Most Filipino adults stopped getting vaccinated after high school. The authoritative guideline is the Philippine Society for Microbiology and Infectious Diseases (PSMID) Adult Immunization Schedule, mirrored in DOH advisories. The short version: a tetanus-diphtheria (Td) booster every 10 years, flu shot every year (especially if you're 60+, pregnant, or have chronic disease), pneumococcal vaccines at 60+, and a one-time MMR/Varicella/Hep B catchup if you have no documented childhood doses. Flu, Td, and pneumococcal (for 60+) are free at the RHU / city health center during DOH campaigns. Tdap, HPV, Shingrix, Hep B, MenACWY, and yellow fever are out of pocket at Watson's, Mercury Drug, hospital outpatient, or specialty travel clinics. Always verify current PSMID/DOH guidance — schedules update.

Karamihan ng Pilipinong adult ay tumigil magpabakuna pagkatapos ng high school. Ang authoritative na gabay ay ang Philippine Society for Microbiology and Infectious Diseases (PSMID) Adult Immunization Schedule, na sinusundan ng DOH advisories. Maikli: tetanus-diphtheria (Td) booster tuwing 10 taon, flu shot kada taon (lalo na kung 60+ ka, buntis, o may chronic disease), pneumococcal vaccines sa edad 60+, at one-time MMR/Varicella/Hep B catchup kung walang documented childhood doses. Ang flu, Td, at pneumococcal (para sa 60+) ay libre sa RHU / city health center sa loob ng DOH campaigns. Ang Tdap, HPV, Shingrix, Hep B, MenACWY, at yellow fever ay babayaran out of pocket sa Watson's, Mercury Drug, hospital outpatient, o specialty travel clinics. Laging i-verify ang current PSMID/DOH guidance — nag-uupdate ang schedules.

These four are the most common gaps when adults pull out their (often missing) vaccination card:

1. Tdap (Tetanus + Diphtheria + Pertussis) — booster every 10 years. Even if you completed the childhood DPT series, immunity wanes. Tdap (the adult version with pertussis component) is especially important if you'll be around a newborn — pertussis (whooping cough) can be fatal for infants under 6 months. The RHU usually stocks Td (tetanus-diphtheria only) for free; the Tdap version (with pertussis) is typically private-pay only.
2. MMR (Measles + Mumps + Rubella) — 1-2 doses if no documented childhood vaccination. The Philippines has had recurring measles outbreaks. Many adults born before universal MMR rollout or who only got 1 dose are not fully protected. Especially critical for women planning pregnancy (rubella in early pregnancy causes severe birth defects) and healthcare workers.
3. Varicella (Chickenpox) — 2-dose series if you never had the disease or vaccine. Adult chickenpox is significantly more severe than childhood chickenpox — higher fever, more lesions, longer recovery, higher pneumonia risk. If you remember having chickenpox as a kid, you're likely immune. If not, the 2-dose series is recommended.
4. Hepatitis B — 3-dose series if not previously vaccinated. Hep B was added to the routine childhood schedule in 1995 in the Philippines, so many adults born before that are not covered. Particularly important for healthcare workers, dialysis patients, people with multiple sexual partners, and anyone with a household member who has Hep B. Get an anti-HBs titer test first if unsure — sometimes you have natural immunity already.

If you can't find your childhood vaccination card (most Filipinos can't), your doctor can order titer (antibody) tests to check for existing immunity to MMR, Varicella, and Hep B — saving you the cost of unnecessary shots. Titer tests run ₱500-₱1,500 each at most hospital labs.

