Immunization clinics at Mid-Michigan District Health Department provide infant, child and adult vaccinations as recommended by the Centers for Disease Control (CDC) Advisory Committee for Immunization Practices (ACIP).  Appointments are preferred. For more information or to schedule an appointment, please call:

Clinton County: 989-224-2195, option 5 and then option 2

Gratiot County: 989-875-3681, option 5 and then option 2

Montcalm County: 989-831-5237, option 5 and then option 2


Without immunizations, the diseases we are now protected from could easily return.

Did you know?

  • Immunizations are one of the most important ways people can be protected against serious, preventable infectious diseases.
  • Immunizations are extremely safe as a result of advances in medical research and ongoing review by doctors, researchers, and public health officials.
  • Immunizations are recommended for infants, young children, the elderly, and those with chronic health problems because they are particularly vulnerable to infectious diseases.
  • While small risks accompany every immunization, people are far more likely to be seriously harmed by vaccine-preventable diseases than by the recommended immunizations that prevent them.
  • Medical advances have resulted in the availability of additional safe and effective vaccines.  Now, people can be protected against a greater number of serious preventable diseases.
  • Immunization benefits not just the individual, but also the community.  Communicable infectious diseases spread among people who have not been immunized, and among the small percentage of people for whom the immunization may not have been fully effective.
  • Immunizations work by strengthening the body's own immune system.
  • While breastfeeding and vitamins have health benefits, they do not replace the benefits of vaccines in preventing infectious diseases.



Child and Adolescent Immunization

Children are required to be immunized by federal and state laws.  The following tables show immunizations required for Michigan preschool and school settings:

You can get more information on this at the website of Michigan Care Improvement Registry  (MCIR). 
Healthcare Providers in Michigan should follow the current Recommended Immunization Schedules

The following is a list of websites that have relevant child and adolescent immunization information.


Adult Immunization

Generally adults need influenza vaccine every year and a Td booster every 10 years.  In addition, people of certain professions and ages may need other vaccines to better protect them from infectious diseases as well. When you are not sure what vaccines you need or if you need any immunization at all, check with your doctor or call the health department.  

College Bound? Think Ahead and Be Prepared.

The following are normally required prior to the start of college.

  • Tetanus-Diptheria-Perussis
  • Meningococcal
  • HPV Series
  • Hepatitis B Series
  • Hepatitis A Series
  • Polio Series
  • MMR Series
  • Varicella Series
  • Infuenza
  • Pneumococcal

Students attending college out-state or traveling to other countries, please check to see which vaccines are recommended in those areas.


Pregnant Women and Immunization

Pregnant women should consider the following vaccines to better protect themselves and the fetus:

Trivalent (Inactivated) Influenza Vaccine (TIV)
This vaccine is recommended due to increased risk for influenza-related complications. Women who will be pregnant during the influenza season should be vaccinated to reduce the risk.

Hepatitis B Vaccine (hep B)
Hepatitis B virus infection affecting a pregnant woman may result in severe disease for the mother and chronic infection for the new born.  Therefore, neither pregnancy nor lactation should be considered a contraindication to vaccination.

Tetanus, Diphtheria and Pertussis Vaccine (Tdap)
Pertussis (whooping cough) is a highly contagious infection of the respiratory tract.  This disease can cause serious complications in infants.  By getting Tdap during pregnancy, maternal pertussis antibodies transfer to the newborn, likely providing protection against pertussis in early life, before the baby starts getting DTaP vaccines.

A dose of Tdap should be administered during each pregnancy irrespective of the prior history of receiving Tdap. To maximize the maternal antibody response and passive antibody transfer to the infant, optimal timing for Tdap administration is between 27 and 36 weeks of gestation.

For women not previously vaccinated with Tdap, if Tdap is not administered during pregnancy, Tdap should be administered immediately postpartum.

Pneumococcal Polysaccharide Vaccine (PPV23)
This vaccine is recommended for women with high-risk conditions.
Pregnant women should AVOID the following vaccines during pregnancy:

Live, Attenuated Influenza Vaccine (LAIV)
Pregnant women should receive inactivated influenza vaccine.

Measles, Mumps, Rubella (MMR)
A risk to the fetus from administration of these live virus vaccines cannot be excluded for theoretical reasons.  Women should be counseled to avoid becoming pregnant for 4 weeks after vaccination with measles or mumps vaccines. or MMR or other rubella-containing vaccines.

Varicella (VAR)
The effect of varicella virus vaccine on the fetus is unknown; therefore, pregnant women should not be vaccinated. Nonpregnant women who are vaccinated should avoid becoming pregnant for 4 weeks following each injection.

