Print Print
CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.

Immunizations - travel vaccinations - Management
Can I give more than one vaccine at the same time?

  • Inactivated vaccines (e.g. tetanus, poliomyelitis, injectable typhoid, hepatitis A, hepatitis B, quadrivalent meningococcal meningitis vaccine, rabies, Japanese encephalitis, tick-borne encephalitis):
    • Can be given at the same time as each other, but should be given using separate syringes and at different sites on the body.
    • If inactivated vaccines are not administered on the same day, there is no need to observe a specific interval between administering them.
  • Live vaccines (e.g. yellow fever):
    • Can be given at the same time as each other, using separate syringes and at different sites on the body.
    • If live vaccines are not administered on the same day, they should be separated from other live vaccines by an interval of at least 4 weeks.
  • No interval need be observed between the administration of live vaccines and inactivated vaccines.
  • If in doubt, seek expert opinion.
Basis for recommendation

© NHS Institute for Innovation and Improvement