Itong apat ang pinakacommon na kulang kapag tinitingnan ng mga adult ang kanilang (madalas ay nawawala) vaccination card:

1. Tdap (Tetanus + Diphtheria + Pertussis) — booster tuwing 10 taon. Kahit nakumpleto mo ang childhood DPT series, humihina ang immunity. Mahalaga ang Tdap (adult version na may pertussis) lalo na kung malapit ka sa newborn — pwedeng fatal ang pertussis (whooping cough) sa mga sanggol na under 6 months. Karaniwang may stock ang RHU ng Td (tetanus-diphtheria lamang) nang libre; ang Tdap (may pertussis) ay typically private-pay na lang.
2. MMR (Measles + Mumps + Rubella) — 1-2 doses kung walang documented childhood vaccination. May paulit-ulit na measles outbreaks ang Pilipinas. Maraming adult na ipinanganak bago ang universal MMR rollout o nag-1 dose lang ay hindi fully protected. Lalong kritikal sa mga babaeng nagpaplanong magbuntis (sa rubella sa unang trimester, severe birth defects) at sa healthcare workers.
3. Varicella (Bulutong-tubig) — 2-dose series kung hindi mo naranasan o hindi nabakunahan. Mas malala ang adult chickenpox kaysa sa childhood — mas mataas na lagnat, mas maraming sugat, mas matagal mag-recover, mas mataas ang pneumonia risk. Kung naalala mong nagkaroon ka ng bulutong-tubig noong bata ka, malamang immune ka na. Kung hindi, recommended ang 2-dose series.
4. Hepatitis B — 3-dose series kung hindi ka pa nabakunahan. Idinagdag ang Hep B sa routine childhood schedule noong 1995 sa Pilipinas, kaya maraming adult na ipinanganak bago noon ay hindi pa nababakunahan. Lalong mahalaga sa healthcare workers, dialysis patients, may multiple sexual partners, at sinumang may kasambahay na may Hep B. Magpa-anti-HBs titer test muna kung hindi sigurado — minsan may natural immunity ka na.

Kung wala ka nang nakikita na childhood vaccination card (karamihan ng Pilipino ay wala na), pwedeng i-order ng doktor mo ang titer (antibody) tests para tsekin kung may existing immunity ka na sa MMR, Varicella, at Hep B — para makatipid ka sa hindi kailangang shots. Tumatakbo ang titer tests sa ₱500-₱1,500 bawat isa sa karamihan ng hospital labs.

This table summarizes the PSMID adult schedule by decade. Verify the current edition at psmid.org before booking — recommendations evolve, especially for HPV (recently extended to age 45 for selected cases) and COVID boosters.

20s (Ages 20-29)

• Td/Tdap — booster if 10+ years since last tetanus shot
• Flu — yearly, especially if healthcare worker, pregnant, or chronic disease
• HPV — catchup through age 26 (women); MSM and other selected men
• MMR / Varicella / Hep B — catchup if missing childhood doses
• COVID-19 — per current DOH advisory

30s (Ages 30-39)

• Td/Tdap — booster every 10 years
• Flu — yearly
• HPV — recently expanded to age 45 for selected cases (verify with your OB-GYN)
• Tdap during pregnancy — recommended at weeks 27-36 to protect newborn from pertussis
• MMR / Varicella / Hep B — still recommended if missing

40s (Ages 40-49)

• Td/Tdap — booster every 10 years
• Flu — yearly
• Hep B — still relevant; check titer if uncertain
• Pneumococcal — consider earlier than 60 if you have diabetes, COPD, heart disease, or are immunocompromised

50s (Ages 50-59)

• Td/Tdap — booster every 10 years
• Flu — yearly (higher dose flu vaccines exist for 65+ but typically offered 50+)
• Herpes Zoster (Shingrix) — recommended at age 50+, 2-dose series (private clinics only; not yet in DOH free program)
• Pneumococcal — strongly consider if chronic disease or immunocompromised

60+ (Ages 60 and above)

• Td/Tdap — booster every 10 years
• Flu — yearly, prioritized at DOH facilities during campaigns
• Pneumococcal (PCV13 + PPSV23) — 1-year interval between the two; available free at DOH during campaigns
• Herpes Zoster (Shingrix) — 2-dose series, private only
• COVID-19 boosters — per current DOH advisory; 60+ is priority

Ang table na ito ay summary ng PSMID adult schedule per dekada. I-verify ang current edition sa psmid.org bago mag-book — nag-eevolve ang recommendations, lalo na para sa HPV (kasalukuyang inextend hanggang edad 45 sa selected cases) at COVID boosters.

