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Vaccine Availability

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Vaccines Available at the Orange County Health Department


 To schedule an appointment call: (919) 245-2400

Childhood vaccine cost depends on whether or not a child is eligible for the Vaccines for Children (VFC) Program.  This is a Federal program that provides vaccines for children who may be unable to afford them otherwise. 

VFC-eligible children are those aged 0-18 years of age who meet at least one of the following:

  • Medicaid eligible
  • Uninsured
  • American Indian
  • Alaskan Native
  • Unaccompanied minors without proof of insurance presenting to a local health department Title X clinic
  • Underinsured
    • has private insurance but the coverage does not cover needed vaccines
    • has private insurance that caps vaccine coverage at a certain amount (and the child needs vaccines beyond the capped amount)

NOTE:  Children with insurance that covers a portion of the vaccine cost are considered to be insured as are children whose vaccine cost would go toward the  meeting of a deductible.

Please Note:  Eligibility for free vaccine for children through the VFC program changes several times per year.  For official documentation from the North Carolina Immunization Program, go to

 DTaP (Diphtheria, Tetanus and Pertussis/Whooping Cough)
  • Free for children through age 6 who are VFC-eligible
DTaP, Hepatits B and Polio combination vaccine (Pediarix)
  • Free for children age 2 months through 6 years of age who are VFC-eligible
  • May need to order*
DTaP, Polio and Hib combination vaccine (Pentacel)
  • Free for children who are 2 months through 4 years of age and VFC-eligible
  • May need to order*
DTaP, IPV combination (Kinrix)
  • Free for ages 4-6 years who are VFC-eligible
  • May need to order*
EIPV (Polio)
  • Free through age 17 for children who are VFC-eligible
Flu ( Seasonal )/Influenza
  • State may provide at no cost for children and/or specific groups
  • Eligibility for free vaccine varies yearly
Haemophilus Influenza Vaccine (Hib)      
* Note:  this is not regular flu vaccine
  • Not given after 4 years of age except for certain high risk children 5 through18 years of age
  • Free through age 4 for VFC-eligible
  • 1 dose free for high-risk children ages 5 through18 who are VFC-eligible
Hepatitis A
  • Free for children ages 12 months through 18 years who are VFC-eligible
Hepatitis B
  • Free for the following:
    • Children through 18 years who are VFC-eligible
    • Uninsured 19-year-olds who started the Hepatitis B vaccine series prior to their 19th birthday and need to complete the series
    • Children through age 18, regardless of insurance status, who have not received the first dose of vaccine and who are household, sexual or needle sharing contacts of an acute or chronic Hepatitis B infected person (must be tested first)
    • Persons > 19 years of age, regardless of insurance status, who are household, sexual or needles sharing contacts of an acute or chronically infected Hepatitis B person (must be tested first)
    • Uninsured  refugees  who are >19 years of age from endemic countries 
Human Papilloma Virus (HPV)
  • Recommended for males and females 9 through 26 years of age
  • Free for 9 through18 year-olds who are VFC-eligible
Measles/Mumps/Rubella (MMR)
  • Not given if younger than 12 months old unless traveling to an endemic area or exposed
  • 2 doses are free for those 1 through 18 years of age who are VFC-eligible
  • 1 dose is free for any uninsured, unvaccinated adult
  • 2 doses are free for uninsured persons entering an NC college, community college or technical college for the first time
  • 2 doses are free for uninsured, 19 through 44 year old women without proof of prior MMR vaccination
 Meningococcal Vaccine
  • Free for VFC-eligible 11 through18 year-olds
  • 1 dose free for uninsured, unvaccinated first-year college students living in dorms (ages 19-55)
  • Free for 6 weeks through 18-year-olds who are VFC-eligible and high risk which includes:
    • Children with complement deficiencies
    • Travelers or residents of countries in which meningococcal disease is hyperendemic or epidemic
    • Children who are part of an outbreak of a vaccine-preventable serogroup
    • Children who have functional or anatomic asplenia
Pneumococcal Conjugate Vaccine (PCV 13)
  • Free for VFC-eligible children 2 through 59 months of age
  • Free for medically high risk children 5 through18 years of age who are VFC-eligible
  • May have to order*
Pneumococcal Polysaccharide 23-valent (PPV23) (“Pneumonia” vaccine)
  • Free for medically high risk children ages 2 through18 years of age who are VFC- eligible
  • Free for VFC-eligible children who are 6 weeks through 7 months of age
  • Cannot give first dose after 12 weeks of age and cannot be given after 32 weeks of age
  • May have to order*
Tetanus/Diphtheria (Td)
  • Used for ages 7 and up
  • Booster doses recommended for all persons every 5-10 years (also, see Tdap)
  • Free for:
    • VFC-eligible 7 through18 year olds
    • uninsured persons 19 years of age and older
Tdap (Tetanus, diphtheria & pertussis/whooping cough) 
  • One dose needed for ages 7 and up to replace one dose of Td (see above)
  • Free for:
    • 7 through18 years of age who are VFC eligible
    • Uninsured persons 19 and older
Twinrix (Hepatitis A/Hepatitis B combination)
  • Free for uninsured persons age 18 or older, who meet high risk criteria
  • High risk persons are:
    • Men who have sex with men
    • IV drug users
    • Sexually active persons who are not in a long-term mutually monogamous relationship ( more than one sex partner in the last 6 months)
    • Sex partners of hepatitis B surface antigen (HBsAg) positive persons
    • Household contacts to HBsAg positive persons
    • Persons who have been incarcerated
    • Persons who have chronic liver diseases such as Hepatitis B or C
    • Persons seeking evaluation or treatment for an STD
    • Persons who are HIV positive
  • Note:  Free Twinrix vaccine cannot be used for the accelerated, 4 dose series or for persons with a documented history of a completed hepatitis A or B series)
  • OCHD does not carry Twinrix for a fee;  we carry both Hepatitis A and B vaccines
Varicella (Chickenpox)
  • Not given if younger than 12 months of age
  • 2 free doses are available for children through age 18 who are VFC-eligible
Zostavax (Shingles vaccine)
  • One dose recommended for adults ages 60 and older

*We do not currently have a high need for these vaccines.  Since they must be ordered in boxes of 10, we do not always keep them on hand in order to avoid having the vaccines expire (resulting in significant expense to the Health Department).  Most can be ordered and received within 1-3 days if needed.