Probably I should a few others.

Which ones?

 

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How old are you?

 

Have you already had Hep A and Hep B vaccines? (may have had Hep A as a child)

 

Where in thailand do you live?

I did have Hepatitis as a teenager. Not sure if the doc could differentiate A vs B

Living in CM

A blood test for Hep A and B antigens will show if you have immunity. If either is negative then that vaccine would be indicated.

You did nto reply re your age.

 

If over 50, shingles vaccine.

 

If over 65, pneumococcal vaccine.

 

Might like to consider pre-exposure rabies vaccine unless you ave previously had a full series of post-exposure rabies vaccine.

 

If within CM city and not tending to travel to more rural areas you can likely skip Japanese B. But if you do venture into rural areas or if you are out in the suburbs should get it.

You captured the age range perfectly!

 

I´d never heard of Pneumococcal disease which is especially dangerous for babies, older adults, and people with certain health conditions.

A different, second pneumococcal vaccine may be administered 1 year after the first vaccine was administered (i.e., 11 full months have passed following the month in which the last pneumococcal vaccine was administered).

http://www.immunize.org/askexperts/experts_pneumococcal_vaccines.asp

There are 2 types of pneumococcal vaccines:

• The PCV13 vaccine for infants, older adults, and people with certain health conditions
• The PPSV23 vaccine for children and adults age 2 and older, older adults, people with certain health conditions, and adults ages 19 through 64 who smoke

 

Also, I´ve heard of Shingles but not more. 

Shingles (herpes zoster) is caused by the same virus that causes chickenpox.

When some people develop chickenpox the virus may lie dormant in part of the spine for many years, causing no symptoms.

For reasons that are not clear, although a diminution of the natural immune protection is likely, the virus 'reawakens'.

The virus then travels down the sensory nerve root at the level it was stored and appears on the surface of the skin in the distribution of the affected nerve.

This is why it always appears in a very specific pattern and why it is very rare for two sides of the body to be affected at once.

The long term damage caused to the nerve is what is responsible for the pain before and more importantly after the appearance of the rash.

From this description you can see that it is not possible to catch shingles. In theory it is possible for someone to catch chickenpox through direct contact with shingles if they have not had it before. There are several considerations around this.

 

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Efficacy against shingles was 97% for persons 50-59 years of age, 97% for persons 60-69 years of age, and 91% for persons 70 years and older. Among persons 70 years and older vaccine efficacy was 85% 4 years after vaccination.

Will administering zoster vaccine prevent postherpetic neuralgia (PHN)?

Both zoster vaccines reduce the risk of PHN. In the pre-licensure trial ZVL was 67% effective in preventing PHN. RZV reduced the risk of PHN by 91%.

To whom should zoster vaccine be given?

The Advisory Committee on Immunization Practices (ACIP) published revised zoster vaccination recommendations in January 2018 (available at www.cdc.gov/mmwr/volumes/67/wr/pdfs/mm6703a5-H.pdf).

In hindsight, I´m glad that my Virgin-like vaccination pass prompted me to ask you !