20s (Edad 20-29)

• Td/Tdap — booster kung 10+ taon na simula sa huling tetanus shot
• Flu — kada taon, lalo na kung healthcare worker, buntis, o may chronic disease
• HPV — catchup hanggang edad 26 (kababaihan); MSM at iba pang selected lalaki
• MMR / Varicella / Hep B — catchup kung kulang ang childhood doses
• COVID-19 — ayon sa current DOH advisory

30s (Edad 30-39)

• Td/Tdap — booster tuwing 10 taon
• Flu — kada taon
• HPV — kasalukuyang inextend hanggang edad 45 sa selected cases (i-verify sa OB-GYN mo)
• Tdap habang buntis — recommended sa linggo 27-36 para proteksyunan ang newborn mula sa pertussis
• MMR / Varicella / Hep B — recommended pa rin kung kulang

40s (Edad 40-49)

• Td/Tdap — booster tuwing 10 taon
• Flu — kada taon
• Hep B — relevant pa rin; tsekin ang titer kung hindi sigurado
• Pneumococcal — i-consider bago ang 60 kung may diabetes, COPD, sakit sa puso, o immunocompromised

50s (Edad 50-59)

• Td/Tdap — booster tuwing 10 taon
• Flu — kada taon (may higher-dose flu vaccines para sa 65+ pero typically i-offer sa 50+)
• Herpes Zoster (Shingrix) — recommended sa edad 50+, 2-dose series (private clinics lamang; wala pa sa DOH free program)
• Pneumococcal — strongly i-consider kung may chronic disease o immunocompromised

60+ (Edad 60 pataas)

• Td/Tdap — booster tuwing 10 taon
• Flu — kada taon, priority sa DOH facilities sa loob ng campaigns
• Pneumococcal (PCV13 + PPSV23) — 1-taong interval sa pagitan ng dalawa; libre sa DOH sa loob ng campaigns
• Herpes Zoster (Shingrix) — 2-dose series, private lamang
• COVID-19 boosters — ayon sa current DOH advisory; priority ang 60+

The DOH National Immunization Program (NIP) and Family Health Bureau coordinate adult vaccines at Rural Health Units (RHU) and City Health Centers. Supply is seasonal and campaign-driven — call ahead. You don't need PhilHealth for these:

• Influenza (Flu) — Free yearly for priority groups: pregnant women, adults 60+, healthcare workers, persons with chronic disease (diabetes, COPD, heart disease, immunocompromised). DOH flu campaigns typically run September-October, before the wet-cool season peaks.
• Tetanus-Diphtheria (Td) booster — Free every 10 years; also given as post-exposure prophylaxis after a tetanus-prone wound (rust, animal bite, deep puncture). Td (without pertussis) is the standard RHU stock; Tdap (with pertussis) is typically not stocked free.
• Pneumococcal (PCV13 + PPSV23) for ages 60+ — Free during DOH senior campaigns at selected RHUs and city health centers. PCV13 first, then PPSV23 1 year later.
• HPV catchup — Free for women ages 9-26 in some LGU programs (especially school-based and adolescent health drives). Availability varies sharply by LGU.
• COVID-19 boosters — Status varies year to year; verify the latest DOH bulletin. When active, free at all DOH-supported vax sites.
• Hepatitis B (in special programs) — Some LGUs run targeted Hep B drives for healthcare workers and high-risk groups. Not universally available — ask at your RHU.
• Tetanus (Td) for wound exposure — Available at emergency rooms and RHUs free of charge after a tetanus-prone injury, regardless of age.

What to bring: valid government ID, your vaccination card if you have one, and a known list of allergies. You do NOT need PhilHealth — DOH NIP funds these directly. Confirm current campaign timing at doh.gov.ph or call your LGU's health office.

