Patient Information on Foreign Travel Immunizations Actual immunizations needed will depend upon your itinerary, age, and previous vaccine history. Prices and availability are subject to change. Immunization / Service Cost Number in Series and Schedule Possible Side Effects Travel Consultation Minimum 8-10 weeks prior to departure. Hepatitis A $90.00 each $180/series 2 injections 2nd shot 6-12 months after first. Booster every 10 years to maintain immunity. Soreness at injection site, headache, malaise. Hepatitis B $90 each $270/series 3 injections over 6 months Accelerated schedule: 3 doses over 2 months. Booster one year later. Soreness, redness, itching at injection site. Mild fatigue, fever, headache, nausea. $40 Soreness at injection site Possibly annually. for up to 2 days. Fever, Needed year round in the malaise and muscle pain 6Tropics and April - September 12 hours after shot, lasting in the Southern Hemisphere. 1-2 days. MMR (Measles, Mumps, Rubella) $80 1 injection needed if born after 1957, with no history of measles illness, and one or no prior MMR vaccinations. Burning, stinging, pain or rash at injection site, mildmoderate fever. Meningococcal (meningitis) $100 1 injection. Booster every 10 years to maintain immunity. Redness at site for 1-2 days. $40 1 injection. Booster every 10 years to maintain immunity. Pain, swelling, and redness at injection site. Influenza Pneumococcal (pneumonia) $80 each Polio Tetanus/Diphtheria or Tetanus Toxoid ($240/series, if needed) $50 adult $40 child 1 injection if fully immunized in childhood. Unvaccinated adults: Pain, swelling, and redness 3 injections, 1 month apart. at site. If limited time before travel, get additional injections upon return. 1 injection Booster every 5-10 years to maintain immunity. Soreness, redness & swelling at the injection site. Pain may extend from shoulder to elbow. Fever for 1-3 days. Typhoid Injection or Oral Typhoid Varicella (Chicken Pox) $80/injection (pharmacy 1 injection. cost plus Booster in 3 years. administration) Or 4 capsules taken over 6 days. ~$60/oral Booster in 5 years. Capsules can sometimes be Costs depend difficult to locate. on pharmacy $95 Needed only If no history of chicken pox or no prior vaccine under age 13: 1 injection. age 13 and over: 2 injections 4 - 8 weeks apart. Nausea, abdominal pain/cramps, vomiting, fever, headache, rash. Pain, redness, and hardness at site. Fewer side effects with oral vaccine. Redness, hardness at site. Fever and chicken pox-type rash. To Reduce the Side Effects of Immunizations: Apply a cold compress to the injection site if it becomes red, swollen, and/or tender. Take Tylenol (acetaminophen) prior to and after immunizations to decrease fever and body aches. SEEK IMMEDIATE MEDICAL ATTENTION IF YOU DEVELOP HIVES AFTER RECEIVING ANY IMMUNIZATION. Also, immediately take and anti-histamine (Benadryl, Claritin, Allegra, or Zyrtec). Other Ways to Protect Yourself While Traveling: Medication Containers: Carry all medications in their original, labeled containers. Automobile Safety: Wear seat belt; learn rules of the road and the meaning of road signs for the country in which you are traveling. Crime: Leave valuables at home; wear money belt; keep rental car locked with no items visible. Jet Lag: Take over-the-counter Melatonin, or prescription Ambien, Sonata or Halcion. Malaria: Prescription medication taken prior to, during, and after travel. Use DEET-based insect repellents; wear light-colored long sleeves and long pants beginning at sunset; avoid perfumes and after-shaves; use mosquito netting. Medical Care Abroad: Ask physician for a listing of IMMAT-approved physicians. Carry with you your record of immunizations. Motion Sickness: Prescription Transderm Scop patch. Traveler's Diarrhea: Prescription antibiotic with over-the-counter Imodium. Drink plenty of fluids. Boil water or treat with chlorine or iodine; drink only bottled and canned beverages (no ice); peel your own fruit and vegetables; cook all foods thoroughly and eat while steaming hot (do not eat reheated foods). Seek medical care if diarrhea is severe, bloody, continues more than a few days, or is accompanied by chills and fever. For More Information: CDC to receive faxed documents regarding international travel: 888-232-3299 CDC Immunization Information Hotline: 800-232-2522 (Spanish and English) CDC Travelers' Health Hotline 877-394-8747 CDC Travel Health Information (select "Traveler's Health") CDC's "The Yellow Book" (Health information for international travel) (select "Reference Materials") CDC cruise ship sanitation scores (select "Cruise Ships) Travel Medicine, Inc. for information and health-related travel products US Department of State (travel warnings)