Just listing the more common vaccines recommended for those 60+ both here in Thailand and other countries. Not about kids - just seniors. Not in any order.. others can add anything I might have missed:

• Flu shot for seniors (for 60+ it's much stronger and recommended as older people are highly vulnerable to hospitalization and even death from flu)

• Prevnar 20 (a pneumococcol vaccine as seniors are very vulnerable to pneumonia/hospitalization)

• RSV vaccine

• Shingrix (shingles vaccine - 2 dose 3 months apart) - some new research suggests it might also help prevent dementia

• QDenga (dengue vaccine - 2 doses 3 months apart - particularly urban areas)

• COVID-19 vaccines

• Tetanus/Diptheria/Pertussis vaccine (every 10 years I think)

• Japanese Encephalitis vaccine (particularly rural/farming areas in rainy season)

• Measles - most adults in this age range have likely had measles and would be immune - but MMR vaccines are widely available

Edited May 12May 12 by ronnie50

How long till the anti-vax crew starts screaming?

Done two shots rabies, first shot of shingrix and need a new tetanus.

If I die of flue, so be it, it was my time coming, but if Im like my mom, cant remember she had flue since 1990 its one time. I usually have it every 10 years or so, and Covid only once, while several in my family had is several times. I did only the two first, and do not see any reason for anymore Covid vaccines yet, or ever.

QDenga: Takeda (the company that makes it) has never tested it with seniors, and for that reason doesn't recommend it. Neither does Thai Travel Clinic (of Mahidol University, one of the leading places for tropical medicine in the world).

I do know infectious disease doctors in Bumrungrad and in Europe who do recommend it for seniors.

Personally, I still don't take it as it still is a very, very new vaccine.

But I am watching it.

14 hours ago, gargamon said:

How long till the anti-vax crew starts screaming?

You beat me to it

23 hours ago, ronnie50 said:

Just listing the more common vaccines recommended for those 60+ both here in Thailand and other countries. Not about kids - just seniors. Not in any order.. others can add anything I might have missed:

• Flu shot for seniors (for 60+ it's much stronger and recommended as older people are highly vulnerable to hospitalization and even death from flu)

• Prevnar 20 (a pneumococcol vaccine as seniors are very vulnerable to pneumonia/hospitalization)

• RSV vaccine

• Shingrix (shingles vaccine - 2 dose 3 months apart) - some new research suggests it might also help prevent dementia

• QDenga (dengue vaccine - 2 doses 3 months apart - particularly urban areas)

• COVID-19 vaccines

• Tetanus/Diptheria/Pertussis vaccine (every 10 years I think)

• Japanese Encephalitis vaccine (particularly rural/farming areas in rainy season)

• Measles - most adults in this age range have likely had measles and would be immune - but MMR vaccines are widely available

If you want some more vaccines for your list I suggest that you contact RFK the US Health Expert he will be able to help you becaause he endorses all of them.

On 5/12/2026 at 8:58 AM, ronnie50 said:

Just listing the more common vaccines recommended for those 60+ both here in Thailand and other countries. Not about kids - just seniors. Not in any order.. others can add anything I might have missed:

• Flu shot for seniors (for 60+ it's much stronger and recommended as older people are highly vulnerable to hospitalization and even death from flu)

• Prevnar 20 (a pneumococcol vaccine as seniors are very vulnerable to pneumonia/hospitalization)

• RSV vaccine

• Shingrix (shingles vaccine - 2 dose 3 months apart) - some new research suggests it might also help prevent dementia

• QDenga (dengue vaccine - 2 doses 3 months apart - particularly urban areas)

• COVID-19 vaccines

• Tetanus/Diptheria/Pertussis vaccine (every 10 years I think)

• Japanese Encephalitis vaccine (particularly rural/farming areas in rainy season)

• Measles - most adults in this age range have likely had measles and would be immune - but MMR vaccines are widely available

I fully concur with your excellent list.