Ang DOH National Immunization Program (NIP) at Family Health Bureau ay nag-co-coordinate ng adult vaccines sa Rural Health Units (RHU) at City Health Centers. Seasonal at campaign-driven ang supply — tumawag muna. Hindi mo kailangan ang PhilHealth para sa mga ito:

• Influenza (Flu) — Libre kada taon para sa priority groups: buntis, 60+, healthcare workers, may chronic disease (diabetes, COPD, sakit sa puso, immunocompromised). Karaniwang umaarangkada ang DOH flu campaigns sa Setyembre-Oktubre, bago ang taluktok ng wet-cool season.
• Tetanus-Diphtheria (Td) booster — Libre tuwing 10 taon; ibinibigay din bilang post-exposure prophylaxis pagkatapos ng tetanus-prone wound (kalawang, kagat ng hayop, malalim na butas). Ang Td (walang pertussis) ang standard RHU stock; ang Tdap (may pertussis) ay typically hindi libre.
• Pneumococcal (PCV13 + PPSV23) para sa 60+ — Libre sa loob ng DOH senior campaigns sa selected RHUs at city health centers. PCV13 muna, tapos PPSV23 1 taon pagkatapos.
• HPV catchup — Libre para sa kababaihang edad 9-26 sa ilang LGU programs (lalo na sa school-based at adolescent health drives). Iba't iba ang availability per LGU.
• COVID-19 boosters — Nagbabago ang status per taon; i-verify ang latest DOH bulletin. Kung aktibo, libre sa lahat ng DOH-supported vax sites.
• Hepatitis B (sa special programs) — May ilang LGU na may targeted Hep B drives para sa healthcare workers at high-risk groups. Hindi universally available — magtanong sa RHU mo.
• Tetanus (Td) para sa wound exposure — Available sa emergency rooms at RHUs libre pagkatapos ng tetanus-prone injury, kahit anong edad.

Dalhin: valid government ID, ang vaccination card mo kung mayroon, at known list ng allergies. HINDI mo kailangan ng PhilHealth — direktang pinopondohan ito ng DOH NIP. Kumpirmahin ang current campaign timing sa doh.gov.ph o tumawag sa health office ng LGU mo.

Typical private prices in Metro Manila (2026 estimates — verify with Watson's, Mercury Drug, or your chosen hospital outpatient before scheduling; prices move with FX and supply):

• Influenza (flu shot, annual): ₱400-₱1,200 (Sanofi Vaxigrip Tetra, GSK Influvac Tetra; quadrivalent preferred)
• Tdap (Tetanus-Diphtheria-Pertussis): ₱1,500-₱2,500 per dose
• Td (Tetanus-Diphtheria only, private): ₱500-₱1,000 per dose (free at RHU)
• Pneumococcal PCV13: ₱4,500-₱7,500 per dose
• Pneumococcal PPSV23: ₱2,500-₱4,000 per dose
• HPV (Gardasil 9): ₱8,000-₱12,000 per dose × 3 doses (~₱24,000-₱36,000 total for the full series)
• Hepatitis B (Engerix-B or Heplisav-B): ₱1,000-₱1,800 per dose × 3 doses
• Hepatitis A (Havrix): ₱1,800-₱2,800 per dose × 2 doses
• MMR: ₱1,200-₱2,200 per dose
• Varicella (Varilrix): ₱2,000-₱3,500 per dose × 2 doses
• Herpes Zoster (Shingrix): ₱9,000-₱13,000 per dose × 2 doses (~₱18,000-₱26,000 total — not yet in DOH free program)
• MenACWY (Menveo or Menactra): ₱4,500-₱7,000 per dose (required for Hajj/Umrah/Saudi work visa)
• Yellow Fever: ₱3,000-₱5,000 per dose (Bureau of Quarantine + select private clinics; required for some African and South American countries)
• Typhoid (Typhim Vi): ₱1,500-₱2,500 per dose (recommended for OFWs and travelers to South Asia/Africa)
• Japanese Encephalitis: ₱2,500-₱4,000 per dose (for travel to rural Southeast Asia, including parts of PH)
• Rabies post-exposure: ₱3,000-₱8,000 for the full PEP schedule at the Animal Bite Treatment Center (ABTC, often subsidized) or ₱10,000-₱18,000 private

Pharmacy retail prices (Watson's, Mercury Drug, MyDoc) are typically 10-20% cheaper than hospital outpatient. Specialty travel clinics (EuroVax, Healthway Med-Plus travel) are typically 10-20% more expensive but bundle pre-travel consult + yellow card processing.

