PA Vaccine Records 2026: Official PIERS Access Guide

Pennsylvania · PIERS Public Portal, Keystone Login & PhilaVax

Access, Download or Recover Your Official PA Vaccine Record

Pennsylvania’s main online record route is the secure PIERS Public Portal. Adults can access their own available record, and parents or legal guardians can access an eligible dependent under age 18 when patient information and provider-reported contact details match.

If PIERS cannot find the patient, the one-time code cannot reach you, a vaccine dose is missing, or the vaccinations were given in Philadelphia, use the specific official recovery route below rather than repeatedly submitting the wrong request.

State portal

PIERS Public Portal.

💉 Immunization Record Tools

Free interactive tools to find, verify, and plan your vaccine records — all data verified May 2026

🏛️State Finder
🔎Record Checker
🔬Titer Calculator
Emergency Guide

🏛️ Instant State IIS Record Finder

Select your state to get the official portal link, phone number, app availability, and exact turnaround time — all verified May 2026.

🔎 Where Should I Look for My Records?

Answer 4 quick questions and get a personalised ranked list of exactly which sources to check first for your situation.

Step 1 of 4
How old were you when you received the vaccines you need to find?
👶Child (under 18)
🧑Adult (18 or older)
🕗Both / Mixed
Approximately when were the vaccines administered?
📅Within last 5 years
🕐5–20 years ago
📷20+ years ago / Unknown
Do you know which state you were vaccinated in?
Yes, I know the state
🎥Multiple states
Not sure
What is this record for?
🏫School / College
🏥Healthcare Job
✈️Travel / Immigration
📄Personal / Other

🔬 Titer Test Need Calculator

Select your situation to see exactly which titer tests you need, accepted immunity thresholds, and current self-pay costs.

🏥Healthcare Worker
🏏Nursing / Med School
🏫College / University
📄Lost Records
✈️Travel / Abroad Vaccine
🔬Just Want to Check

⚡ Emergency Record Guide — How Long Do You Have?

Select your deadline and get a step-by-step, time-specific action plan to get your records as fast as possible.

💥Today / Right Now
📅Within 24 Hours
🕐2–5 Business Days
🕒1–2 Weeks
🕙Over 2 Weeks
Login

Keystone Login required.

Child access

Parent/legal guardian; dependent under 18.

PIERS help

877-774-4748, option 4.

Philadelphia

Separate PhilaVax request.

First decision

Which PA vaccine-record route should you use?

PIERS Public Portal

Use this first when the vaccination information is expected in Pennsylvania’s statewide PIERS system and you can receive a text or email code using provider-matched contact information.

  • Adults age 18+ can access their own record.
  • Parents/legal guardians can access eligible dependents under 18.
  • Successful users can view and download the Official Immunization Record.
PIERS Update Request or PA DOH release

Use the Update Request when PIERS cannot find the record or demographic/contact information needs updating.

Use the Pennsylvania Department of Health release process when you cannot receive the portal code, need a formal release, or an authorized adult guardian is requesting an adult’s record.

Philadelphia PhilaVax

Vaccinations administered inside Philadelphia are reported to PhilaVax rather than the statewide PIERS reporting route.

A person vaccinated both in Philadelphia and elsewhere in Pennsylvania may need records from both systems.

Jump directly to your PA record problem

Use the task that matches what is stopping you now.

Primary online workflow

How to access PA vaccine records through PIERS

Open the official PIERS Public Portal Use the resident-facing portal, not the professional/business-partner PIERS system.
Sign in with Keystone Login Create a Keystone Login account first if you do not already have one.
Select whose record you need Choose your own record or an eligible dependent under age 18.
Enter the patient’s basic information Use the name, date of birth and gender exactly as the immunization provider recorded them.
Select text message or email The phone number or email must match information the immunization provider reported to PIERS.
Enter the One-Time Access Code PIERS uses this verification step in addition to Keystone Login.
Review the immunization history Confirm the patient’s identity and vaccine dates before using the record.
Download the Official Immunization Record Save the complete record and keep a secure personal backup.
Why the access code matters: PIERS uses two-factor authentication. Keystone Login verifies account access, while the text/email code helps PIERS verify that the patient request matches provider-reported contact information.
Best matching tip: use the same phone number or email you gave the doctor or pharmacy at your or your dependent’s most recent Pennsylvania immunization appointment.
Keystone troubleshooting

Keystone Login issue or PIERS record issue?

