1. About you

Age years

Sex

Male Female

2. Health

Diabetes Heart disease COPD, asthma or other long-term lung disease Chronic kidney disease, not on dialysis On dialysis Chronic liver disease, including fatty liver disease or cirrhosis No spleen, or a poorly working spleen (including sickle cell disease) HIV, CD4 200 or more HIV, CD4 below 200 Weakened immunity from treatment or illness (cancer treatment, transplant, biologics, steroids 20 mg a day for 2 weeks or more) Starting immunosuppressive treatment, or a planned spleen removal, soon Complement deficiency, or a complement-inhibitor medicine Cochlear implant, or a CSF leak Alcohol use disorder Smoke cigarettes or bidis Higher sexual health risk (new or several partners, or men who have sex with men)

3. Work and travel

Healthcare worker Laboratory work with meningococcus Laboratory work with rabies virus Work with animals (vets, animal handlers) Going for Hajj or Umrah Other international travel Travel to parts of Africa or South America Travel far from medical care

4. What you have already had

Leave anything you do not know as it is. An old vaccination card, a discharge summary or an antibody report helps.

Last influenza vaccine month and year

Tetanus course

Last tetanus dose (TT, Td or Tdap) month and year

Have had Tdap (tetanus with whooping cough protection) since age 11

Pneumococcal vaccine

Last pneumococcal dose month and year

Hepatitis B vaccine

First dose month and year

Last dose month and year

Hepatitis A

Hepatitis A first dose month and year

Hepatitis E vaccine

First dose month and year

Last dose month and year

HPV vaccine

First dose month and year

Last dose month and year

The first HPV dose was before age 15

Shingles vaccine (recombinant)

Last dose month and year

MMR (measles, mumps, rubella)

Chickenpox

Meningococcal vaccine type

Conjugate doses so far

Last meningococcal dose month and year

Had a typhoid conjugate vaccine Had rabies vaccine before any bite (pre-exposure) Had an RSV vaccine

5. Your plan

Brands, prices and fees

Reception, to book: 89193 41154. Caspian Pharmacy, for stock and cost: 85198 41154.

Sources

Centers for Disease Control and Prevention. Adult immunization schedule and notes, 2025 edition. CDC
Association of Physicians of India and partner associations. Indian Consensus Guidelines on Adult Immunization, 2026 update (released 5 March 2026).
World Health Organization position papers: influenza (2022), hepatitis A (2022), HPV (2022), typhoid (2018), rabies (2018); GACVS statement on hepatitis E vaccine. WHO
FOGSI. Vaccination in pregnancy, 2026.
Saudi Ministry of Health. Health requirements for Hajj 1447H and for Umrah. MoH
Indian prescribing information for the live hepatitis A vaccine and typhoid conjugate vaccines; CDSCO decisions on dengue (July 2026) and RSV (expert committee, May 2026).

Found an error? Write to info@caspianhealthcare.in.

Adult vaccine planner

1. About you

2. Health

3. Work and travel

4. What you have already had

5. Your plan

Rules worth keeping in view

Sources