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Documentation of Immunity

Influenza vaccination – new requirement for all students in Massachusetts

On August 19, 2020 Massachusetts state public health officials announced that the flu shot is required for all students attending school, including college and universities. The flu vaccine requirement is a step in reducing the number of flu-related illness in order to preserve health resources for individuals diagnosed with COVID-19.

Students will be expected to have received a flu vaccine by December 31, 2020 for the 2020-2021 influenza season. New students entering between January 1 and March 31 must have received a dose of vaccine for the current flu season before entry. 

  • For older students, the flu vaccine requirement applies to all full-time undergraduate and graduate students under 30 years of age and all full- and part-time health science students.
  • The requirement includes individuals from outside the U.S. attending or visiting classes or educational programs in Massachusetts as part of an academic visitation or exchange program.
  • The only exception is for college and university students who exclusively attend classes online and never visit campus in person.
  • College students who attend any classes or activities on campus, even once, must be vaccinated by December 31.

To learn about flu shots, locations where you can get a flu shot on campus and off, as well as documentation of vaccination visit our influenza (flu) page.

All Northeastern University students are required to submit a completed and signed University Health Report.

University Health Reports are due now and will be accepted until August 1, 2020. We encourage you to submit your health report, as soon as possible. We understand that obtaining a signed health report may be more difficult given the current COVID-19 pandemic. Please see our page on the University Health Report during COVID-19 for updated information about completing the University Health Report during the pandemic.

Health reports should be submitted via email 617-373-2601 (fax) or email No paper reports will be accepted, given the current COVID19 pandemic. 

Massachusetts law requires all University students to provide documentation of vaccination against Hepatitis B, Measles, Mumps, Rubella, Meningitis, Tetanus, Diphtheria, Pertussis and Varicella. Please complete the below form, sign the consent (page 1), and have your primary care clinician complete the state-mandated immunization form (page 2).  The completed University Health Report can be returned to University Health and Counseling Services by mail, email or fax 617-373-2601.

Tdap (Tetanus-Diphtheria-Pertussis)

  • Immunization within the last ten years is required.
  • If a Tdap was received over ten years ago, either one Tdap or one Td vaccine is required.
  • One Tdap is required if no previous Tdap has been received.

Hepatitis B

  • A Series of three doses or a positive titer is required1.
  • The second dose must be given at least one month after the first,
  • The third dose must be given at least two months after the second doses and at least four months after the first.

MMR (Measles, Mumps and Rubella)

  • Two doses or a positive titre is required1.
  • The first dose must be given after the first birthday.
  • The second dose must be given at least twenty-eight days after the first.
  • Birth in the U.S. before 1957 is acceptable for establishing immunity only for non-health science students.

Varicella (Chickenpox)

  • Two doses or a positive titre is required1.
  • The first dose must be given after the first birthday.
  • The second dose must be given at least twenty-eight days after the first.
  • A reliable history of chickenpox is also acceptable.
  • A reliable history of chickenpox includes a diagnosis of chickenpox, or interpretation of parent/guardian description of chickenpox, by a physician, nurse practitioner, physician assistant or designee.

Meningococcal (Meningitis)

1A “positive titre” is a result of a blood test that confirms immunity to a specific infectious illness.

What If I am unable to provide all of the documentation required?

Students who cannot provide documentation of all required immunizations, or who’s immunizations have expired may receive any of these by seeing your local health care provider, UHCS or visiting a local travel clinic in Boston.

Many health plans do not cover the cost of these immunizations. Students should review their own health plan benefits for their plan coverage. Students with Northeastern University Student Health Plan (NUSHP) are covered for all of their required vaccine costs. If you do not have NUSHP, vaccines may be purchased with a credit or debit card.

UHCS Notifications to Students

UHCS emails students after their University Health Reports have been received and processed. New students are sent an email stating that their Health Report is complete or that something is missing. Students who have not provided complete information will receive a second email during the term indicating what information is missing and informing them that they will not have access to registration. Students who are still not in compliance are sent another email indicating that the Health Center hold is on their account and detailing what information must be provided to UHCS.

Health Center Holds

•  A student will have a Health Center hold if the student has failed to provide complete documentation of  immunizations in accordance with Massachusetts state law.

•  Deadlines for providing this information are as follows: the end of June for undergraduate students entering in the following fall; the beginning of December for undergraduate students entering in the following spring; one month prior to the beginning of a graduate or law student’s program.

•  Health Center holds will prevent students from registering for an upcoming term. The Health Center hold also will prevent a student’s ability to complete “I Am Here.”

•  For questions about holds due to state mandated immunity requirements, please call (617) 373-2772 or email