I just did a major review of my vaccine status, including several discussions with a very knowledgable doctor in the vaccine, etc., department of Bangkok Hospital. And my conclusions are the same as yours. My only comment on your list would be that some sources say that only one Tdap shot is necessary for adults and after that just a tetanus shot every 10 years. But repeating the Tdap certainly won't do you any harm.

Just one addition to your list would be to get Hepatitis A and B vaccines if you don't already carry immunity to one or both (many of us do have long-lasting protection, but worth checking)

9 hours ago, Hish said:

QDenga: Takeda (the company that makes it) has never tested it with seniors, and for that reason doesn't recommend it. Neither does Thai Travel Clinic (of Mahidol University, one of the leading places for tropical medicine in the world).

I do know infectious disease doctors in Bumrungrad and in Europe who do recommend it for seniors.

Personally, I still don't take it as it still is a very, very new vaccine.

But I am watching it.

I thought the same as you, but this age restriction was changed late last year by the Thailand authorities and several others including the EU and Australia. This was told to me by the Bangkok Hospital doctor I consulted, and I checked it out on ChatGPT. Most health authorities now say it is for "adults, adolescents and children from 4 years of age" with no upper age limit.

I would add the Hepatitis vaccines to the OP’s list.

Everyone who lives in Thailand should consider getting the Rabies vaccine. You can get treatment post exposure but if you’ve been vaccinated it makes any post exposure treatment easier.

On 5/12/2026 at 8:58 AM, ronnie50 said:

Just listing the more common vaccines recommended for those 60+ both here in Thailand and other countries. Not about kids - just seniors. Not in any order.. others can add anything I might have missed:

• Flu shot for seniors (for 60+ it's much stronger and recommended as older people are highly vulnerable to hospitalization and even death from flu)

• Prevnar 20 (a pneumococcol vaccine as seniors are very vulnerable to pneumonia/hospitalization)

• RSV vaccine

• Shingrix (shingles vaccine - 2 dose 3 months apart) - some new research suggests it might also help prevent dementia

• QDenga (dengue vaccine - 2 doses 3 months apart - particularly urban areas)

• COVID-19 vaccines

• Tetanus/Diptheria/Pertussis vaccine (every 10 years I think)

• Japanese Encephalitis vaccine (particularly rural/farming areas in rainy season)

• Measles - most adults in this age range have likely had measles and would be immune - but MMR vaccines are widely available

Hi Ronnie - thanks for that. I am not anti-vax but I think we should all pick and choose. I'm 78.

1. I won't take any mRNA based vaccine (I stopped taking Covid vax after 4) The Covid virus mutates quicker than the vax is updated and Covid is not prominent now.

2. I have never had a flu or pneumonia vax, (but try to support my immune system). I'm not in an area where dengue is prominent and won't be taking Jap Enceplalitis either.

3. Shingles - I had a bout of this 40 years ago and was told that would provide ongoing protection.

4. I'm considering taking the RSV vax on my next UK visit.

5. Tetanus - my understanding is after 4 or 5 in a long life, protection should be assured.

6. I had all the usual childhood vax, polio, measles, tuberculosis.

   You make a long list in your post - too many for me. It's fair to observe that cancer and heart problems cause the most deaths.

   To repeat, I'm not anti-vax and am in fact heavily invested (for the last 15 years), in a DNA based UK 'cancer vaccine' company that now have 4 Immunotherapy platforms - the most advanced has, in Phase 2 trials, increased the SOC, (standard of care), for advanced melanoma progression free survival at 20 months, by 80%, (from 43% to 77%).

   So I'm not anti-vax but don't want to take too many and certainly, no mRNA based vax at all. ATB

Edited May 13May 13 by TorquayFan

On 5/12/2026 at 8:58 AM, ronnie50 said:

Flu shot for seniors

There are several kinds of flu shots. Best to get Trivalent for complete coverage.

