A simple guide for travel vaccines – compiled by Jane Chiodini

A simple guide for travel vaccines – compiled by Jane Chiodini
Always use this table in conjunction with information from the SPC at www.medicines.org.uk,
the BNF at www.bnf.org and the DH Green Book at http://immunisation.dh.gov.uk/
VACCINE NAME AGE GROUPS WHEN TO BOOST- general
principles and comments
HEPATITIS A vaccine (and schedules)
VAQTA® Paediatric – day 0 and 6-18 months 1 - 17 years Ideally, follow the summary of
Avaxim®
day 0 and 6-12 months 16 years and over product characteristics but in late-
Havrix Junior recommended, but can 1 – 15 years
presenting travellers, a course does
Monodose®
be given up to 3yrs and
not need to be restarted (DH 2006).
Havrix Monodose® up to 5yrs for Havrix 16 years and over Protection is expected for 20 years
Monodose*
from the booster dose – also see
Epaxal®– day 0 and 6-12 months, but can be 1 year and over
NaTHNaC FAQs on Hepatitis A ** and
given up to 10 yrs* detailed in the SPC.
TYPHOID vaccine
detail below within the ‘Key’ section
regarding GSK ‘Havrix’ vaccines***.
Typherix® Single dose (Not available – expected
back 2014)
2 years and over 3 years
Typhim Vi® Single dose 2 years and over 3 years
Vivotif® (Ty21a) Oral vaccine on days 0, 2 & 4
HEPATITIS B vaccine (and schedules)
6 years and over Annual booster if at risk (Take with
cold or luke warm drink 1 hr before
meal, swallow capsule whole)
Engerix B® - 0, 1 and 6 months Over 16 years Individuals at continuing risk of
Engerix B® Paediatric 0, 1, 6 months 0 to 15 years
infection should be offered a single
Engerix B® - 0, 1, 2 and 12 months Over 16 years
booster dose of vaccine, once only,
Engerix B® Paediatric 0, 1, 2, &12 months 0 to 15 years
around 5 years after primary
Engerix B® 0, 7, 21 days & 12 months
Engerix B® Option of two doses of 1 ml (20mcg)
for low-compliance adolescents given 6 months
apart when the risk of hepatitis B is low and
completion of course can be can be assured
before risk is high
Over 18 years –
also 16 -18 years (DH
2006)
11 – 15 years
immunisation. Measurement of
antibody response to hepatitis B is
not required either before or after
this dose. (Local policies may vary).
Refer to the Green Book for guidance
regarding this detail and also
occupational health risk.
HBvaxPRO® 0, 1, and 6 months 16 years and over
HBvaxPRO ® 0, 1, 2 and 12 months 16 years and over
HBvaxPRO ® Paediatric 0, 1 & 6 months 0 – 15 years
HBvaxPRO ® Paediatric 0, 1, 2, 12 months
COMBINED vaccines (and schedules)
0 – 15 years
Hepatyrix® (Hepatitis A and typhoid) Single dose 15 years and over 6-12 months for hepatitis A
(Currently not available)
component (then hepatitis A booster
VIATIM® (Hepatitis A and typhoid) Single dose 16 years and over given as a monovalent vaccine) and 3
years for the typhoid component
Twinrix Adult® (Hepatitis A and B) 0, 1, 6 months 16 years and over See information about hepatitis A
Twinrix Adult® 0, 7, 21, days and 12 months 18 years and over and hepatitis B regarding boosters
Twinrix Paediatric® 0, 1, 6 months 1 – 15 years
above
Ambirix ® (Hepatitis A and B) 0 & 6-12 months 1 – 15 years
Tetanus, polio & low dose diphtheria (for travel purposes)
Revaxis® 1 dose if risk at destination and UK
schedule complete more than 10 years ago – see
Green Book p372
From 6 years - for travel
purposes expect to give
older than this
10 years if risk at destination and risk
of immunoglobulin not being
available
This chart was designed & created by Jane Chiodini ©Travel Health Training Ltd. Updated 20.03.13

MENINGOCOCCAL vaccine
ACWY Vax® Single dose (polysaccharide vaccine) 2 years and over 3-yearly for pilgrims to Hajj or
Menveo Umrah. The need for timing of a
booster of Menveo and Nimenrix has
not yet been established – see Green
Book update (Nimenrix not yet
added) and SPCs
▼® Single dose (conjugate vaccine) 2 years
Nimenrix ▼ Single dose (conjugate vaccine)
RABIES vaccine (and schedules)
1 year
Rabies vaccine BP 0, 7 and 28 days Any age but careful risk New Green Book chapter due – see
Rabipur® 0, 7, 21 or 28 days
YELLOW FEVER vaccine
assessment under 1 year JCVI Oct. 2010 minutes at
http://www.dh.gov.uk/ab/JCVI/DH_1
07556 & see TRAVAX
Stamaril® Single dose
CHOLERA vaccine
Over 9 months 10 years – certificate valid 10 days
after vaccine administered
Dukoral® Oral vaccine. 2 doses, 1 wk apart from 2 years and over 2 yrs in age 6 to adult
6yrs of age. 3 doses, minimum 1 wk apart in 2 –
6 months in 2 – 6 year olds
6 year olds
JAPANESE ENCEPHALITIS vaccine
NBM 1 hr before & after vaccine
IXIARO ®▼ 0 and 28 days for all age groups. From 2 months 1 year if at continuous risk
0.5ml dose for adults & 3 yr to < 18 yr age group
All others, boost at 12-24 months
0.25ml for 2 month to < 3yr age group See SPC
after the recommended primary
for specific instructions)
immunisation, prior to potential reexposure
to Japanese encephalitis
TICK BORNE ENCEPHALITIS vaccine
Tico-Vac® 3 doses of 0.5ml on day 0, 1-3 months
after 1 st dose, 5-12 months after 2 nd dose
Tico-Vac® Junior (0.25ml) 3 doses – same dosing
schedule as adult Tico-Vac®
16 years and over Booster every 3 years after initial 3
1 year to below 16 years
of age
dose course is individual continues to
be at risk. For rapid short-term
protection – 2 nd dose can be given 2
weeks after 1 st dose (giving at least
90% protection) – see ‘Green Book’
KEY
* Within the Summary of Product Characteristics (SPC)
** The Green Book (2006) refers to all hep A products, so the 20 year protection also applies to the
combined products and paediatric hepatitis A vaccines. Also see the NaTHNaC FAQ document on hepatitis
A for more exact detail http://www.nathnac.org/pro/misc/hepA.htm
***SPC for Havrix Monodose and Havrix Junior Monodose April 2012 states ‘Current recommendations do
not support the need for further booster vaccination among immunocompetent subjects after a 2 dose
vaccination course’
Sources of Information for this table taken from:
Department of Health (2006) Immunisation Against Infectious Diseases – The Green Book
http://immunisation.dh.gov.uk/category/the-green-book/ and subsequent update patches and revised
chapters found on this website.
Electronic Medicines Compendium www.emc.medicines.org.uk and also www.smpsd.co.uk,
www.vaccines.co.uk, www.bnf.org
IMPORTANT – Where there is a difference between the Green Book and the SPC, the Green Book should be
followed – ref. Chapter 4, page 25
PLEASE MAKE SURE YOU CHECK YOU ARE ALWAYS USING THE LATEST VERSION OF THIS CHART
found at www.janechiodini.co.uk
This chart was designed & created by Jane Chiodini ©Travel Health Training Ltd. Updated 20.03.13