Immunization/TB Testing Requirements

All UNC Health Johnston Volunteers are required to provide documentation of specific immunizations and TB Testing. Requirements are subject to change based on guidance from UNC Health Johnston. Review the following information and make arrangements to receive any missing vaccines and testing.

If you are missing any immunizations, below is a list of places to have them administered:

Local Health Department
College Campus Health
Walgreens/CVS or another pharmacy
Your doctor's office
Occupational Health Services (OHS), see option 3 in How to Provide Documentation section)

How to Provide Documentation/ Required Immunizations

Using the Immunization Requirements Checklist

Immunizations/testing MUST be circled or highlighted.
Documents should be sent in one email but can be separate attachments.

Tuberculosis (TB) Screening

Tuberculosis (TB) Screening is a way to determine an individual's status of active TB or latent TB infection. Testing must have occurred within the past 12-months. Please watch this TB Testing Instructional Video to ensure the steps are followed correctly.

Choose one option:

Option 1: Two (2) TB Skin Tests

A Tuberculin Skin Test (TST) is performed by injecting a small amount of fluid into the skin.
Takes about 2 weeks and 4 separate visits.

The 2nd TB skin test should be placed at least one week after the 1st test was read/checked. If placed earlier, it will not be accepted and a 3rd test must be completed. See example timeline below.

Visit 1, Day 1	Visit 2, Day 3 (or 48-72 hours after 1st test placed)	Wait at least one week	Visit 3, Day 10	Visit 4, Day 12 (or 48-72 hours after 2nd test placed)
First TST placed	First TST read/checked		Second TST placed	Second TST read/checked

Option 2: TB Blood Test (IGRA- T-Spot or Quantiferon Gold).
- A TB blood test is performed by drawing blood and sending it to a lab for testing.
- Takes up to 5 days and 1 visit.
Refer to the Immunization Requirements Checklist if you have completed Two-Step TB skin testing previously or have history of positive TB.

Measles, Mumps, and Rubella

Choose one (1) option below:

Vaccine: Provide official documentation of 2 MMR vaccines at least 1 month apart given after age 1 or HCP must provide documentation of individual vaccines totaling 2 Measles, 2 Mumps, and 1 Rubella vaccinations.
Titer: Provide official documentation of positive laboratory titers.

Varicella (Chicken Pox)

Choose one (1) option below:

Vaccine: Provide official documentation of 2 Varicella (chicken pox) vaccines. A Shingles Vaccine does not satisfy this requirement.
Titer: Provide official documentation of positive laboratory titer.

Tdap (Tetanus, Diphtheria, and Pertussis)

Provide vaccine record of one Tdap as an adult or adolescent (≥ 18 years of age).

Influenza (Flu) Vaccines

Documentation of a current flu vaccine is only required if it is currently flu season (September - April/May). If you are applying outside of these dates, you do not need to provide flu vaccine documentation. We will let you know when documentation is needed for the next flu season.