Typical private prices sa Metro Manila (2026 estimates — i-verify sa Watson's, Mercury Drug, o napiling hospital outpatient bago mag-schedule; nagbabago ang presyo sa FX at supply):

• Influenza (flu shot, kada taon): ₱400-₱1,200 (Sanofi Vaxigrip Tetra, GSK Influvac Tetra; quadrivalent ang preferred)
• Tdap (Tetanus-Diphtheria-Pertussis): ₱1,500-₱2,500 per dose
• Td (Tetanus-Diphtheria lamang, private): ₱500-₱1,000 per dose (libre sa RHU)
• Pneumococcal PCV13: ₱4,500-₱7,500 per dose
• Pneumococcal PPSV23: ₱2,500-₱4,000 per dose
• HPV (Gardasil 9): ₱8,000-₱12,000 per dose × 3 doses (~₱24,000-₱36,000 lahat-lahat para sa buong series)
• Hepatitis B (Engerix-B o Heplisav-B): ₱1,000-₱1,800 per dose × 3 doses
• Hepatitis A (Havrix): ₱1,800-₱2,800 per dose × 2 doses
• MMR: ₱1,200-₱2,200 per dose
• Varicella (Varilrix): ₱2,000-₱3,500 per dose × 2 doses
• Herpes Zoster (Shingrix): ₱9,000-₱13,000 per dose × 2 doses (~₱18,000-₱26,000 lahat — wala pa sa DOH free program)
• MenACWY (Menveo o Menactra): ₱4,500-₱7,000 per dose (kailangan para sa Hajj/Umrah/Saudi work visa)
• Yellow Fever: ₱3,000-₱5,000 per dose (Bureau of Quarantine + ilang private clinics; kailangan sa ilang African at South American countries)
• Typhoid (Typhim Vi): ₱1,500-₱2,500 per dose (recommended para sa OFW at travelers sa South Asia/Africa)
• Japanese Encephalitis: ₱2,500-₱4,000 per dose (para sa biyahe sa rural Southeast Asia, kasama ang ilang bahagi ng PH)
• Rabies post-exposure: ₱3,000-₱8,000 para sa buong PEP schedule sa Animal Bite Treatment Center (ABTC, madalas may subsidy) o ₱10,000-₱18,000 sa private

Mas mura ng 10-20% ang pharmacy retail prices (Watson's, Mercury Drug, MyDoc) kaysa hospital outpatient. Mas mahal ng 10-20% ang specialty travel clinics (EuroVax, Healthway Med-Plus travel) pero may kasamang pre-travel consult at yellow card processing.

Most Philippine HMOs (Maxicare, Intellicare, Medicard, EastWest Healthcare, Insular Health, Avega) treat vaccines as preventive care, which is often capped or excluded. Typical pattern:

• Annual flu shot — usually covered by most HMO plans (often labeled "annual physical exam wellness benefit" or "flu vaccine wellness"). Check your benefits handbook or member portal — most members are entitled but don't claim.
• Pneumococcal — sometimes covered, especially for members 60+ on higher-tier corporate plans. Often requires medical justification (chronic disease).
• Tdap, Hep B, HPV, Shingrix, MMR, Varicella, MenACWY — typically NOT covered. These are considered non-essential preventive care and excluded from most plans.
• Travel vaccines (yellow fever, typhoid, Japanese encephalitis) — typically NOT covered, treated as elective travel medicine.
• Rabies post-exposure prophylaxis — usually covered as emergency care after a documented bite.

Practical steps: (1) check your HMO benefits handbook for the exact wellness/vaccine clause, (2) call your HMO member service line before scheduling, (3) some HMOs require LOA (Letter of Authorization) issued before the shot or reimbursement claim after — know which applies. If denied, you can appeal — see our HMO claim denied guide.