Use the correct support route
Problem What it means Correct next step
Forgot Keystone username Account-login issue. Use Keystone account recovery.
Forgot Keystone password Account-login issue. Use Keystone password reset.
Cannot create or sign in to Keystone Keystone technical issue. Call Keystone Login Help Desk at 877-328-0995.
Keystone works but patient cannot be found PIERS matching issue. Use the PIERS Immunization Record Update Request.
Patient found but no code arrives Provider-reported phone/email mismatch. Try the correct old contact or use the PA DOH release route.
Verification-code problem

What if the PIERS access code never arrives?

Old phone number The registry may contain the phone number used at a previous appointment.
Old email address PIERS may be matching an address you no longer use.
Provider did not report contact information A vaccine record can exist even when the phone/email needed for public access was never submitted.
Dependent uses another parent’s contact The child’s record may contain another parent’s phone number or email.
If you no longer have access to the provider-matched phone or email: Pennsylvania says you cannot complete Public Portal access. Use the Authorization for Release of Immunization Records instead.
Parent / guardian workflow

How to get a child’s PA vaccine record

Child is under age 18

A parent or legal guardian can access the eligible dependent’s PIERS record when the child’s demographic information and parent/guardian contact information match the registry.

Child is now age 18+

The normal dependent portal route no longer applies. The adult should access their own record unless an adult legal-guardian authorization applies.

Divorced or separated parents

PIERS currently says either parent’s email address or phone number can work if both contacts were listed on the child’s immunization record by the provider.
Provider script “I cannot access my child’s PIERS record. Please confirm the child’s name, date of birth and gender as reported to PIERS, and which parent phone numbers or email addresses are listed on the immunization record.”
Adult guardian / elderly parent

When the adult cannot use PIERS themselves

Legal guardian of an adult

If an adult over 18 cannot access their own PIERS record, Pennsylvania says a legal guardian can use the Authorization for Release of Immunization Records process.

Elderly parent without phone/email

PIERS gives the same release-form route when an elderly parent cannot receive the portal’s one-time text or email code.

Processing distinction: PIERS says to allow a minimum of 10 business days for these adult-guardian and elderly-parent release situations.
No match / demographic update

When to submit the PIERS Immunization Record Update Request

Use this form when the Public Portal could not find your or your child’s record, or when demographic/contact information needs updating.

Do not use this as a generic missing-vaccine form. If the patient record is accessible but one dose is missing, start with the provider or pharmacy that administered the vaccination.

Current Update Request information

Self or dependent under 18
First name
Last name
Date of birth
Gender
Current street address
City
State
ZIP code
Current email
Current phone number
Proof of identification
Current processing guidance: allow up to 5 business days for the submission to be processed.
If PIERS finds a matching record, Help Desk staff can update the demographic information so you can try the Public Portal again.
Formal PA Department of Health request

Request PA vaccine records when portal access is not enough

Cost: Pennsylvania currently says residents can request their immunization records online from DOH at no cost.
Open the official Authorization for Release Use the Pennsylvania government process rather than paying an unofficial record-finder website.
Complete the release form Enter patient and recipient information carefully.
Upload a copy of your photo ID Pennsylvania requires identity proof for the online release request.
Submit only one request The Department of Health specifically asks users not to send duplicate forms.
Allow the normal processing period Pennsylvania currently says records usually take 7–10 business days to be sent.
Unable to use the online form? PA DOH also permits a completed paper authorization plus photo ID to be sent using the alternative email or mail route, but says this adds processing time.
Record exists but vaccine is absent

