Childhood, Adult, Maternal & Travel Vaccination Services

The Vaccination Service at AS Medical Complex provides immunization assessment, routine vaccination, catch-up vaccination guidance, adult immunization review, maternal vaccination assessment, travel-vaccine counseling, and vaccination-record review for eligible patients.

Vaccination is one of the most effective methods of preventing serious infectious diseases. Vaccines work by helping the immune system develop protection against specific infections before or after exposure, depending on the vaccine and clinical situation.

The World Health Organization states that vaccines are available against more than 30 serious diseases and infections and that immunization prevents millions of deaths globally each year.

The Ali Medical reference Vaccination service similarly covers childhood, adult, and travel vaccination, with immunization selected according to age, health needs, occupational exposure, and travel-related risk.

At AS Medical Complex, vaccination recommendations should be based on the patient’s:

• Age

• Previous vaccination history

• National immunization schedule

• Pregnancy status

• Medical conditions

• Previous vaccine reactions

• Immune status

• Medication

• Occupation

• Travel destination

• Exposure risk

• Other individual clinical factors

The availability of individual vaccines should be confirmed with AS Medical Complex before the patient attends.

Our Vaccination Services

Depending on age, medical need, vaccine availability, and current national or international recommendations, vaccination services at AS Medical Complex may include:

• Childhood vaccination

• Routine pediatric immunization

• Pakistan EPI vaccination guidance

• Catch-up vaccination assessment

• Missed-vaccine review

• Adolescent vaccination

• Adult vaccination

• Influenza vaccination

• Tetanus-containing vaccination

• Hepatitis vaccination where appropriate

• Pneumococcal vaccination where appropriate

• HPV vaccination assessment

• Measles-containing vaccination where appropriate

• Polio vaccination according to applicable requirements

• Maternal vaccination assessment

• Vaccination during pregnancy where recommended

• Vaccination before pregnancy

• Vaccination for older adults

• Vaccination for selected chronic medical conditions

• Vaccination for selected immunocompromised patients

• Occupational vaccination assessment

• Healthcare-worker vaccination review

• Travel vaccination counseling

• Yellow-fever vaccination referral/certification guidance where applicable

• Travel-related polio vaccination guidance

• Vaccination-record review

• Replacement or updating of vaccination documentation where appropriate

• Pre-employment immunization review

• Pre-travel immunization review

• Post-exposure vaccine assessment for selected conditions

• Vaccine-safety counseling

• Evaluation after previous vaccine reactions

• Referral for specialist vaccination advice when required

Individual vaccine availability and eligibility should always be confirmed before administration.

Childhood Vaccination

Protecting Children Against Vaccine-Preventable Diseases

Childhood vaccination helps protect infants and children against infections that can cause severe illness, disability, complications, hospitalization, or death.

Pakistan’s Expanded Programme on Immunization – EPI provides a national schedule for routine childhood immunization. The Federal Directorate of Immunization states that the program aims to vaccinate children during early childhood against 12 vaccine-preventable diseases.

The exact timing and vaccine products should follow the current Pakistan national immunization schedule rather than an outdated or foreign schedule.

Pakistan EPI Vaccination

Pakistan’s routine childhood immunization program provides protection against several major vaccine-preventable diseases.

Depending on the current national schedule, these include protection relating to conditions such as:

• Childhood tuberculosis

• Poliomyelitis

• Diphtheria

• Pertussis

• Tetanus

• Hepatitis B

• Haemophilus influenzae type b disease

• Pneumococcal disease

• Rotavirus

• Measles

• Rubella

• Typhoid

The exact vaccines, doses, timing, and national program components can change, so patients should follow the latest Federal Directorate of Immunization schedule.

Vaccination at Birth

Some routine vaccines are scheduled beginning at or soon after birth under national immunization programs.

Parents should keep the newborn’s vaccination record and follow the schedule provided by the vaccination team.

If a birth dose was missed, parents should not assume the child can no longer be vaccinated.

A healthcare professional should review the record and determine the appropriate catch-up plan.

Vaccination During Infancy

Infants receive several vaccinations during the first months of life because young children can be particularly vulnerable to serious infectious diseases.

Vaccination visits also provide an opportunity to:

• Review previous doses

• Record new doses

• Check whether any vaccines were missed

• Explain possible expected reactions

• Plan the next visit

Parents should bring the child’s vaccination card whenever possible.