Other Pregnancy and Immunization Resources


Michigan Care Improvement Registry (MCIR)

Download the Current MCIR Newsletter
Petition to Change Immunization Correction Form Reg 3
Petition to Change Patient Information Form Reg 3
MCIR, according to its website,  is to improve the overall health of the citizens of Michigan by insuring widespread utilization of immunizations to target vaccine preventable illnesses, including: 


  • Pertussis (whooping cough)
  • Polio
  • Measles (rubeola or hard measles)
  • Mumps
  • Rubella (German measles)
  • Haemophilus Influenzae Type B (Hib)
  • Hepatitis B
  • Tetanus (lockjaw)
  • Diphtheria
  • Chickenpox (Varicella)
  • Influenza
  • Pneumococcal disease 

These are all potentially serious diseases which can be prevented through the use of timely immunization.  More than 3 million children are currently included in MCIR.
The three counties under MMDHD's jurisdiction, Clinton, Gratiot, and Montcalm, belong to Region 3 for MCIR, which also includes Barry, Eaton, and Ingham.  If you have any question, please contact:
Hazel Hall
Region 3 MCIR Coordinator
1307 E Townsend Rd
St Johns, MI 48879 
Phone Number: 989-227-3105, or Toll free: 1-888-217-3902

What is MCIR?
The Michigan Childhood Immunization Registry (MCIR), as it was originally named, was created in 1997 as a strategy to increase the immunization levels of children in Michigan.
From the beginning, MCIR was designed to be marketed and implemented to local communities while providing access to all immunization providers, both public and private, anywhere in the state.  MCIR records are updated with health information including immunization records submitted by healthcare providers.
The registry has been welcomed by health care professionals who recognize the value of having immunization records in a single location, no matter where a child receives vaccines.

Just a couple of the benefits of utilizing MCIR are:

  • Providing assessments and printouts of a child’s immunization record, as well as due dates for the next recommended vaccines
  • Generating recall notices to the parents or guardians of children who are past due for recommended immunizations

The goal is to provide a reliable, easily accessible software tool which consolidates immunization records for children for the entire state.


Frequently Asked Questions:

My child missed some of their shots. Do they need to start over?
No. You can continue the series where you left off.  Remember that delaying or refusing vaccines can put a child at risk for disease.

Can my child get their shots if they have a cold or ear infections?
Mild illness or fever is not a reason to delay immunizations.  If you have questions, call and speak to the clinic nurse.

Is it safe to get so many shots at once?
Careful and thorough studies show that getting many vaccines on the same day does not decrease their effectiveness or increase side effects.

What side effects will my child have when getting their shots?
Most side effects are very mild and may include a slight fever, fussiness or some redness and soreness at the injection site.

Why does my child need chicken pox vaccine?  Isn't it better to get the disease?
Chicken pox infection begins with fever and then a blistering rash breaks out.  On average, people get 250-500 of these itchy blister.  Most people survive without any problems, but it can have complications such as pneumonia, brain or skin infections, and death.

The vaccine has only minor side effects and is 95 percent effective.  People who have had vaccine instead of disease are four to five times less likely to get shingles and if they do, it is a milder case without complications.

Where can I get the flu shot?
Information is available during flu season from the flu hotline and this website.  You may call the nearest office of your health department to get the times and dates of clinics in your area.
What do I need to bring to the health department for my kids' immunization?

  • any previous immunization record
  • Medicaid card/insurance card
  • $15.00 administration fee for each vaccine given if they are VFC eligible

What does VFC stand for and who is eligible for it?
VFC stands for "Vaccines for Children" and they are free.  The VFC Basic and Expanded programs are designed to keep qualified children in their medical home for basic preventive services and to reduce the barriers to getting children immunized.  
If your child is 18 years of age or younger, and meets one of the following conditions:

  • is American Indian or Alaskan Native
  • is enrolled in Medicaid
  • has no health insurance
  • is under-insured

he/she is eligible for the VFC programs with the exception that he/she has private health insurance, including MI-Child or any commercially purchased managed health care plan, with immunization coverage.
Definition for Under-Insured: For the purposes of determining eligibility for VFC, children are considered to be under-insured if the child's insurance does not cover any reimbursement for the cost of the vaccinations.  A child with health insurance that has no immunization coverage at the time the child presents is considered to be under-insured and eligible to receive VFC vaccine.

Adverse Event Reporting 
Adverse events reported to providers after vaccination should be submitted to the Vaccine Adverse Events Reporting System (VAERS)  according to state guidelines. For more information and reporting forms, please contact VAERS at (800) 822-7967 or visit the VAERS website .