31 minutes ago, VirgoSG said:

I thought the same as you, but this age restriction was changed late last year by the Thailand authorities and several others including the EU and Australia. This was told to me by the Bangkok Hospital doctor I consulted, and I checked it out on ChatGPT. Most health authorities now say it is for "adults, adolescents and children from 4 years of age" with no upper age limit.

It is true that Mahidol Thai Travel Clinic very recently softened their stance, and now say its a decision based on individual circumstances.

As for the European EMA, they have never advised an age limit, no change here. At the same time, they keep writing

"There are no data on the use of Qdenga in subjects above 60 years of age and limited data in patients with chronic medical conditions"

https://www.ema.europa.eu/en/medicines/human/EPAR/qdenga

Point 4.4 in their file Qdenga: EPAR - Product information - tracked changes

(The new AN format doesn't allow me normal posting)

Takeda has not applied for FDA approval.

The German RKI has not changed its very restrictive stance, that Qdenga should only be used if you have ever had a lab-confirmed Dengue infection (they are obviously afraid of another Sanofi debacle, after all, that one took years and very wide-spread use until it turned out kids were dying)

Australia just approved it, no age limit.

Takeda's own package leaflet for Thailand didn't have an age limit even in 2023, but clearly states this vaccine is to "protect yor child". Hm.

Bangkok Hospital doctors have an obvious conflict of interest.

I cannot post references, AN doesn't allow pdf.

11 hours ago, Hish said:

I do know infectious disease doctors in Bumrungrad and in Europe who do recommend it for seniors.

EU Medicines Agency placed no upper limit. (equiv US FDA)

On 5/12/2026 at 9:22 AM, gargamon said:

How long till the anti-vax crew starts screaming?

No matter for me. I've been vaccinated with everything from Polio onward upto but excluding denge. I'll watch from the moral high ground.

Looking at the news the next pandemic may well originate on these city sized vomit ships sailing the oceans sic.

On 5/12/2026 at 8:58 AM, ronnie50 said:

Just listing the more common vaccines recommended for those 60+ both here in Thailand and other countries. Not about kids - just seniors. Not in any order.. others can add anything I might have missed:

• Flu shot for seniors (for 60+ it's much stronger and recommended as older people are highly vulnerable to hospitalization and even death from flu)

• Prevnar 20 (a pneumococcol vaccine as seniors are very vulnerable to pneumonia/hospitalization)

• RSV vaccine

• Shingrix (shingles vaccine - 2 dose 3 months apart) - some new research suggests it might also help prevent dementia

• QDenga (dengue vaccine - 2 doses 3 months apart - particularly urban areas)

• COVID-19 vaccines

• Tetanus/Diptheria/Pertussis vaccine (every 10 years I think)

• Japanese Encephalitis vaccine (particularly rural/farming areas in rainy season)

• Measles - most adults in this age range have likely had measles and would be immune - but MMR vaccines are widely available

This is truly one of the few excellent topics I have ever seen on TV.

Immunization is one of the few miracles of modern medicine, and antibiotics is another.

Since I am lazy, I don't get the vaccines that would be valuable for me to have.

Maybe, after reading this Topic, I will go for a few vaccines, such as the pneumococcal and maybe the shingles vaccine. I would do this from a risk benefit perspective.

Excellent Topic.

3 hours ago, Front Row said:

I would add the Hepatitis vaccines to the OP’s list.

Everyone who lives in Thailand should consider getting the Rabies vaccine. You can get treatment post exposure but if you’ve been vaccinated it makes any post exposure treatment easier.

Yes.

Absolutely;

Hepatitis B, for example.

I had the first two of the series way back in 1980.

Then, due to laziness, I went no further.

Hepatitis B has been a major problem in Taiwan, due to food sharing and lack of hygenic preparation and serving of food in night-markets, etc.

