Documentation of Immunity

All students enrolled in Massachusetts, Oakland, Global Scholars, London Scholars and NUin must submit proof of immunity to various diseases. The vaccinations required are set by the state and local health departments.  Some Bouvé College of Health Sciences students are required to have clinical clearance prior to clinical, internship or practicum. Please refer to the university catalog for details.

NEW STUDENTS

Students entering NU beginning Fall 2024

University Health and Counseling Services is partnering with Sentry MD to provide immunization compliance. Sentry MD provides a streamlined process for managing your health requirements. All incoming students are required to upload their vaccination documentation to Sentry MD and demonstrate compliance with all required immunization, in accordance to local and state laws.

How do I upload my immunizations and screening?

1.) Go to the student hub

2.) Click on the “Sentry MD Required Immunizations” link, found under Health and Wellness. Or visit https://mysentrymd.com/SAML/SP/Login/NU

3.) Gather the Required Health Documents

  • Start by carefully reviewing each immunization, titer, and additional document requirement listed in this Health Requirement Packet. It is important that you review this material carefully. Upload all documents to your Sentry MD account.

4) Log in to your Sentry MD account to upload your documents and view your compliance status.

  • Log in to your Sentry MD account via the Sentry MD Icon
    https://mysentrymd.com/SAML/SP/Login/NU. The Sentry MD portal is smart phone friendly, and documents can be uploaded from the comfort of your phone.
  • Details on how to log-in and navigate your account are in Part I of the packet.
  • Students should submit the completed University Health Report with a provider signature affirming verifying information.
  • If you have any questions about the immunization requirements or the contents,
    please contact us at [email protected].

5.) Remember the deadline to upload immunization requirements, as listed below

  • July 31, 2024 – For UNDERGRADUATE STUDENTS entering the University in Fall 2024.
  • December 1, 2024 – For all UNDERGRADUATE STUDENTS entering the University Spring 2025.
  • GRADUATE STUDENTS must return the form no later than one month before entering the University.

6.) What should I do if I need help navigating Sentry MD?

A welcome packet is sent to the Northeastern email address of all new students. For additional questions, you can contact them at [email protected].

What immunizations and screening are required?

Hep B – Hepatitis B
Tdap – Tetanus, Diphtheria and Pertussis
MMR – Measles, Mumps and Rubella 
Varicella – Chickenpox
Meningitis
Tuberculosis screening

These immunizations help protect against Measles, Mumps, Rubella, Tetanus, Diphtheria, and Pertussis (TDap),Hepatitis B, Varicella/Chicken pox, Meningitis. All full time and part time students at Northeastern University are required to submit documentation of immunizations. UHCS works closely with both state and local departments of public health to ensure compliance with this mandate. If UHCS does not receive your complete immunization record, you are at risk of being held out of classes and university activities. 

Details of required immunizations and screening

Measles, Mumps, Rubella (MMR) Combined

  • Two doses required, or positive measles, mumps and rubella antibody titers.
  • Doses must be given ≥ 28 days apart beginning at or after the first birthday. The MMR vaccines may be substituted with two doses of Measles, two doses of Mumps and two doses of Rubella vaccines (or positive titers).

OR

Measles, Mumps, Rubella (MMR) SEPARATE

Rubeola (Measles)

  • Two doses required, or positive antibody titers.
  • First dose must be given on or after the 1st birthday and second dose must be given ≥ 28 days after the first dose.

Mumps

  • Two doses required, or positive antibody titers.
  • First dose must be given on or after the 1st birthday and second dose must be given ≥ 28 days after the first dose.

Rubella (German Measles)

  • Two doses required, or positive antibody titers.
  • First dose must be given on or after the 1st birthday and second dose must be given ≥ 28 days after the first dose.

Meningococcal Conjugate Vaccine (ACWY)*

  • One dose of Meningococcal conjugate or MenACWY vaccines (Menveo®and MenQuadfi®) or Pentavalent meningococcal or MenABCWY vaccine. PenbrayaTM vaccine can meet the requirement. All full-time students 21 years old and younger. Doses received before 16th birthday do not count for this requirement. The Meningitis B vaccine alone does not meet the requirement.

OR Waiver

Hepatitis B

  • Three doses required, or positive antibody titers.
  • Two doses of Heplisav-B given on or after 18 years of age are acceptable.

Tetanus/Diphtheria/Pertussis (Tdap)

  • Vaccine within the last 10 years is required.
  • Td or Tdap must be given if greater than 10 years since Tdap. Tdap is required if no history of previous Tdap.

Varicella (Chicken Pox)

  • Two doses required, or positive antibody titers.
  • The first dose must be given on or after the 1st birthday and second dose must be given ≥28 days after the first dose.
  • A medically verified date of disease or laboratory evidence of immunity is acceptable.

