Health Services

Commonly Asked Questions

About the College Student Immunization Code

1. What are the consequences of not complying with the Code?
YOUR REGISTRATION WILL BE BLOCKED AND NON-REFUNDABLE LATE FEES. If you do not fulfill the requirements of the Code, then the Code requires that the University must prevent you from enrolling in subsequent semesters. At approximately 4-6 weeks into their first semesters, students who are not in compliance will have a late fee and a Health Services hold placed. This hold prevents enrolling in future classes, adding or dropping classes.

2. I do not have records of all of my shots. What are my options?
Here are a number of options that might be helpful to you.

  • Check with your primary or secondary school to see if they have a record of your shots. It is common practice in the United States for high schools to require and to keep copies of immunization records. High schools must keep these records for decades.

  • Catch up on your vaccinations prior to starting at Lewis University. Revaccination is one method to fulfill the requirements of the Code. Vaccinations are available at any major pharmacy, in addition to most PCP offices, immediate care facilities or public health departments.

  • Talk to your health care provider about a blood test (serology testing) for IgG antibodies against measles, mumps, and rubella. If all of your titers are POSITIVE, then you will not require any record of vaccination against these diseases. However, antibody titers can’t substitute for vaccination against either tetanus or diphtheria.

  • Get your needed vaccinations here at the Campus Health Center. We offer the MMR, Td and Tdap shots right here at The Center for Health and Counseling Services; the student health center at Lewis University. There is a charge for shots given at the health center. We do not bill insurance. The charges go onto the student account. These services are for currently enrolled students only.

  • We also offer blood collection services for the serology testing for measles, mumps and rubella. The testing is done off-site (Quest Diagnostics) at a discounted rate. Again, the charges go onto the student account and are available to currently enrolled students only.

  • You should get revaccinated if you do not have sufficient records.

3. How should my immunization record be signed by my healthcare provider? Who can serve as a health care provider?
The Code requires the name, signature, and telephone number of the health care provider. A health care provider can be a physician (MD, DO) or PA, APN, CNP fully licensed to practice, the local health authority, a registered nurse employed by a school, college, or university, or an Illinois Department of Public Health-recognized vaccine provider.

4. Why does Illinois have an immunization code and why are there different requirements for domestic and international students?
Four of the five vaccine-preventable diseases covered by the Code can easily spread from person to person in school settings and spread into the local community, and cause serious illness or death. There are different requirements for domestic and international students because different countries have different immunization requirements.

5. Are there other vaccinations that university students should have?
Yes. Though there is neither state law to verify nor university requirement to have them, all college students should be immunized against hepatitis B and polio. All university freshmen should be vaccinated against meningococcal disease according to the latest recommendations. All young men and women should be vaccinated against human papilloma virus (HPV.) At least one of adult tetanus/diphtheria shots should include additional protection against pertussis; this would be the Tdap vaccination. Speak to your healthcare provider about these and other important adult vaccination recommendations.

Government Resources

CDC (Federal)

IDPH (State)

WCHD (County)