CSU Immunization Requirements

The CSU Immunization Requirements policy applies to undergraduate and graduate students, students matriculated in self-support degree programs, and K-12 students participating in concurrent enrollment courses entering the California State University (CSU) in or after fall 2023.

Immunization and Screening, Recommendations and Requirements are adopted from the American College Health Association (ACHA) Immunization Recommendations for College Students linked here, and the California Department of Public Health (CDPH) Immunization & Screening Recommendations for College Students linked here.

See the CSU Immunization Requirements policy for more information regarding additional authorized discretionary requirements, academic program and fieldwork or clinical placement requirements, or immunization access.

NOTE: Any revisions of the CDPH recommendations for colleges and universities as of February 1, each year, will be reflected in CSU recommendations for the subsequent fall academic term.


A student may be exempted from any requirements in this policy as described below:

Medical Exemption: due to a medical condition for which an Approved Vaccine presents a significant risk of a serious adverse reaction. Any medical Exemption must be verified by a certified or licensed healthcare professional.

Religious Exemption: due to either (i) a person's sincerely held religious belief, observance, or practice, which includes any traditionally recognized religion, or (ii) beliefs, observances, or practices which an individual sincerely holds and that occupy a place of importance in that individual's life, comparable to that of traditionally recognized religions.

Required Immunization

Hepatitis B (Hep B) – Ages 18 and younger as per California law (HSC sections 120390-120390-7), enrollees who are 18 years of age or younger are required to provide proof of full immunization against the hepatitis B virus prior to enrollment.

Immunization and Screening Recommendations

The CSU recommends that students are current for the immunizations listed below. Immunizations and screening recommendations, and immunization schedules are linked above. Campuses should link to this policy to provide students with detailed immunization and screening recommendations.

Recommended Vaccines to Reduce Outbreaks

  1. Influenza Vaccine
  2. Measles, Mumps and Rubella (MMR) Vaccine
  3. Meningococcal Conjugate (Serogroups A, C, Y, W-135) Vaccine
  4. Serogroup B Meningococcal Vaccine
  5. Tetanus-Diphtheria-Pertussis (Tdap) Vaccine
  6. Varicella (Chickenpox) Vaccine

Other Vaccines Recommended for Adults

  1. Hepatitis A (Hep A) Vaccine
  2. Hepatitis B (Hep B) Vaccine – Ages 19 and older
  3. Human Papillomavirus (HPV) Vaccine
  4. Pneumococcal Vaccine
  5. Polio Vaccine

Recommend Screening

  1. Tuberculosis Screen/Risk Assessment (TB)

The above are not admission requirements but are required of students as conditions of enrollment in CSU.