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Meningitis Vaccination Requirement

Effective Jan. 1, 2014, state law (Senate Bill 62) requires that students up to age 21 entering a public, private, or independent institution of higher education in Texas provide proof of immunization for bacterial meningitis. The vaccination or booster dose must have been received during the five years prior to enrollment and at least ten days before the start of classes. Students who have been previously enrolled at Texas State, and are enrolling following a break in enrollment of at least one fall or spring semester will be subject to the vaccination requirement. Students transferring from another institution of higher education will also be subject to the vaccination requirement.  Texas State requires you to meet this requirement before you will be allowed to register for classes. 

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Submitting Proof of Vaccination

Do not submit your vaccination proof to Undergraduate Admissions, or the Student Health Center.

Texas State uses Magnus Health SMR for managing compliance with the meningitis vaccination requirement. New students (including those following a break in enrollment of at least one fall or spring semester) planning to enroll at Texas State must submit proof of meningitis vaccination directly to Magnus Health SMR. Students subject to the bacterial meningitis requirement will receive an e-mail from Magnus Health SMR with instructions. Students will be charged $10 by Magnus Health SMR for processing the documents and verifying compliance with the vaccination requirement. Acceptable evidence of vaccination may include any of the following:

  • A document bearing the signature or stamp of the physician or his/her designee or public health personnel (must include the month, day and year the vaccination was administered).  Records without a signature or stamp will not be approved.
  • An official immunization record from a government health authority (must include the month, day and year the vaccination was administered).
  • An official immunization record received from school officials, including a record from another state (must include the month, day and year the vaccination was administered).
  • Students using a pharmacy should download and provide the pharmacist with the generic immunization form available on the Magnus website (once they have paid their processing fee) to ensure they receive an approvable document from the pharmicist.
  • All records must be in English to be approved.

Magnus is not able to accept documents two terms or more ahead of the term you are enrolling in.  Please wait until the following dates to submit your document online:

For Fall Enrollments:                 March 25

For Spring Enrollments:             August 15

For Summer Enrollments:          November 1

For step-by-step instructions of submitting proof of vaccination through Magnus SMR, please click here.

Requesting an Exemption for Medical Reasons or Reasons of Conscience

Students are encouraged to receive the meningitis vaccination because of the higher prevalence of this serious infection in adolescents and young adults. However, a student or the parent or guardian of a student may decline the meningitis vaccination for medical reasons, or for reasons of conscience. 

Do not submit any exemption document to Undergraduate Admissions, or the Student Health Center.

Texas State uses Magnus Health SMR for managing compliance with the meningitis requirement. Students subject to the bacterial meningitis requirement will receive an e-mail from Magnus Health SMR with instructions. Students will be charged $10 by Magnus Health SMR for processing all exemption documents and verifying compliance with the requirement.

An exemption to the vaccination requirement may be requested by providing one of the following documents:

  • A medical affidavit or certificate signed by a physician registered and licensed to practice medicine in the United States stating that in the opinion of the physician, the required meningitis vaccination would be injurious to the health and well-being of the student.  (This form may be uploaded electronically.)
  • An affidavit signed by the student stating that the student declines the meningitis vaccination for reasons of conscience (including a religious belief).
    • Students must use the "Exemption from Immunizations for Reasons of Conscience Affidavit Form" from the Texas Department of State Health Services. To request this form, click here.   
  • Please allow at least a full month to request, receive, notarize, and get your “Reasons of Conscience Affidavit Form” approved.  The form will be mailed to you by the Department of State Health Services and may take up to two weeks to be received.  After being notarized, the form must be mailed to Magnus Health.  (These forms cannot be faxed or submitted online.)  Magnus processes non-electronic forms last, and approval may take 2-3 weeks.

For step-by-step instructions for paying the processing fee for all exemptions and submitting a medical exemption through Magnus SMR, please click here.

Exceptions to the Vaccination Requirement

A student is not required to submit evidence of vaccination against bacterial meningitis if they are:

  • 22 years of age or older by the first day of the start of the semester
  • Enrolled only in online or other distance education courses
  • Enrolled in a continuing education course or program that is less than 360 contact hours, or continuing education corporate training
  • Enrolled in a dual credit course which is taught at a public or private K-12 facility not located on a higher education institution campus
  • Incarcerated in a Texas prison

Approved Meningococcal Vaccines

Approved Meningococcal vaccines protect against four of the strains of meningococci that cause disease (A, C, Y and W-135). The vaccines are very effective and safe, but do not cover 100% of the strains that can cause meningococcal disease. Approved Meningococcal vaccines available in the United States include:

Preferred vaccine for young adults and persons up to 55 years of age

  • Menactra 
  • Menveo   

Recommended vaccine for persons > 55 years of age

  • Menomune   
  • Meningovax

Persons vaccinated with any of the above meningococcal vaccines more than five years prior to enrolling as a new student at Texas State must receive a booster dose of either Menactra or Menveo. Studies have shown that protection from the vaccines diminishes significantly after five years.

Students from other countries who can’t get one of the two brands above should confirm with their doctor that their vaccine is equivalent, or protects against the A, C, Y and W-135 strains of the disease.

Where to get a Meningitis Vaccination

  • The Texas State Student Health Center offers meningococcal vaccinations. Call 512.245.2161 to make an appointment in Nurse Clinic for the vaccination.
  • Private physicians, Pediatricians and Family Medicine in particular, often offer meningococcal vaccinations to their patients. Call your physician to ask about availability and cost of the vaccination.
  • Local county health departments offer meningococcal vaccinations at significantly reduced prices for those without health insurance or with limited financial resources. Call your local health department to get information about eligibility, vaccination clinic hours and cost.
  • The Hays County Personal Health Department will be able to offer the vaccine to patients under 19 years who do not have insurance coverage. The cost is $10 for patients who qualify for this program. Please call 512.393.5520, option 0 to verify that the vaccine is in stock before you go. Walk in immunization hours are Mondays 1-6 pm and Tuesday 1-4 pm. The Health Department is located at 401 A Broadway Street in San Marcos.
  • Pharmacies, including those in supermarkets. Call to ask about availability and cost of the vaccination. Download and provide the pharmacist with the generic immunization form available on the Magnus website once you have paid their processing fee.

About Meningococcal Meningitis

For medical information about meningitis, click here.