Johnston County Public Health Department

Contact Us

Johnston County
Public Health Department

517 N. Brightleaf Blvd.
Smithfield, NC 27577
Phone: (919) 989-5200

  Mon.-Thurs., 8:00 a.m. to 6:00 p.m.
  Friday, 8:00 a.m. - 5:00 p.m.

Public Health Director:
  Dr. Marilyn Pearson

Clinic Fax Numbers:
  Medical Records: 919-989-5278
  Primary Care: 919-989-5279
  Epidemiology: 919-989-5287
  Family Planning:  919-989-5266
  Maternity:  919-989-5266
  Child Health: 919-989-5199
  WIC: 919-989-5298

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Johnston County North Carolina

Immunization Requirement for Rising 7th Graders and High School Seniors

Attention: Parents of Rising 7th Graders and High School Seniors

Effective 2020, North Carolina Law now requires a Tdap booster vaccine and meningococcal vaccine for entry into the 7th grade.  The Law also requires a meningoccal booster vaccine for high school seniors.


Why is Tdap needed?
To protect against pertussis (whooping cough), tetanus and diphtheria. Over time, protection wears off so a booster is needed to stay fully protected.

What if my child already had a Td (tetanus/diphtheria) booster?
If it has been more than five years since your child received a tetanus shot (DTaP, DTP or Td), they will need the Tdap booster. Almost all rising 7th graders will need to get the Tdap booster. However, if it has been less than five years since your child has received a tetanus containing vaccine, they will be deferred until five years has passed from last dose of tetanus (DTP, DTaP DT or TD).

Why is Meningococcal ACWY vaccine needed?

To protect against 4 causes of meningococcal disease (meningitis)-an infection of the lining of the brain and spinal cord.  Meningitis kills 10-15 infected people out of every 100 infected of the survivors 10-20% suffer severe life-long disabilities such as brain damage, loss of limbs, hearing loss and more.

When should children get this vaccine?

1st dose: At age 11 or upon entering 7th grade.  2nd dose: At age 16 or upon entering 12th grade.

What do I need to do?
Talk to your child's doctor to find out if vaccinations are needed. Make sure your child gets vaccinated before school starts. Get a copy of your child's shot record to take to school. While at the doctor, check to make sure your child is up to date with other vaccines and their yearly check up.

Where can my child get vaccines?
Your child's doctor or health care provider. If your child does not have a health care provider, contact the Johnston County Health Department. Contact Child immunization Coordinator if you have questions (919-989-5200).

Registration is necessary to ensure vaccine is available, to avoid wait time and to check eligibility. Appointments are also available during regular clinic hours

What is the cost of Tdap vaccine?
Cost of the vaccine is depends on your insurance status and/or financial status. Regulations on vaccines have changed and your child may or may not qualify for a free vaccine.

Johnston County Public Health Department accepts Medicaid, North Carolina Health Choice, Medicare and some other insurances. For all other patients we accept cash, personal checks, debit cards, and MasterCard/Visa/Discover credit cards.

No vaccine will be given unless accompanied by a parent or an authorized adult. We must have the child's official immunization record and any insurance information.


Page last updated on:  March 13, 2023