Karamihan ng Philippine HMOs (Maxicare, Intellicare, Medicard, EastWest Healthcare, Insular Health, Avega) ay nagtutring sa vaccines bilang preventive care, na madalas capped o excluded. Typical pattern:

• Annual flu shot — karaniwang covered ng karamihan ng HMO plans (madalas naka-label bilang "annual physical exam wellness benefit" o "flu vaccine wellness"). Tingnan ang benefits handbook mo o member portal — entitled karamihan ng members pero hindi nag-cclaim.
• Pneumococcal — minsan covered, lalo na para sa members na 60+ sa higher-tier corporate plans. Madalas nangangailangan ng medical justification (chronic disease).
• Tdap, Hep B, HPV, Shingrix, MMR, Varicella, MenACWY — typically HINDI covered. Itinuturing itong non-essential preventive care at excluded sa karamihan ng plans.
• Travel vaccines (yellow fever, typhoid, Japanese encephalitis) — typically HINDI covered, itinuturing na elective travel medicine.
• Rabies post-exposure prophylaxis — karaniwang covered bilang emergency care pagkatapos ng documented bite.

Practical na hakbang: (1) tingnan ang HMO benefits handbook mo para sa exact wellness/vaccine clause, (2) tumawag sa HMO member service line bago mag-schedule, (3) may ilang HMO na nangangailangan ng LOA (Letter of Authorization) bago ang shot o reimbursement claim pagkatapos — alamin kung alin ang applicable. Kung tinanggihan, pwede kang mag-appeal — tingnan ang aming HMO claim denied guide.

Some destination countries require specific vaccines before issuing a work visa or before allowing entry. Check the embassy or POEA/DMW pre-departure orientation seminar (PDOS) for your specific destination's current requirements. Common ones:

• Saudi Arabia — MenACWY (meningococcal) is REQUIRED for Hajj, Umrah, and most work visa categories. Must be administered within the last 3 years, certificate signed by an authorized physician. ₱4,500-₱7,000 at private clinics; sometimes available at Bureau of Quarantine.
• African countries (Nigeria, Kenya, Tanzania, Ghana, etc.) — Yellow Fever is REQUIRED for entry. International Certificate of Vaccination (yellow card) must be presented at the airport. Only Bureau of Quarantine (Manila, Cebu, Davao) and select accredited private clinics issue the official yellow card. ₱3,000-₱5,000.
• Parts of South America (Brazil regions, Bolivia, Venezuela) — Yellow Fever required for some regions; check current WHO requirements.
• Food handlers / domestic workers / healthcare workers (most countries) — Hepatitis A and Hepatitis B often required or strongly recommended. ₱1,800-₱2,800 (Hep A) and ₱1,000-₱1,800 (Hep B) per dose.
• Healthcare workers (any destination) — full Hep B series, MMR proof, Varicella, and annual flu typically required. Some destinations also require TB screening.
• Some Middle East and Asian destinations — Typhoid recommended (₱1,500-₱2,500).
• Updated vaccination card / yellow card — Keep it physically and as a phone photo. DOH does not maintain a central database, so you are the record-keeper.

If you're applying for a visa, check the Bureau of Quarantine (BOQ) at quarantine.doh.gov.ph for the official yellow card and country-specific requirements. Also see our OFW work abroad guide and balikbayan guide for the broader pre-departure checklist.

May ilang destination country na nangangailangan ng specific vaccines bago mag-isyu ng work visa o bago payagang pumasok. Tingnan ang embahada o POEA/DMW pre-departure orientation seminar (PDOS) para sa kasalukuyang requirements ng specific destination mo. Mga common:

