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How many more years do you have to go? how long do you have to take accutane before you see results While all states require kindergarten kids be vaccinated to attend school, fewer are as strict about middle-school children. Improving teen vaccination rates could be due to stricter school-entry laws, says the CDC's Jason McDonald. In the 2012-2013 school year, 40 states required Tdap vaccination for middle school students, while 13 required meningitis shots.

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