City Dallas Medical

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Patient Information on Foreign Travel Immunizations

Immunization / Service Number in Series and Schedule Possible Side Effects
Travel Consultation Ideally 8-10 weeks prior to departure. N/A
Hepatitis A 3 injections over 6 months
Accelerated schedule:
3 doses over 2 months.
Booster one year later.
Soreness at injection site, headache, malaise.
Hepatitis B 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.
Influenza Possibly annually. Needed year round in the Tropics and April - September in the Southern Hemisphere. Soreness at injection site for up to 2 days. Fever, malaise and muscle pain 6-12 hours after shot, lasting 1-2 days.
MMR (Measles, Mumps, Rubella) 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, mild-moderate fever.
Meningococcal (meningitis) 1 injection. Booster every 10 years to maintain immunity. Redness at site for 1-2 days.
Pneumococcal (pneumonia) 1 injection. Booster every 10 years to maintain immunity. Pain, swelling, and redness at injection site.
Polio 1 injection if fully immunized in childhood. Unvaccinated adults: 3 injections, 1 month apart. If limited time before travel, get additional injections upon return. Pain, swelling, and redness at site.
Tetanus/Diphtheria or Tetanus Toxoid 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 1 injection. Booster in 3 years or 4 capsules taken over 6 days. Booster in 5 years. Capsules can sometimes be difficult to locate. Nausea, abdominal pain/cramps, vomiting, fever, headache, rash. Pain, redness, and hardness at site. Fewer side effects with oral vaccine.
Varicella(Chicken Pox) 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. Redness, hardness at site. Fever and chicken pox-type rash.
Yellow Fever 1 injection received at least 10 days prior to travel. Booster in 10 years. Fever, headache, muscle ache may occur 5-14 days after vaccination. Very rarely (1 : 100,000) vaccination is life-threatening.


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.