• Saudi Arabia — KAILANGAN ang MenACWY (meningococcal) para sa Hajj, Umrah, at karamihan ng work visa categories. Dapat ay administered sa loob ng huling 3 taon, certificate na pinirmahan ng authorized physician. ₱4,500-₱7,000 sa private clinics; minsan available sa Bureau of Quarantine.
• African countries (Nigeria, Kenya, Tanzania, Ghana, atbp.) — KAILANGAN ang Yellow Fever para makapasok. Dapat ipakita ang International Certificate of Vaccination (yellow card) sa airport. Ang Bureau of Quarantine lamang (Manila, Cebu, Davao) at ilang accredited private clinics ang nag-iisyu ng official yellow card. ₱3,000-₱5,000.
• Bahagi ng South America (Brazil regions, Bolivia, Venezuela) — kailangan ang Yellow Fever para sa ilang region; tingnan ang current WHO requirements.
• Food handlers / domestic workers / healthcare workers (karamihan ng country) — Hepatitis A at Hepatitis B ay madalas kailangan o strongly recommended. ₱1,800-₱2,800 (Hep A) at ₱1,000-₱1,800 (Hep B) per dose.
• Healthcare workers (kahit saan) — full Hep B series, MMR proof, Varicella, at annual flu ay typically kailangan. May ilang destination na nangangailangan din ng TB screening.
• Ilang Middle East at Asian destinations — Typhoid recommended (₱1,500-₱2,500).
• Updated vaccination card / yellow card — Itago nang physical at bilang phone photo. Walang central database ang DOH, kaya ikaw mismo ang record-keeper.

Kung nag-aapply ka ng visa, tingnan ang Bureau of Quarantine (BOQ) sa quarantine.doh.gov.ph para sa official yellow card at country-specific requirements. Tingnan din ang aming OFW work abroad guide at balikbayan guide para sa broader pre-departure checklist.

Four main channels, ranked by cost:

1. RHU / City Health Center / Barangay Health Station — FREE for flu, Td, pneumococcal (60+), occasional HPV catchup, COVID boosters. Best for routine and senior shots. Call ahead — supply is campaign-driven. Bring valid ID. Hours typically Mon-Fri 8 AM-5 PM.
2. Watson's, Mercury Drug, MyDoc, Generika — walk-in for flu, Td, Tdap, Hep B, HPV, pneumococcal. No appointment usually needed. Prices ~10-20% cheaper than hospitals. Call the branch first — stock varies, especially for flu (seasonal) and Shingrix (limited supply).
3. Hospital outpatient (Makati Med, St Luke's BGC/QC, Medical City, Asian Hospital, Cardinal Santos) — full menu. More expensive, but you'll see a doctor first and the records are integrated with hospital EMR. Best for Shingrix, HPV full series, and travel vaccines.
4. Specialty travel clinics (EuroVax, Healthway Med-Plus, Manila Doctors travel clinic, BOQ for yellow fever) — pre-travel one-stop. Bundle consult + multiple shots + yellow card. Best for OFWs and international travelers needing yellow fever, MenACWY, Japanese encephalitis, typhoid in one visit.

Independent options also exist (Pharex Health Hub, certain GPs in private clinics) and may stock specific vaccines on request — call first.

Apat na main channel, naka-rank by cost:

1. RHU / City Health Center / Barangay Health Station — LIBRE para sa flu, Td, pneumococcal (60+), occasional HPV catchup, COVID boosters. Best para sa routine at senior shots. Tumawag muna — campaign-driven ang supply. Magdala ng valid ID. Karaniwang oras Mon-Fri 8 AM-5 PM.
2. Watson's, Mercury Drug, MyDoc, Generika — walk-in para sa flu, Td, Tdap, Hep B, HPV, pneumococcal. Karaniwang walang kailangang appointment. ~10-20% mas mura kaysa sa ospital. Tumawag muna sa branch — iba't iba ang stock, lalo na sa flu (seasonal) at Shingrix (limited supply).
3. Hospital outpatient (Makati Med, St Luke's BGC/QC, Medical City, Asian Hospital, Cardinal Santos) — full menu. Mas mahal, pero mauuna kang ma-consult ng doktor at integrated ang records sa hospital EMR. Best para sa Shingrix, HPV full series, at travel vaccines.
4. Specialty travel clinics (EuroVax, Healthway Med-Plus, Manila Doctors travel clinic, BOQ para sa yellow fever) — pre-travel one-stop. Bundle consult + multiple shots + yellow card. Best para sa OFW at international travelers na kailangan ng yellow fever, MenACWY, Japanese encephalitis, typhoid sa isang bisita.

May mga independent options din (Pharex Health Hub, ilang GP sa private clinic) na pwedeng may stock ng specific vaccines on request — tumawag muna.