Vaccination Records

A vaccination record helps healthcare professionals determine:

• Which vaccines have already been given

• Dates of previous doses

• Which doses remain due

• Whether catch-up vaccination is required

• Whether previous doses meet travel or institutional requirements

Parents should keep vaccination records in a safe place and bring them to future vaccination appointments.

Missed Childhood Vaccines

Catch-Up Vaccination

Missing a scheduled vaccine does not necessarily mean that the entire vaccine course must be abandoned.

Catch-up vaccination refers to providing vaccines to a person who did not receive them at the recommended time.

WHO describes catch-up vaccination as immunization of people who have missed vaccines according to their national schedule and recommends that countries maintain policies for delayed vaccination.

The appropriate catch-up plan depends on:

• Child’s age

• Vaccines already received

• Number of previous doses

• Time since previous dose

• Current national schedule

• Medical conditions

Parents should bring any available vaccination records for review.

Adolescent Vaccination

Vaccination needs continue beyond infancy.

Adolescents may require assessment for:

• Vaccines not completed in childhood

• Catch-up immunization

• HPV vaccination

• Tetanus-containing boosters where applicable

• Travel-related vaccination

• Other vaccines based on individual risk

Recommendations should follow current national guidance and the patient’s medical circumstances.

HPV Vaccination

Human Papillomavirus vaccination can help prevent infection with HPV types responsible for a substantial proportion of cervical cancers and other HPV-related disease.

Pakistan introduced a national HPV vaccination campaign in 2025 as part of efforts to protect eligible girls from cervical cancer.

Eligibility, dosing, availability, and whether vaccination is being delivered through routine services or specific campaigns should be confirmed according to current Federal Directorate of Immunization guidance.

HPV vaccination does not replace appropriate cervical-health screening later in life.

Adult Vaccination

Vaccination Is Not Only for Children

Adults may also need vaccines.

The appropriate vaccines depend on:

• Age

• Vaccination history

• Previous infections

• Pregnancy

• Occupation

• Chronic medical conditions

• Immune status

• Travel

• Other exposure risks

WHO emphasizes that vaccination can protect people across the lifespan, not only during childhood.

The Ali Medical reference Vaccination service likewise includes adult immunization tailored to adult health needs and occupational risks.

Why Adults May Need Vaccination

An adult may need vaccination because:

• Childhood vaccination was incomplete

• Protection from certain vaccines requires boosting

• Age increases the risk of complications

• A chronic disease increases vulnerability

• A new vaccine becomes recommended

• Occupational exposure creates additional risk

• Pregnancy creates specific immunization needs

• International travel creates new exposure risks

An adult vaccination review can help determine which immunizations are appropriate.

Influenza Vaccination

Seasonal influenza can cause significant illness, particularly in people at increased risk of complications.

Influenza vaccination may be considered according to:

• Age

• Pregnancy

• Chronic disease

• Occupational exposure

• Current public-health guidance

• Vaccine availability

Because influenza strains and vaccine formulations can change, recommendations should follow current medical and public-health guidance.

Pneumococcal Vaccination

Pneumococcal bacteria can cause illnesses including:

• Pneumonia

• Bloodstream infection

• Meningitis

• Other serious infections

Pneumococcal vaccination may be appropriate for selected:

• Older adults

• Patients with certain chronic medical conditions

• Immunocompromised patients

• Other higher-risk groups

The exact vaccine type and schedule depend on age, medical history, and previous pneumococcal vaccination.

Tetanus Protection

Tetanus is a serious disease caused by toxin-producing bacteria that can enter through contaminated wounds.

Tetanus-containing vaccination may be required as part of routine immunization or wound-related prevention depending on:

• Vaccination history

• Type of wound

• Time since previous vaccination

• Current national recommendations

Patients with significant wounds should receive appropriate medical assessment rather than relying only on their memory of previous vaccination.

Vaccination After an Injury

Some wounds may require consideration of tetanus prevention.

Examples include:

• Deep puncture wounds

• Contaminated wounds

• Animal-related wounds

• Crush injuries

• Certain burns

• Other high-risk injuries

The clinician assesses:

• Wound type

• Vaccination history

• Time since last tetanus-containing dose

• Whether additional preventive treatment is required

A vaccination visit does not replace appropriate wound cleaning or surgical assessment.

Hepatitis B Vaccination

Hepatitis B is a viral infection affecting the liver.

Vaccination may be particularly relevant for selected people based on:

• Childhood immunization status

• Occupational exposure

• Household exposure

• Healthcare work

• Medical treatment risks

• Other recognized indications

Hepatitis B vaccination is also incorporated into childhood immunization programs. Pakistan’s EPI includes hepatitis B protection within routine childhood vaccination.