How to correct a missing PIERS vaccine dose

Contact the provider or pharmacy that actually administered the dose Start with the original clinical source.
Ask for the vaccine-administration record Request the vaccine name and administration date plus any available supporting information.
Ask whether the dose was reported to PIERS A provider record may exist even when the statewide registry entry is missing.
Verify patient demographics A name, DOB or other mismatch can prevent a dose from linking correctly.
Ask the administering source to correct/report data when appropriate Do not manually edit an official PIERS PDF.
Download a new PIERS record afterward Check whether the corrected dose now appears.
Pennsylvania currently says pharmacies and Vaccines for Children Program providers are required to report immunization administrations to PIERS. Other immunization providers are encouraged to report voluntarily.
Missing-dose script “My PIERS record is missing the [vaccine] administered by your organization around [date]. Please verify the original administration record and whether the dose was reported to PIERS under my correct patient information.”
Do not misread PIERS forecasting

Why “Date Next Due” may appear in red

A past date shown in red does not automatically mean you missed a vaccination.

PIERS says a past Date Next Due can appear when prior immunizations were not reported to the registry, even when the person is actually up to date. Adult records may also show childhood vaccinations as due.
Do not decide to repeat a vaccine from this field alone. Compare provider and pharmacy documentation and discuss vaccination decisions with an appropriately qualified healthcare professional.
Historical records

Why older PA vaccine records may be incomplete

PIERS reporting started in the early 2000s, so older childhood vaccinations may never have been entered.

Older childhood doses Vaccinations from before widespread PIERS reporting may exist only on paper or in old provider files.
Provider never reported them Not every provider historically had the same reporting obligation.
Philadelphia vaccinations City-administered vaccines belong to the PhilaVax route.
Vaccinations in another state The original state’s IIS may hold the record.
Employer or college vaccination Occupational or student-health systems can contain records absent from PIERS.
Paper-only documentation Parents, old schools or closed practices may hold the only surviving copy.

Old-record recovery checklist

Parents / caregivers
Baby books
Old pediatricians
Current provider
Pharmacies
Previous schools
College health office
Past employers
Military / VA records
Other state registries
There is no national immunization-record database. A missing PIERS entry does not prove that the vaccination was never administered.
Separate Philadelphia system

How to request a Philadelphia PhilaVax vaccine record

If vaccines were administered in Philadelphia, use the Philadelphia Department of Public Health record-request route.

Who can request
  • Your own record.
  • A child’s record when the child is under 18 and you are the parent or guardian.
  • You cannot request another unrelated person’s record.
What PhilaVax includes

Philadelphia says its record includes proof of vaccines received in Philadelphia, including reported COVID-19 vaccinations administered in the city.

Prepare acceptable photo identification

State driver’s license
PHL City ID
U.S. Passport / Passport Card
U.S. PIV card
Uniformed Services ID
Permanent Resident Card
Employment Authorization Card
Government agency photo ID
Prepare a readable copy of accepted photo ID The city requires ID with the request.
Complete the Philadelphia online request Use the city’s official form.
Use the alternate route when necessary Philadelphia also allows its record request to be submitted by mail, email or fax.
Allow current city processing time Philadelphia currently says requests are processed within 5 business days.
Lost Philadelphia COVID-19 vaccine card? The city says a PhilaVax Immunization Record can serve as proof of Philadelphia COVID-19 vaccination.
2026 Pennsylvania school use

