If you’re a parent in New Jersey, you’ve probably wondered: “How many vaccines does my child really need before school?”
Between birth, preschool, kindergarten, and middle school, the number of shots can feel overwhelming. Add in changing requirements, catch-up schedules, and exemptions, and it’s no surprise many NJ parents feel confused or even stressed.
But here’s the good news: when you break it down by age milestones, the schedule becomes clear—and protecting your child is easier than you think.
At Fayrouz Pediatric, we specialize in vaccinations and immunizations for children in Clifton, NJ. Our goal is to simplify the process, give you confidence, and keep your child on track with safe, essential protection.
What Vaccines Are Required for Children in NJ?
New Jersey law (N.J.A.C. 8:57-4) sets mandatory vaccines for childcare, preschool, and school entry. While the list can change, here’s what is currently required for most children:
For Preschool & Child Care:
- 4 doses of DTaP (diphtheria, tetanus, pertussis)
- 3 doses of Polio
- 1 dose of MMR (measles, mumps, rubella)
- 1 dose of Varicella (chickenpox)
- 1–4 doses of Hib (Haemophilus influenzae type b, depending on age)
- 1–4 doses of PCV (pneumococcal conjugate vaccine)
- Annual influenza vaccine (for ages 6–59 months)
For Kindergarten Entry:
- 5 doses of DTaP
- 4 doses of Polio
- 2 doses of MMR
- 1 dose of Varicella
- 3 doses of Hepatitis B
For 6th Grade (Ages 11–12):
- 1 dose of Tdap (tetanus, diphtheria, pertussis booster)
- 1 dose of Meningococcal
Want the complete list? See our guide on What vaccines are mandatory for school in NJ?
How Many Vaccines Do Children Actually Get in NJ?
This is the heart of the question. Let’s break it down by milestone ages:
| Age / Grade | Total Doses (approx) | Key Vaccines |
| Birth – 18 months | ~20+ injections | Hep B, DTaP, Polio, Hib, PCV, MMR, Varicella, Rotavirus, Influenza |
| Preschool (4 years) | ~25+ | Boosters of DTaP, Polio, MMR, Varicella |
| Kindergarten entry | ~28+ | Hep B complete, DTaP, Polio, MMR, Varicella |
| 6th grade (11–12 years) | ~30+ | Tdap booster, Meningococcal |
| High school graduation (18 years) | ~32+ | HPV series, MenACWY booster, annual flu vaccines |
Note: Combination vaccines (like MMRV or Pediarix) may reduce the number of injections, but the dose requirements remain the same.
Required vs. Recommended Vaccines in NJ
While the state requires certain vaccines for school entry, the CDC and pediatric experts recommend additional protection, including:
- HPV vaccine – starting at 11–12 years (2–3 doses)
- Hepatitis A – 2 doses
- Annual influenza vaccine – for all children 6 months+
- COVID-19 vaccine (when eligible and recommended for age group)
At Fayrouz Pediatric, we help parents understand both the minimum required by law and the full recommended schedule to keep kids healthiest.
Why So Many Vaccines?
Parents sometimes worry about the number of shots. But here’s why multiple vaccines matter:
- Preventing serious illness: Diseases like measles, polio, and whooping cough can be life-threatening.
- Community protection: Vaccinating helps protect newborns and those with medical exemptions.
- School compliance: NJ schools can exclude unvaccinated children unless they have valid exemptions.
- Long-term health: Vaccines protect against cancers (HPV), meningitis, and other conditions that appear later.
Still uncertain? See our post on What if I refuse to vaccinate my child in NJ?
Exemptions and Catch-Up Vaccines in NJ
New Jersey allows:
- Medical exemptions (with provider documentation)
- Religious exemptions (written statement from parent/guardian)
What if your child is behind?
NJ offers a provisional admission period so children can attend school while catching up. Pediatricians follow a catch-up schedule that safely spaces out missed doses.
Cost, Access & Support for NJ Parents
Worried about cost? You may qualify for the Vaccines for Children (VFC) program, which offers free vaccines for eligible families.
At Fayrouz Pediatric, we provide:
- Vaccination and immunization services in Clifton, NJ
- Pediatric Telehealth in Clifton, NJ for guidance and vaccine planning
- Rapid Influenza and COVID Testing Services to protect your child during cold & flu season
Common Questions NJ Parents Ask
How many shots at one visit?
Sometimes up to 4–5, but combination vaccines often reduce this.
Are all vaccines safe?
Yes. Vaccines undergo rigorous testing. Side effects are generally mild (like soreness or low-grade fever).
Do children still need flu shots every year?
Yes—NJ requires flu vaccination for daycare/preschool and recommends it annually for all children.
What if my child has allergies?
See our resources on What allergy season is it in New Jersey?, ragweed allergy symptoms, and treating ragweed allergies in children.
NJ Vaccination Trends & Data
- Over 95% of NJ kindergarteners are up to date on required vaccines.
- Local outbreaks (measles, whooping cough) still occur, often in communities with lower coverage.
- Keeping up with vaccines ensures your child—and your community—stay protected.
For more background, see Immunization in New Jersey.
Choosing the Right Pediatrician for Vaccinations
Vaccines are only as reliable as the provider who delivers them.
When deciding How Do You Choose a Pediatrician in NJ, consider:
- Do they follow the CDC and NJ DOH schedule?
- Do they explain the required vs recommended vaccines?
- Do they offer flexible scheduling and telehealth support?
Protect Your Child Today with Fayrouz Pediatric
Your child deserves the best protection against preventable diseases. Don’t wait until school paperwork is due—stay ahead with a trusted partner.
Schedule your child’s Essential Vaccine and Immunization for Children at Fayrouz Pediatric in Clifton, NJ.
Call today or book online—because a healthy future starts now.