Tuberculosis (PPD)

  • Complete the Massachusetts Tuberculosis Risk Assessment. This risk assessment form is also sufficient for students located outside of Massachusetts. Please be sure to include the date you completed the form next to your name.
  • If you answered, “Yes” to any of the Tuberculosis Risk Assessment Questions, please complete a Tuberculosis Skin Test or IGRA blood test.
    • Tuberculosis: PPD Skin Test or IGRA Blood Test
      • If you checked any of the three boxes on the Massachusetts Tuberculosis Risk Assessment, a Tuberculosis Skin Test (PPD test) or an IGRA blood test within the past 12 months is required.
  • If the result of the PPD Skin Test or IGRA Blood Test is positive, a chest X-ray within five years and an annual Symptom Free Note from your provider is required.
    • Chest X-Ray
      • If the result of your PPD Skin Test or IGRA Blood Test is positive, a chest X-ray within five years followed by an annual Symptom Free Note from your provider is required.
What immunizations are strongly recommended?

In addition to the required immunizations, University Health and Counseling Services recommends the following vaccinations:

Covid-19 (series and boosters)
HPV (3 dose series)
Hepatitis A (2 dose series)
Meningitis B
Influenza

Details of strongly recommended immunizations

Influenza

  • Submit documentation of flu shot administered during the current flu season (August 2024 – March 2025)

Meningitis B

  • Bexsero: Two doses at least one month apart.
  • OR
  • Trumenba: Two or Three does series schedule
    • Two doses: the second dose should be given 6 months after the first
    • Three dose schedule: at 0, 1-2 months and 6 month intervals, for people 10 years of age or older who are at increased risk.

Hepatitis A

  • Two doses administered at least six months apart.

HPV

  • A two-dose schedule is recommended for people who get the first dose before their 15th birthday. In a two-dose series, the second dose should be given 6–12 months after the first dose (0, 6–12-month schedule). The minimum interval is five months between the first and second dose. If the second dose is administered after a shorter interval, a third dose should be administered a minimum of five months after the first dose and a minimum of 12 weeks after the second dose.

COVID-19

  • Documentation of primary two dose series and one COVID-19 bivalent booster.
Can my parents confirm that I had the vaccines?

No. State and local departments of public health requires that UHCS receive the health form and immunizations signed by your health care provider.

What should I do if I can’t access my immunization records?

All incoming students are expected to meet the immunization requirements prior to arriving to campus. If you do not have access to your immunization records, you may have a blood test called antibody titer that shows whether you are already immune to measles, mumps, rubella, varicella, and Hepatitis B. You will need to get a tetanus/diphtheria/pertussis (Tdap) booster. This antibody titer tests can be done at your local health care provider office prior to arriving on campus. Titers may be drawn at UHCS – please see fee schedule– for students already on campus. 

My doctor says I only need one measles immunization, is this true?

No.  Massachusetts Department of Public Health, requires proof of two measles immunizations, both administered after January 1, 1968, at least one month apart, and after your first birthday.

Why do I need two mumps vaccines?

University requirements reflect the recommendations of both state and local departments of public health. Two doses of the mumps vaccine or a positive titer are required. The two mumps doses must be given at least 28 days apart, beginning at or after the first birthday.

What is the difference between the Td and the Tdap vaccines?

Tdap is a combination vaccine that includes tetanus, diphtheria, and pertussis. Td is a booster vaccine for tetanus and diphtheria. Td does not protect against pertussis. 

Why is the Tuberculosis Screening Required?

The Massachusetts Tuberculosis Risk Assessment is a required screen for all students. It must be completed accurately. Failure to complete the screening tool and/or falsifying information may result in a hold on classes.

The Massachusetts Tuberculosis Risk Assessment is a tool to identify adults with infectious tuberculosis (TB) and to prevent them from spreading TB. If any of the three boxes are checked, latent TB infection testing is required to see if you have been infected with TB bacteria. There are two kinds of tests that are used to determine if a person has been infected with TB bacteria: the TB blood test and the TB skin test. If any of the three boxes are checked, we recommend that you obtain this testing prior to arriving on campus. 

What happens if the TB blood test or TB skin test are positive? 

If the tests are positive, you are likely to need further evaluation including a chest x-ray. You will need to review the results with a health care professional, and you will need a chest x-ray to ensure you do not have active TB. We recommend this is completed prior to arrival on campus. 

Does the TB risk assessment form have to be signed by a provider? 

It does not need to be signed be a provider. 

If my TB chest x-ray is negative, do I need to have any form of treatment? 

If your TB blood test or TB skin test are positive, you are likely to have latent TB.  Treating latent TB infection is effective in preventing TB disease and less costly than treating TB disease.

Do I need to start latent TB infection treatment prior to arrival on campus? 

UHCS recommends you discuss treatment with your health care professional.  For more information, see Latent TB Infection Testing and Treatment: Summary of U.S. Recommendations (cdc.gov)

What happens if my chest x-ray is positive for findings suggestive of TB? 

You are likely to have active TB and will need to consult with a health care professional and start treatment prior to arrival on campus. 

In my country, Rubella is not available, how can I get this vaccine?

UHCS provides Shots and Immunizations as well as titer testing. 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 purchased and received with a credit or debit card.

How many shots are included in the Hepatitis B immunization?