PA school immunization records: first-day and fifth-day rules

Do not send completed school forms directly to the PA Department of Health. Pennsylvania instructs parents and guardians to contact the school nurse for the school’s submission process.
Current Pennsylvania school immunization checkpoints
Student Current requirement Practical record action
Kindergarten / all grades Four tetanus/diphtheria/acellular pertussis doses, four polio doses, two MMR, three hepatitis B and two varicella doses or evidence of immunity, subject to current timing rules. Have the school nurse review the complete record early.
7th grade One Tdap and one meningococcal conjugate vaccine on the first day, in addition to other grade-school requirements. Check both entries before school starts.
12th grade One meningococcal conjugate vaccine on the first day. A qualifying dose given at age 16 or older counts as the 12th-grade dose. Ask the school nurse to review the administration date.
Multidose series still in progress Required doses must be complete, or medically appropriate doses must be current with a plan for remaining doses, by the fifth day of school. Obtain provider documentation showing the series plan.
Missing single-dose requirement A required single-dose vaccine must be received before the first day or exclusion may apply. Do not rely on the fifth-day rule for a first-day single-dose requirement.

Current exemption categories

Medical reason

Current Pennsylvania school rules recognize applicable medical exemptions.

Religious belief

Applicable religious exemptions are recognized.

Philosophical / strong moral or ethical conviction

Current Pennsylvania school guidance also recognizes this category.

A student with an exemption may still be excluded during an outbreak of a vaccine-preventable disease.

Do not confuse vaccines with physical and dental exams

Physical examination

Pennsylvania currently requires a physical examination for kindergarten, 6th grade, 11th grade and new students.

Dental examination

Pennsylvania currently requires a dental examination for kindergarten, 3rd grade, 7th grade and new students.

A PIERS immunization record does not replace a required school physical or dental form.
Pharmacy-administered vaccines

Recover CVS, Walgreens, Rite Aid, Walmart or other pharmacy doses

Use the account tied to the vaccination appointment Try the phone number or email used when the vaccine was scheduled.
Look for Immunizations or Vaccine History Prescription purchase history alone may not show enough clinical detail.
Call the exact administering location Ask for the vaccine name and administration date.
Ask whether the dose was reported to PIERS or PhilaVax Outside Philadelphia, ask about PIERS; inside Philadelphia, ask about PhilaVax.
Keep the pharmacy record It can help a healthcare provider investigate a missing registry entry.
Pharmacy script “Please provide my complete vaccine-administration history from this pharmacy, including vaccine names and dates, and confirm whether each Pennsylvania vaccination was reported to PIERS or PhilaVax.”
Multi-state history

Vaccines given outside Pennsylvania need a separate search

PIERS is not a national lifetime record database. Contact the provider, pharmacy or IIS in each jurisdiction where a vaccination was administered.

Moved into Pennsylvania

Bring previous-state documentation to your Pennsylvania provider and school when relevant.

Moved away from Pennsylvania

Download and preserve your available PIERS and PhilaVax records before you urgently need them.

Several states involved

Build one private packet from each registry, provider and pharmacy source.

Deadline rescue

Choose your record route based on how soon you need it

Needed today / tomorrow
  • Try PIERS now.
  • Contact provider and pharmacy in parallel.
  • Use PhilaVax immediately for Philadelphia doses.
  • Ask the recipient which temporary proof it accepts.
Needed within about 5 business days
  • Submit PIERS Update Request immediately after a true no-match.
  • Recover provider/pharmacy evidence simultaneously.
  • Philadelphia currently states 5-business-day processing.
Needed within 1–2 weeks
  • Use PA DOH release route if required.
  • Normal DOH requests currently usually take 7–10 business days.
  • Search old and out-of-state records in parallel.
Processing times are not guarantees. Do not wait until the final school, employment, college or clinical deadline to begin correcting a record problem.
Before contacting support

Prepare this PA record-recovery worksheet

Current legal name
Former / maiden names
Date of birth
Gender as provider recorded it
Current mobile number
Previous mobile numbers
Current email
Previous email addresses
Provider names
Pharmacy names
Approximate vaccine dates
Philadelphia vs other PA locations
Other states where vaccinated
Exact document needed
Submission deadline
Photo ID for update/release route
Official contact routes

