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Adult Vaccination


Diseases prevented by vaccines


Possible symptoms

Possible complications

Who should get vaccinated?


  • Painful muscle spasms (beginning with jaw and going down the body)
  • Difficulty swallowing (& later breathing)
  • Broken bones
  • Pneumonia
  • Death
  • Everyone
    (1 dose every 10 years)


  • Sore throat & difficulty swallowing
  • Fever & chills
  • Difficulty breathing
  • Breathing problems
  • Paralyzed muscles
  • Heart & nerve damage
  • Everyone
    (1 dose every 10 years)

Pertussis (whooping cough)

  • Runny nose & nasal congestion
  • Mild fever
  • Cough (starts mild; can become severe and long-lasting)
  • Pneumonia
    Infants are more likely to have severe complications (breathing difficulties, seizures, brain damage, death)
  • Everyone
    (1 booster dose as an adult and during each pregnancy)

Hepatitis A
Hepatitis B

  • Fever
  • Fatigue & loss of appetite
  • Nausea & vomiting
  • Abdominal pain
  • Jaundice (yellowing of skin & eyes, dark urine)

Hepatitis A

  • Liver failure
  • Death (rare; risk increases over age 60)
  • Everyone wanting protection
  • Especially people with medical, occupational, travel or lifestyle risks
  • Contacts of cases who have been exposed
    (Usually 2-3 doses)

Human papillomavirus (HPV)

  • Genital and/or anal warts
  • Itching or burning
  • Very often no symptoms
  • Cervical cancer & other cancers (e.g. anal, throat, tongue, vulvar, vaginal, penile)
  • Warts in the airways
  • Death
  • Females and males 9 to 26 years of age
  • Females and males 27 years of age and older at ongoing risk of exposure
    (Usually 2-3 doses)

Seasonal influenza (flu)

  • High fever
  • Headache, general aches & pains
  • Fatigue & weakness
  • Sore throat
  • Coughing & chest discomfort
  • Bronchitis (inflammation of airways)
  • Pneumonia
  • Can worsen a chronic condition (e.g. asthma, congestive heart failure)
  • Death
  • Everyone
    (1 dose every year in the fall)

Meningococcal infection

  • Sudden fever
  • Severe headache
  • Nausea & vomiting
  • Red rash or tiny bruises on skin
  • Stiff neck
  • Meningitis (inflammation of the lining of the brain and spinal cord)
  • Septicemia (infection of the blood)
  • Amputation of one or more limbs
  • Brain damage/ Coma/ Death
  • People with specific medical conditions
  • People living in residential accommodation
    (e.g. students, military)
    (Usually 1 dose-depends on risk)

Pneumococcal infection

  • Fever & chills
  • Headache, earache, plugged nose
  • Cough & difficulty breathing
  • Chest pain
  • Pneumonia
  • Meningitis (inflammation of the lining of the brain and spinal cord)
  • Septicemia (infection of the blood)
  • Brain damage/ Death
  • Everyone 65 years and older
  • People with specific medical conditions
    (Usually 1 dose-depends on risk)

Herpes zoster (shingles)

  • Headache, sensitivity to light
  • Fatigue
  • Anywhere on one side of body:

Skin pain, burning, itching or tingling, sensitivity to touch

Red rash, fluid-filled skin blisters

  • Post-herpetic neuralgia
    (prolonged pain can last for years & affect daily activities)
  • Vision or hearing loss
  • Severe skin infections
  • Nerve damage
  • Everyone age 60 years and older
  • Can also be given to people 50-59 years and those with specific medical risks
    (1-2 doses depending on vaccine)




Flu Vaccine

Tetanus Vaccine

Tdap Vaccine

Meningococcal Vaccine

Pneumococcal Vaccine

Human papillomavirus (HPV) Vaccine

Herpes Zoaster Vaccine

National Immunization Schedule

VaccineWhen to giveMaximum ageDoseRouteSite
For Pregnant Women
Tetanus & adult Diphtheria (Td -1)early pregnancy0.5mlintra muscularUpper arm
Tetanus & adult Diphtheria (Td -2)4 weeks after 1st dose of Td*0.5mlintra muscularUpper arm
Tetanus & adult Diphtheria (Td booster)If received 2 Td doses in a pregnancy within the last 3yrs0.5mlintra muscularUpper arm
For Infants
BCG (Bacillus Calmette Guerin)At birth or as early as possible till 1 year of ageAt birth till one year0.1ml (0.05ml until 1month age)Intra-dermal

Left Upper Arm

Hepatitis B – Birth doseAt birth or as early as possible within 24 hoursAt birth within 24 hours0.5 mlIntra-muscularAntero-lateral side of mid-thigh
Oral Polio Vaccine (OPV) -0At birth or as early as possible within first 15 daysWithin the first 15 days2 dropsOralOral
Oral Polio Vaccine (OPV) -1,2,3,6 weeks, 10 weeks & 14 weeks Till 5 years of age2 dropsOralOral
Inactivated Polio Vaccine (IPV) 1 & 26 weeks & 14 weeks1 year of age0.1 mlIntra-dermalRight Upper arm
Pentavalent vaccine (Diphteria, Pertussis, Tetanus, Hepatitis B, Hib)- 1, 2 & 36 weeks, 10 weeks & 14 weeks1 year of age0.5 mlIntra-muscularAntero-lateral side of mid-thigh
Rotavirus Vaccine (RVV) 1, 2 & 3At 6 weeks, 10 weeks & 14 weeks1 year of age5 drops (lyophilized vaccine)OralOral
Pneumococcal Conjugate Vaccine (PCV) 1, 2 & BoosterAt 6 weeks, 14 weeks & 9 months1 year of age0.5 mlIntra-muscularAntero-lateral side of mid-thigh
Measles-Rubella (MR) 19 completed months – to 12 months. Give up to 5yrs if not received at 9 – 12 months age5 years of age0.5 mlSub-cutaneousRight upper arm
Vitamin A (1st dose)At 9 completed months 5 years of age1ml (1lakh IU)OralOral
Japanese Encephalitis (1st Dose)***At 9 completed months – 12 months15 years of age0.5 mlSubcutaneous (live vaccine) Intramuscular (killed)Left upper arm Antero-lateral side of mid thigh
For Children and adolescents
Diphtheria Pertussis Tetanus (DPT) booster 116- 24 months7 years of age0. 5 mlIntra- muscularAntero-lateral side of mid-thigh
MR 216-24 months5 years of age0.5 mlSub-cutaneousRight Upper arm
OPV Booster16-24 months5 years of age2 dropsOralOral
Japanese Encephalitis***(if applicable)16-24 months15 years of age0.5 mlSub-cutaneousLeft Upper Arm
Vitamin A***(2nd to 9th dose)18 months (2nd dose). Then, one dose every 6 months upto the age of 5 years.5 years of age2 ml (2 lakh IU)OralOral
Diphtheria Pertussis Tetanus Booster (DPT) booster 25- 6 years7 years of age0.5 mlIntra-muscularUpper arm
Tetanus & adult Diphtheria10 years &16 years16 years of age0.5 mlIntra-muscularUpper arm