Healthcare Worker Vaccination

Healthcare workers can be exposed to infectious diseases through:

• Blood

• Respiratory secretions

• Patient contact

• Needlestick injuries

• Other occupational routes

Vaccination review may consider:

• Hepatitis B

• Influenza

• Measles-containing vaccination

• Tetanus-containing vaccination

• Other vaccines according to occupational risk and applicable guidance

Vaccination should be combined with appropriate infection-control measures.

Vaccination for People With Chronic Diseases

Some chronic conditions increase the risk of severe complications from infectious diseases.

Vaccination needs may therefore differ for patients with conditions such as:

• Diabetes

• Heart disease

• Chronic lung disease

• Kidney disease

• Liver disease

• Other long-term medical conditions

The vaccination plan should be coordinated with the treating physician when medical complexity is significant.

Immunocompromised Patients

People with weakened immune systems may require special vaccination planning.

This may include patients:

• Receiving chemotherapy

• Taking significant immunosuppressive medicines

• Following organ transplantation

• With certain immune disorders

• Receiving prolonged high-dose immunosuppression

• With other conditions affecting immunity

Not all vaccine types are suitable for every immunocompromised patient.

Some live vaccines may be contraindicated or require specialist review.

The vaccination team should therefore know about all relevant diagnoses and medicines before administering a vaccine.

Vaccination Before Immunosuppressive Treatment

When possible, vaccination status may be reviewed before starting treatment that significantly suppresses the immune system.

This can allow clinicians to determine:

• Which vaccines are needed

• Which can be safely administered

• Appropriate timing

• Whether specialist advice is necessary

Patients should not delay essential medical treatment independently in order to receive vaccination.

Timing should be coordinated with the treating specialist.

Vaccination & Pregnancy

Pregnancy changes both immune function and vaccination considerations.

Some vaccines are specifically used during pregnancy because they can protect the mother and, through transferred maternal antibodies, may also provide early protection to the infant.

WHO notes that antibodies generated by maternal vaccination can cross to the fetus and provide passive protection after birth.

However, not every vaccine is suitable during pregnancy.

The vaccine type and timing should be reviewed by an appropriate healthcare professional.

Vaccination Before Pregnancy

Women planning pregnancy may benefit from reviewing their vaccination history before conception.

This can help identify vaccines that:

• Are recommended before pregnancy

• May need to be completed in advance

• Should not normally be administered during pregnancy

• Require specific timing

Preconception vaccination review may be coordinated with the Well Women Clinic or Gynecology Department.

Vaccination During Pregnancy

Vaccination recommendations during pregnancy depend on:

• Vaccine type

• Gestational stage

• Maternal risk

• Local epidemiology

• National guidance

• Travel or occupational exposure

WHO has reviewed the safety of immunization in pregnancy and notes reassuring evidence for several non-live vaccine types when medically indicated.

Pregnant women should always tell the vaccination team that they are pregnant before receiving a vaccine.

Breastfeeding & Vaccination

Breastfeeding does not automatically prevent vaccination.

However, suitability depends on the specific vaccine and the mother’s clinical situation.

Women who are breastfeeding should inform the vaccination team before immunization so appropriate guidance can be provided.

Vaccination for Older Adults

As people age, immune responses and vulnerability to certain infections can change.

Older adults may benefit from vaccination review based on:

• Age

• Chronic diseases

• Previous vaccination

• Immune status

• Living circumstances

• Travel

• Other risk factors

Vaccination should form one component of broader preventive healthcare in older adults.

Travel Vaccination

Vaccination Before International Travel

Travel can expose individuals to infections not commonly encountered at home.

The required or recommended vaccines depend on:

• Destination

• Countries of transit

• Duration of travel

• Time of year

• Type of accommodation

• Rural or urban travel

• Planned activities

• Age

• Pregnancy

• Medical conditions

• Previous vaccination

WHO notes that travel vaccines may be recommended because of diseases present at the traveler’s destination and that some countries require proof of vaccination for entry or exit.

When to Seek Travel-Vaccine Advice

Ideally, travel-health assessment should occur sufficiently before departure to allow time for:

• Vaccine review

• Multiple-dose series where necessary

• Development of immunity

• Documentation

• Other travel-health measures

Even if travel is soon, it may still be useful to seek advice because some protection or required documentation may still be possible.

