NAIS · Singapore
Singapore's NAIS guides vaccination from age 18, according to age, pregnancy, health and past immunity. Bring your records, and our doctors check which vaccines are due for you.
Vaccination needs change across adult life.
The National Adult Immunisation Schedule (NAIS) is Singapore's guide to the vaccines adults aged 18 and older should receive, according to age, pregnancy, occupation, medical conditions, previous doses and immunity. It covers 12 vaccine-preventable diseases, and now includes shingles vaccination and the PCV20 pneumococcal vaccine for recommended groups.
Some vaccines are recommended routinely by age; others because of pregnancy, chronic disease, immune suppression, work or travel exposure, or missing childhood immunity. The type and timing of vaccines you have already had decide whether a catch-up or extra dose is needed.
What the schedule covers
The schedule covers influenza, pneumococcal disease, shingles, tetanus, diphtheria, pertussis (whooping cough), human papillomavirus (HPV), hepatitis B, measles, mumps, rubella and varicella (chickenpox). Some vaccines are recommended by age, some for pregnancy or health conditions, and some only if you lack immunity.
Routine protection with age
Especially relevant to older adults, and to some younger adults with medical risks:
Pregnancy and family planning
One dose of Tdap is recommended during each pregnancy, to help protect your baby against whooping cough. Live vaccines are generally avoided in pregnancy, so your immunity is reviewed before pregnancy where possible.
Catch-up and missing immunity
HPV, hepatitis B, MMR and varicella recommendations depend on your age, sex, previous vaccination and evidence of immunity. Your doctor checks your records to see which doses are missing.
Who it's for
The schedule is a starting point, not a one-size checklist. Your age, health, pregnancy and past doses decide what is due, and your doctor checks this against current guidance.
A summary, not the complete schedule.
One flu vaccine every year or season, and pneumococcal vaccination.
Two doses of the shingles vaccine, usually 2–6 months apart.
Flu, pneumococcal and shingles vaccines may be recommended from age 18.
One dose of Tdap during each pregnancy, and the flu vaccine at any stage.
Catch-up HPV, hepatitis B, MMR or varicella, depending on your age and immunity.
Your vaccine journey
We review your age, health, pregnancy, travel plans and vaccination records, and any precautions.
Your doctor explains the benefits, expected reactions and alternatives.
The selected vaccine is given using standard precautions.
Your vaccination record is updated and any further doses are planned.
Safety & expectations
Expected reactions are usually short-lived.
Pain, redness or swelling where the injection was given, tiredness, muscle ache, headache or a mild fever can occur. Seek urgent care for breathing difficulty, facial swelling, widespread hives, collapse or another severe reaction, and contact the clinic about a persistent high fever.
The NAIS covers 12 vaccine-preventable diseases: influenza, pneumococcal disease, human papillomavirus (HPV), tetanus, diphtheria, pertussis (whooping cough), measles, mumps, rubella, hepatitis B, varicella (chickenpox) and shingles. Not every adult needs every vaccine: the recommendation depends on your age, health, pregnancy and previous immunity.
The NAIS recommends shingles vaccination for all adults aged 60 and above, and for adults aged 18 to 59 with weakened immunity. It is a two-dose course, usually given 2 to 6 months apart. Your doctor checks whether it suits you and when your second dose is due.
From September 2025, PCV20 was added to the NAIS as an alternative for adults aged 65 and above and for younger adults at increased risk. If you have already had PCV13 or PPSV23, that history affects whether another dose is recommended, so bring your vaccination records.
Under the NAIS, one dose of Tdap is recommended during each pregnancy to help protect your baby against whooping cough, and the flu vaccine is recommended at all stages of pregnancy. Live vaccines are generally avoided during pregnancy, so tell your doctor if you are pregnant or planning a pregnancy.
Yes, for eligible people. Nationally recommended vaccinations receive subsidies at participating CHAS GP clinics and public healthcare providers, and what you pay depends on your eligibility, card status, Healthier SG enrolment and the vaccine. Fusion Medical is a CHAS GP clinic and a Healthier SG clinic, so these subsidies apply here for eligible patients. You can also use MediSave for NAIS vaccines at Fusion Medical, within the yearly MediSave500/700 limit.
Yes. The NAIS recommends hepatitis B, MMR and varicella vaccines for adults without evidence of immunity or past infection, and HPV vaccination for females up to age 26. Bring any vaccination records, and your doctor will work out which doses you still need.
Appointments
Every NAIS vaccine is available at Wheelock Place, by appointment. Bring your vaccination records, and our doctors will check them against the current schedule.
