all adults every 10 years
  • Tdap (tetanus, diphtheria, acellular pertussis) One dose should be substituted for one dose of Td for all adults less than 64 years of age
  • Hepatitis B vaccine (a series of three shots) is recommended for all adults exposed to Hepatitis B or those at risk of exposure
  • MMR (measles, mumps, rubella) vaccine for adults who never received vaccines for these diseases and have not had these diseases
  • Varicella (chickenpox) vaccine for adults who have never had chickenpox and never received the vaccin
  • Zoster vaccine – one dose for adults over the age of 60 to prevent shingles.
  • HPV (Human Papilloma Virus) vaccine – three doses for male and female patients 26 years of age and younger to prevent precancerous or dysplastic lesions, genital warts and some forms of cancer that are caused by HPV.
  • Seasonal Flu vaccine – all adults should receive seasonal flu vaccine annually. Adults over the age of 65 should receive one dose of Fluzone high-dose for adequate protection against the flu
  • Pneumococcal vaccine – up to three doses for adults 65 years of age and older and one dose for adults 64 years of age and younger who are at risk
  • Meningococcal vaccine one or more doses for adults who are at risk.

Vaccines for Pregnant Women

Vaccines provide protection to women and their babies during pregnancy. It is safe for a woman to receive vaccines during pregnancy, right after giving birth, and while breast feeding. Infants are unable receive most recommended vaccines until the age of two months.

  • Influenza vaccination is recommended for all women who will be pregnant during influenza season which usually runs from November through March in the United States. Women in the second and third trimesters of pregnancy are at greater risk for hospitalization from influenza
  • Pregnant women and adolescents who have not received the new vaccine for the prevention of tetanus, diphtheria, and pertussis (Tdap) should talk to their doctors about receiving during pregnancy. Vaccinating a new mother against pertussis (whooping cough) reduces the risk to her infant, too.
  • To prevent tetanus in newborns, pregnant women should receive Td (tetanus and diphtheria) vaccine if it is needed. Women should talk to their doctors about this.

Foreign Travel

Some vaccine preventable diseases are more prevalent in many foreign countries. Depending on your destination, certain vaccines may be required prior to your departure. Some of these vaccines require more than one dose in order to provide full protection:  it is important to consider the recommended intervals needed between doses well in advance of your departure date to ensure complete immunization. For additional information about which vaccines are required or recommended for foreign travel you may visit  

If you have any comments or suggestions, please contact us.

Last updated December 12, 2017