Travel Vaccines May Depend on Destination

Depending on the destination and individual traveler, vaccines considered may relate to diseases such as:

• Yellow fever

• Polio

• Typhoid

• Hepatitis A

• Hepatitis B

• Meningococcal disease

• Influenza

• Measles

• Rabies

• Other destination-specific infections

This does not mean every traveler needs every vaccine.

WHO emphasizes that vaccination decisions depend on the traveler’s health profile, journey, transit points, and destination.

Yellow Fever Vaccination

Yellow fever is a mosquito-borne viral disease found in selected regions.

Some travelers may need yellow-fever vaccination because:

• Their destination has transmission risk

• A destination requires proof of vaccination

• A transit or entry requirement applies

WHO states that vaccination is the most important preventive measure against yellow fever and that some travelers need vaccination based on destination risk or international travel requirements.

Yellow-fever vaccine is a live vaccine and is not suitable for every patient.

Eligibility requires appropriate screening.

If AS Medical Complex is not an authorized yellow-fever vaccination center, patients should be referred to an appropriate authorized center for vaccination and international certification.

Yellow Fever Certificate

Some destinations may require an official International Certificate of Vaccination or Prophylaxis.

Travelers should verify current entry requirements before travel.

A routine vaccination card may not substitute for an internationally recognized certificate when official documentation is required.

Polio Vaccination for International Travel

Polio vaccination requirements can vary according to:

• Current international public-health recommendations

• Country of origin

• Destination

• Length of stay

• Recent transmission patterns

Travelers from Pakistan may occasionally require specific polio vaccination documentation for international travel.

Current requirements should be checked before departure rather than relying on old travel information.

Hajj, Umrah & Religious Travel Vaccination

Travel for Hajj or Umrah may involve vaccination or health requirements established by Saudi authorities.

Requirements can change.

Travelers should therefore obtain current official guidance before travel and not depend on information from previous years.

The vaccination team can help review the traveler’s documents and advise whether referral to an authorized vaccination center is needed.

Travel Vaccination Is More Than Vaccines

A travel-health consultation may also involve advice about:

• Food and water safety

• Mosquito protection

• Malaria risk

• Medication

• Chronic medical conditions

• Travel insurance

• Carrying prescriptions

• Other health risks

Vaccination cannot prevent every travel-related illness.

Rabies Vaccination Assessment

Rabies is a potentially fatal infection usually transmitted through the bite or scratch of an infected animal.

Vaccination may be considered:

• Before exposure for selected high-risk travelers or occupations

• After a possible exposure

A person bitten or scratched by a potentially rabid animal should seek urgent medical assessment.

Post-exposure management may require:

• Immediate wound washing

• Rabies vaccination

• Rabies immunoglobulin in selected patients

• Additional medical treatment

Do not wait for symptoms to appear.

Vaccination After Animal Bites

An animal bite may require assessment for:

• Rabies prevention

• Tetanus protection

• Wound infection

• Structural injury

Vaccination alone does not replace proper wound management.

Vaccine Safety

Vaccines undergo safety monitoring before and after introduction into vaccination programs.

WHO emphasizes that vaccine-preventable diseases can cause severe illness, disability, or death and that the risk of serious harm from disease is generally far greater than the risk from vaccination.

However, like any medicine, vaccines can cause side effects.

Common Vaccine Reactions

Depending on the vaccine, expected short-term reactions can include:

• Pain at the injection site

• Mild redness

• Mild swelling

• Low-grade fever

• Fatigue

• Headache

• Muscle aches

• Irritability in children

These reactions are usually temporary.

The vaccination team should explain what reactions may be expected from the specific vaccine given.

Serious Vaccine Reactions

Serious allergic reactions are uncommon but require immediate treatment.

Warning symptoms after vaccination may include:

• Difficulty breathing

• Swelling of the face or throat

• Widespread hives

• Severe dizziness

• Collapse

Vaccination services should have an appropriate process for recognizing and managing acute allergic reactions.

Previous Severe Allergic Reaction

A history of a severe allergic reaction to a previous dose or a relevant vaccine component may be a contraindication to receiving that vaccine again without specialist evaluation.

WHO vaccine-safety guidance identifies a severe allergic reaction to a prior dose or vaccine component as an important contraindication.

Patients should inform staff about previous:

• Anaphylaxis

• Severe vaccine reactions

• Known vaccine-component allergies

before vaccination.

Vaccine Contraindications

A contraindication is a condition in which a particular vaccine should not be given because the risk is considered unacceptable.

Contraindications vary by vaccine.

