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Vaccine Universe

Vaccines by age

Vaccines for every stage of life

What protects you at each stage of life in Pakistan: what the EPI gives free, what WHO recommends, and what to ask your doctor about.

Awaiting medical review

This page summarises the official sources listed below and hasn't been reviewed by our doctor yet. Check with a doctor before making decisions for you or your family.

Birth to 5 years

Babies & young children

The goal: Build protection early, while infections are most dangerous and the immune system is still developing.

  • At birth

    Free in Pakistan's EPI

    BCG, oral polio (OPV-0) and hepatitis B.

  • 6, 10 and 14 weeks

    Free in Pakistan's EPI

    Pentavalent, pneumococcal and oral polio at each visit; rotavirus at 6 and 10 weeks; injectable polio (IPV) at 14 weeks.

  • 9 months

    Free in Pakistan's EPI

    Measles-rubella (MR-I), typhoid conjugate vaccine and the second injectable polio dose.

  • 15 months

    Free in Pakistan's EPI

    The second measles-rubella dose (MR-II).

  • Flu vaccine, from 6 months

    Recommended by WHO

    WHO counts children aged 6 months to 5 years among those at higher risk from flu. It's available privately.

6 to 18 years

Children & teenagers

The goal: Top up childhood protection and guard against new risks before adulthood.

  • HPV vaccine, girls 9–14

    Free in Pakistan's EPI

    One free dose protects against the viruses behind most cervical cancer.

  • Tetanus-diphtheria boosters

    Recommended by WHO

    WHO recommends six tetanus-containing doses in total, with boosters at 4–7 and 9–15 years. Ask your doctor whether your child needs one.

  • Missed childhood doses

    Ask your doctor

    It's rarely too late to catch up, and doses don't need to be restarted. Bring any vaccination record you have.

During pregnancy

Pregnancy

The goal: Protect the mother, and pass protection to the baby for its first months.

  • Tetanus-diphtheria (Td)

    Free in Pakistan's EPI

    Protects mother and newborn against tetanus; how many doses you need depends on your earlier doses.

  • Flu vaccine

    Recommended by WHO

    Safe and recommended at any stage of pregnancy.

  • COVID-19 vaccine

    Recommended by WHO

    WHO includes pregnant women among the groups at highest risk.

  • RSV vaccine

    Ask your doctor

    One dose from about 28 weeks protects the newborn against RSV; it isn't in Pakistan's public programme yet.

19 to 59 years

Adults

The goal: Keep protection current, and plan around work, travel and health conditions.

  • Flu vaccine, every year

    Recommended by WHO

    For health workers and anyone with a long-term condition such as heart, lung or kidney disease or diabetes.

  • COVID-19 vaccine

    Recommended by WHO

    For people with serious health conditions or a weakened immune system, and front-line health workers.

  • For a deep or dirty wound, ask a doctor whether you need a tetanus dose.

  • Everyone leaving Pakistan needs a recent polio dose; Hajj and Umrah need the meningococcal vaccine.

60 years and over

Older adults

The goal: The immune system weakens with age, so the aim is to prevent severe illness and complications.

  • Flu vaccine, every year

    Recommended by WHO

    Older adults are one of WHO's priority groups for the yearly flu vaccine.

  • COVID-19 vaccine

    Recommended by WHO

    Older adults are at the highest risk of severe COVID-19; ask about repeat doses.

  • Pneumococcal, shingles and RSV vaccines

    Ask your doctor

    Some countries offer these to older adults. They aren't in Pakistan's programme; ask your doctor whether they suit you and where to get them.

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