Adult Vaccinations

Adult Vaccination Program

In light of the latest pandemic, adult vaccinations are key to preventing the onset of disease and maintaining good health.

Adult Vaccination Program

Under the National Adult Immunisation Schedule (NAIS), Singaporean adults aged 18 years and older can use their Medisave for approved vaccinations. Nuffield Medical offers the following vaccinations.

Please consult with our doctor to find out which vaccinations are recommended for you.

Vaccines (Covered by Medisave) Recommended Groups Schedule
Influenza* • Persons aged 65 years or older;
• Persons aged 18 years and receiving long-term aspirin therapy;
• Persons who have chronic medical conditions such as diabetes mellitus, asthma, and heart disease;
• Persons who are immunocompromised;
• Persons receiving intermediate and long term care services;
• Women at all stages of pregnancy.
1 dose annually
Pneumococcal*
• Persons aged 65 years or older 1 dose each
• Persons aged 18 years and older with chronic illnesses such as chronic lung, heart, kidney or liver diseases and diabetes mellitus;
• Persons who are immunocompromised or with other medical conditions.**
1 or 2 doses
Human papillomavirus (HPV) • Females aged 18 to 26 years 3 doses (0, 1-2, 6 months)
Tetanus, diphtheria and pertussis (Tdap) • Pregnant women (for each pregnancy) 1 dose per pregnancy
(16-32 weeks)
Measles, mumps and rubella (MMR) • Adults without evidence of immunity and/or prior disease 2 doses (0, 4 weeks)
Hepatitis B • Adults without evidence of immunity and/or prior disease 3 doses (0, 1, 6 months)
Varicella • Adults without evidence of immunity and/or prior disease 2 doses (0, 4-8 weeks)
Other Vaccines Offered (Not Covered by Medisave)
Shingles • Persons aged 60 years or older
• People with weakened immune systems due to:
a) HIV/AIDS
b) Medical treatments such as steroids, radiation and chemotherapy
c) A history of bone or lymphatic cancer
Please consult our doctor
Hepatitis A • People handling food
• People with sexual contact/drug use with infected individuals
Please consult our doctor 

Contraindications:

1. Persons who have had severe allergic reaction after a previous vaccination or allergies to specific vaccine components should not receive the vaccine, and those who are severely immunocompromised or are pregnant should not receive live vaccines such as MMR or varicella vaccines.
2. * Also recommended for specific groups of children, including those with medical conditions or immunocompromised or with other rare conditions.
3. Also included in the National Childhood Immunisation Schedule (NCIS)
4. Pneumococcal vaccines in the NAIS include 13-valent pneumococcal conjugate vaccine (PCV13) and 23-valent pneumococcal polysaccharide vaccine (PPSV23).
5. One dose each of PCV13 and PPSV23 is recommended for persons aged 65 years and above.
6.** Other medical conditions include: Persons with cochlear implants or cerebrospinal fluid leaks; persons with anatomic or functional asplenia (including conditions such as homozygous sickle cell disease and coeliac syndrome that may lead to splenic dysfunction).
7. The number of recommended doses and vaccine type depend on medical condition and age. Please consult your doctor for more details.
8. Also recommended for females aged 9 to 17 years. Two types of HPV vaccines are in the NAIS – bivalent HPV vaccine (HPV2) and quadrivalent HPV (HPV4) vaccine.
9. Tdap can also be considered for pregnant women after 32 weeks of gestation during each pregnancy.

Please consult our doctor for more details.