Examples may include:

• Severe allergy to a previous dose

• Severe allergy to a vaccine component

• Specific immune conditions for certain live vaccines

• Pregnancy for selected live vaccines

• Other vaccine-specific conditions

The vaccination team should screen each patient before administration.

Vaccine Precautions

A precaution is different from a contraindication.

A precaution may mean that vaccination:

• Should be delayed

• Requires additional assessment

• Requires weighing risks and benefits

The decision depends on the vaccine and patient.

Mild Illness & Vaccination

Parents and adults sometimes assume that any minor illness means vaccination must be cancelled.

This is not always the case.

Whether vaccination should proceed depends on:

• Severity of illness

• Fever

• Vaccine

• Patient age

• Other medical factors

WHO has specifically addressed the problem of “false contraindications,” where people miss vaccination unnecessarily because of conditions that do not actually prevent immunization.

A healthcare professional should make the decision.

Fever Before Vaccination

A patient with significant acute illness or fever may need clinical assessment before vaccination.

Vaccination may sometimes be postponed until recovery depending on:

• Illness severity

• Vaccine type

• Urgency of protection

• Other circumstances

Patients should inform vaccination staff about current symptoms.

Antibiotics & Vaccination

Taking antibiotics does not automatically mean vaccination cannot be given.

The important issue is:

• Why antibiotics are being taken

• Severity of current illness

• Vaccine type

• Patient’s overall condition

The vaccination team should review the situation.

Live & Non-Live Vaccines

Vaccines use different technologies.

Some contain live weakened organisms while others use:

• Inactivated organisms

• Components of organisms

• Toxoids

• Proteins

• Other vaccine technologies

This distinction can be important in:

• Pregnancy

• Significant immunosuppression

• Certain medical conditions

Patients do not need to determine this themselves.

The vaccination team should assess suitability.

Multiple Vaccines at the Same Visit

Depending on the vaccines and national recommendations, more than one vaccine can sometimes be administered during the same visit at different injection sites.

This can help:

• Reduce missed opportunities

• Keep vaccination on schedule

• Avoid unnecessary repeated visits

Whether vaccines can be given together depends on the products involved and applicable vaccination guidance.

Delayed Vaccine Doses

A delayed dose does not automatically mean the vaccine series must be started from the beginning.

The healthcare professional should review:

• Vaccine

• Previous doses

• Patient age

• Interval since last dose

• Current recommendations

A catch-up schedule can then be developed where appropriate.

Vaccination Documentation

After vaccination, the record should ideally include:

• Vaccine administered

• Date

• Dose where relevant

• Documentation required by the immunization service

Patients should keep their records for:

• Future medical care

• School

• Employment

• Travel

• Pregnancy planning

• Other requirements

Lost Vaccination Record

If a vaccination record is lost, the patient should provide any other available evidence such as:

• Previous hospital records

• Clinic records

• School records

• Digital vaccination records where available

The healthcare professional can then determine whether:

• Documentation can be retrieved

• Vaccination should be repeated

• Further assessment is needed

Vaccination Before Surgery

Routine vaccination does not necessarily need to be avoided simply because surgery is planned, but timing may require consideration depending on:

• Type of vaccine

• Type of surgery

• Patient health

• Expected vaccine reactions

• Urgency

Patients preparing for major surgery should tell both the surgical team and vaccination team.

Vaccination & Blood Tests

Most routine blood tests do not interfere with vaccination.

However, certain immune-related treatments, blood products, or specific clinical situations may affect the timing of some vaccines.

The treating clinician should review these situations individually.

Vaccination & Chronic Medication

Patients should tell the vaccination team about medicines such as:

• Steroids

• Chemotherapy

• Immunosuppressive medication

• Biological therapies

• Other medicines affecting immunity

This information can influence which vaccines are suitable and when they should be given.

Vaccination & Infectious Disease

Patients with complex vaccination questions may sometimes require Infectious Disease consultation.

Examples include:

• Significant immune suppression

• Complex travel itineraries

• Previous serious vaccine reaction

• Unusual exposure

• Recurrent infection

• Complicated post-exposure vaccination planning

Vaccination & Pediatrics

The Pediatrics Department may coordinate childhood vaccination for children with:

• Chronic disease

• Previous vaccine reactions

• Developmental concerns

• Complex medical histories

• Missed vaccinations

• Other pediatric health problems

Children with significant medical conditions may need individualized vaccination planning.