The Hepatitis B immunization is comprised of 3 shots. The first shot can be given at any time, the second dose needs to be administered at least one month after the first. The third dose at least two months after the second and four months after the first. 

I had a Meningitis vaccine 6 years ago, am I still covered?

No. Northeastern University requires students to have the Meningitis immunization within 5 years of the start of school.

Can I receive immunizations at UHCS?

Students are expected to be fully immunized prior to arriving on-campus. If for some reason you are not able to access an vaccine, UHCS does provide Shots and Immunizations as well as titer testing to Boston based student. Those 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.

The result of my blood titer was “equivocal” or “borderline”, what does this mean?

You may need another immunization to boost your immunity. Please review with your clinician or contact UHCS with any questions 617-373-2772. 

What will happen to me if I’m exposed to an infectious illness for which I am not appropriately vaccinated?

State and local departments of public health may determine that you have been exposed to an infectious illness and if you are not appropriately immunized, you may be  required to be excluded from all University activities on campus including classes, academic work, residence halls, dining and social groups, for the specific time that encompasses your period of potential contagiousness. You will be allowed to return to campus after the risk of contracting the illness has passed.

What will happen if I do not have all of my immunizations documented?

Students who do not have all of the immunizations documented or there is any problems with the timeline of immunizations will receive may be held out of university activities. If it is determined that documentation is missing or incomplete, student’s will receive an email with information and guidance about what immunizations are missing or incomplete and promptly follow the guidance to reach full compliance. There are various options to complete the immunizations including, seeing your local health care provider, UHCS or visiting a local travel clinic in Boston. 

What if I cannot have vaccines due to medical or religious reasons?

Students who have a medical reason for not receiving an immunization, must submit a letter from their health care provider documenting the reason and diagnosis that prohibits receiving a vaccine and specify which vaccine. This letter should be submitted to Sentry MD, via the online platform, and must be completed by the deadline of July 31, 2024.


Students who have a religious reason must submit a letter, authored by the student, expressing the reason for the exemption and include a signature and date. This letter should be submitted to Sentry MD, via the online platform, and must be completed by the deadline of July 31, 2024.


Please note that students with vaccine exemptions may be required to follow exclusion orders from the state and local public health departments in the cases of being exposed to infectious illness.

University Health Report

Students who have enrolled prior to fall 2024 and need to submit immunization information, please complete the University Health Report and submit via email [email protected]. All necessary documentation should be included along with a signature from your treating clinician.

Graduate Students

Graduate students at Northeastern global campuses (non-residential settings) are strongly encouraged to have immunizations against Hepatitis B, Measles, Mumps, Rubella, Meningitis, Tetanus, Diphtheria, Pertussis, Varicella, and Tuberculosis screening. The following vaccines are also recommended: Influenza annually, Meningitis B, Hepatitis A, HPV and COVID 19. Speak to your current health provider to see which vaccines you can receive.

In addition, students may need to be tested for Tuberculosis.  From the CDC (https://www.cdc.gov/tb/publications/faqs/tb-qa.htm#should-get-tested), you should get tested for Tuberculosis (TB) if:

  • You have spent time with a person known or thought to have infectious TB disease.
  • You were born in or frequently travel to countries where TB disease is common, including Mexico, the Philippines, Vietnam, India, China, Haiti, and Guatemala, and other countries where TB is common.
  • You currently live, used to live, or are employed in a large group setting where TB is more common, such as a homeless shelter, prison, jail, or nursing home.
  • You are a health care worker who cares for patients with TB disease.
  • You are part of a population that is more likely to have latent TB infection (LTBI) or TB disease, including people who don’t have good access to health care, have lower income, or misuse drugs or alcohol.

This  testing can be done through a blood test. A skin test is also acceptable. According to the World Health Organization (WHO), TB is the world’s top infectious killer. It is a contagious airborne disease. About 87% of new TB cases occurred in 30 high TB burden countries, with more than two thirds of the global total in China, India, Nigeria, and three smaller countries. World Health Organization Tuberculosis Fact Sheet


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 state law.
  • Deadlines for providing this information are as follows: the end of July 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 [email protected].

UHCS participates in the Massachusetts Immunization Information System (MIIS)

Massachusetts Immunization Information System (MIIS)   Massachusetts law (M.G.L. c. 111, Section 24M) requires providers to report immunization information to a computerized immunization registry known as the Massachusetts Immunization Information System (MIIS). 

  • The MIIS stores immunization records for you and your clinician and can help prevent outbreaks of disease like measles and the flu. 
  • All information in the MIIS is kept secure and confidential. 
  • The MIIS allows information to be shared with health care providers, boards of public health and state agencies concerned with immunization. 
  • You have the right to object to the sharing of your immunization information across providers in the MIIS. If you object, please complete this form and bring it to your appointment or submit it to [email protected].  
  • For more information, visit the MIIS website at www.mass.gov/dph/miis or contact the Massachusetts Immunization Program MIIS Help Desk directly at 617-983-4335.
  • The MIIS opt-out does not apply to reportable suspected and positive diseases.