Who to contact for PA vaccine-record help

Pennsylvania record support
Problem Contact Use
PIERS Public Portal / record access 877-774-4748, option 4
RA-DHVaxRecords@pa.gov
PIERS resident record-access questions.
Keystone Login 877-328-0995
keystoneloginsupport@randstadusa.com
Keystone account creation and sign-in problems.
Philadelphia immunization record 215-685-5488
publichealthinfo@phila.gov
Philadelphia vaccine-record questions.
PIERS support script “I need help with a Pennsylvania immunization record. I already tried [PIERS / Update Request / PA DOH release]. The problem is [no match / no one-time code / missing dose / dependent access]. Vaccinations were given in [Philadelphia / another PA county / another state]. What is the correct next official step?”
Final accuracy check

Before submitting your PA vaccine record

Correct person’s full name
Correct date of birth
PIERS and PhilaVax both checked when relevant
Expected vaccine dates reviewed
Missing doses investigated with original source
Old/out-of-state records checked when needed
Receiving organization confirmed required format
School documentation routed to school nurse
PDF opens and all pages are readable
Official record was not manually edited
One-time code and photo ID remain private
Secure backup saved
Plain-English terms

PA vaccine-record glossary

PIERS
Pennsylvania Immunization Electronic Registry System, the statewide immunization registry used outside Philadelphia.
PA-SIIS
An older name still seen in some historical or federal references for Pennsylvania’s immunization information system.
Keystone Login
Pennsylvania’s account system used to authenticate users before they enter the PIERS Public Portal.
One-Time Access Code
The PIERS verification code sent to a provider-matched phone number or email address.
Official Immunization Record
The downloadable PIERS vaccination record available after successful Public Portal verification.
PIERS Update Request
The official form used when a Public Portal record cannot be found or demographic/contact information needs updating.
Authorization for Release
The Pennsylvania Department of Health process for requesting formal release of immunization records with identity verification.
PhilaVax
Philadelphia Department of Public Health’s separate Immunization Information System.
Date Next Due
A PIERS forecasting field that may show a past date when prior doses have not been reported to the registry.
Provisional school attendance
A Pennsylvania school situation where medically appropriate required doses are current and an acceptable plan exists for remaining doses.
Frequently asked questions

PA vaccine records FAQs

How do I get my PA vaccine records online?

Use the PIERS Public Portal. Sign in with Keystone Login, select yourself or an eligible dependent under 18, enter patient information, receive the one-time code through provider-matched phone or email information, then view or download the Official Immunization Record.

Can parents access a child’s Pennsylvania vaccine record?

Yes. A parent or legal guardian can access an eligible dependent under age 18 when the child’s information and parent/guardian contact information match PIERS.

What if my PIERS verification code does not arrive?

The phone number or email may not match what the provider reported to PIERS. If you no longer have access to the matching contact information, Pennsylvania directs you to the Authorization for Release of Immunization Records process.

How many times can I search for a record in PIERS?

PIERS currently limits searches for a specific record to three attempts within a 30-minute period. After exceeding the limit, you must wait 30 minutes before trying that record again.

What should I do if PIERS cannot find my record?

Submit the PIERS Immunization Record Update Request and upload proof of identification. PIERS staff will search for a matching record and can update demographic information when appropriate.

How long does the PIERS Update Request take?

The current official Update Request says to allow up to five business days for processing.

How long does a PA Department of Health record request take?

Pennsylvania currently says ordinary online requests usually take 7–10 business days. Certain adult legal-guardian and elderly-parent release situations are described by PIERS as requiring a minimum of 10 business days.

Why are Philadelphia vaccines missing from PIERS?

Vaccinations administered in Philadelphia are reported to the city’s PhilaVax system rather than statewide PIERS. Use the Philadelphia record request when city-administered vaccines matter.

Why does PIERS show a red past Date Next Due?

PIERS says this can happen when earlier immunizations were not reported to the registry. A red date does not by itself prove that you need another vaccine.

Can I use a PIERS record for Pennsylvania school enrollment?

PIERS can document reported vaccine dates, but the school determines whether current Pennsylvania attendance requirements are met. Submit the record to the school nurse and ask what additional documentation is needed.