Vaccination & General Medicine

Adults may require General Medicine assessment when vaccination decisions are complicated by:

• Multiple chronic diseases

• Unclear medical history

• Significant current illness

• Medication interactions

• Other clinical concerns

Vaccination & Gynecology

Gynecology or the Well Women Clinic may help coordinate vaccination considerations relating to:

• Pregnancy

• Pregnancy planning

• HPV vaccination

• Other women’s health needs

Vaccine Storage & Cold Chain

Vaccines must be stored and handled within recommended temperature conditions so that they remain effective.

Pakistan’s routine immunization system includes cold-chain and safe vaccine-handling requirements as core components of vaccination delivery.

Vaccines should therefore be administered through appropriate healthcare or authorized vaccination services rather than purchased and stored casually without proper cold-chain assurance.

Vaccination Appointment Assessment

Before giving a vaccine, staff may ask about:

• Age

• Previous doses

• Vaccination records

• Allergies

• Previous reactions

• Pregnancy

• Current illness

• Chronic disease

• Immune conditions

• Current medications

• Recent blood products

• Travel

• Occupational risk

This screening helps determine whether vaccination can safely proceed.

What to Bring for Vaccination

Patients should bring, where available:

• Vaccination card

• Previous immunization records

• CNIC or identification when required

• Child’s record

• Travel documents for travel vaccination

• Previous medical reports

• Medication list

• Allergy information

Travelers should also bring details of:

• Destination

• Transit countries

• Departure date

• Duration of travel

After Vaccination

Patients should follow the advice provided by the vaccination team.

Depending on the vaccine, instructions may include:

• Remaining briefly for observation

• Monitoring for expected symptoms

• Using appropriate pain or fever treatment if advised

• Keeping the vaccination record

• Returning for the next dose where required

When to Contact a Doctor After Vaccination

Seek medical advice for:

• Persistent high fever

• Significant worsening illness

• Severe or unusual symptoms

• Extensive swelling

• Concerning neurological symptoms

• Other reactions that cause significant concern

When Is Emergency Care Required After Vaccination?

Seek emergency medical attention immediately for symptoms suggesting a severe allergic reaction, including:

• Difficulty breathing

• Throat swelling

• Facial swelling

• Severe widespread hives

• Collapse

• Severe dizziness with breathing difficulty

Serious allergic reactions require prompt emergency treatment.

Vaccination Does Not Provide 100% Protection

No vaccine can guarantee that every vaccinated person will never develop the disease.

Protection can depend on:

• Vaccine

• Number of doses

• Timing

• Immune response

• Age

• Health

• Circulating strains

However, vaccination can substantially reduce the risk of many serious vaccine-preventable diseases and their complications. WHO describes vaccination as a safe and effective way to build protection before exposure to harmful infections.

Vaccination & Community Protection

When a large proportion of eligible people are protected against an infectious disease, opportunities for transmission can be reduced.

This can be particularly important for protecting people who:

• Are too young for certain vaccines

• Cannot receive particular vaccines

• Have weakened immune systems

• Are vulnerable to severe infection

Vaccination therefore has both individual and wider public-health benefits.

When Should You Visit the Vaccination Service?

You may consider vaccination assessment if:

• Your child is due for routine immunization

• Your child has missed vaccines

• You are unsure whether vaccinations are complete

• You need an adult vaccination review

• You have a chronic medical condition

• You are planning pregnancy

• You are pregnant and want vaccination advice

• You work in healthcare

• Your occupation increases infectious-disease exposure

• You are planning international travel

• You require vaccination documentation

• You have lost your vaccination record

• You need advice after a previous vaccine reaction

• You have been advised to receive a specific vaccine

When Should Vaccination Be Medically Reviewed First?

Tell the healthcare professional before vaccination if you have:

• A history of anaphylaxis

• Severe reaction after a previous vaccine

• Known vaccine-component allergy

• Significant current illness

• Significant immune suppression

• Current chemotherapy

• Organ transplantation

• High-dose immunosuppressive treatment

• Pregnancy

• Recent blood products or immune therapies

• Other major medical conditions

These factors do not necessarily mean vaccination is impossible, but they may affect vaccine choice or timing.

Multidisciplinary Vaccination Care

Depending on the patient, Vaccination services may coordinate with:

• Pediatrics

• General Medicine

• Infectious Disease

• Gynecology

• Well Women Clinic

• Pulmonology

• Cardiology

• Nephrology

• Oncology

• Other relevant specialties

The aim is to provide safe vaccination while considering the patient’s wider health needs.