Edited May 13May 13 by GammaGlobulin

My wife and I went back in the states last year and went to our public health office. I needed only a new tetanus shot, but my wife had to have several. I retired military 30 years ago and had a shot record a mile long. back in 2011 I went to Afghanistan as a civilian for work. Prior to leaving, had more shots. So when the public health nurse took a look at my shot record, over two pages, she laughed. She said a nuke would go off and I'd survive. I've had the two required COVID shots and have never had COVID. Maybe, all the other shots, including anthrax, yellow fever, and many others I've received kills COVID upon entry!

All joking aside, we'll routinely go to our health department, annually, to keep them up to date ... and get a dose of the grandkids!

The post has been deleted, this was already mentioned in the announcement.

Edited May 13May 13 by Peterphuket

17 hours ago, Hish said:

I do know infectious disease doctors in Bumrungrad and in Europe who do recommend it for seniors.

I'm surprised that any doctors in Bumrungrad or Europe would recommend it for seniors because it is a live vaccine and it has never been trialled on adults over 60. I made enquiries at Bangkok Hospital about 6 months ago about getting the vaccine (I'm over 60) but was told 60 is the upper cut-off age limit because of the lack of clinical data. They said they follow international guidelines. From my personal experience over the years with Bangkok Hospital they will never miss an opportunity to prescribe something to make money (they are after all a profit-making private hospital) but the fact that they wouldn't even consider giving me the vaccine confirmed to me that they do place patient safety over profit. I would have thought Bumrungrad would be the same.

6 hours ago, Hish said:

Australia just approved it, no age limit.

I am in Australia at the moment. I just had my annual flu vaccination and Covid booster before returning to Thailand next week. I specifically asked whether there has been any changes yet to the 4-60 age limit for the Qdenga vaccination. I was told that 60 is still the upper limit. No doctor, phamacy or vaccination centre in Australia will give you a Qdenga vaccine if you are over 60.

On 5/12/2026 at 8:58 AM, ronnie50 said:

Flu shot for seniors (for 60+ it's much stronger and recommended as older people are highly vulnerable to hospitalization and even death from flu)

Sorry if I wasn't very clear on this one - there is a 'different' flu shot for 60+ that is more than the trivalent normal flu shot most people receive my doctor told me it is 4X stronger. I had it last week and wasn't aware there was a differet shot - sure enough the package said for over 60s.

14 hours ago, banyanman said:

I'm surprised that any doctors in Bumrungrad or Europe would recommend it for seniors because it is a live vaccine and it has never been trialled on adults over 60. I made enquiries at Bangkok Hospital about 6 months ago about getting the vaccine (I'm over 60) but was told 60 is the upper cut-off age limit because of the lack of clinical data.

The European Medicines Agency (like the US FDA) places no upper age limit on Qdenga vaccine. I had mine at Bangkok Hospital (after I pointed to the EU's rules).

18 hours ago, banyanman said:

I am in Australia at the moment. I just had my annual flu vaccination and Covid booster before returning to Thailand next week. I specifically asked whether there has been any changes yet to the 4-60 age limit for the Qdenga vaccination. I was told that 60 is still the upper limit. No doctor, phamacy or vaccination centre in Australia will give you a Qdenga vaccine if you are over 60.

Then that would be because the doctors don't keep up with the latest drug approvals. The Australian government Department of Health, Disability and Ageing web page clearly says that of April 8th 2026 Qdenga "can be given to adults, adolescents and children from 4 years of age" with no upper limit. You can check this out yourself at:

https://www.tga.gov.au/resources/auspmd/qdenga-dengue-tetravalent-vaccine-live-attenuated-dengue-virus-serotypes-1-2-3-and-4

And the Australian government Consumer Medicine Information (CMI) summary (see: https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&id=CP-2026-CMI-01421-1&d=20260514172310101 ) merely says:--

Use in elderly
Ask your doctor for advice whether it is beneficial for you to receive QDENGA. There are no data for adults above 60 years of age.
Use in young children
Children less than 4 years of age must not receive QDENGA.

17 hours ago, ronnie50 said:

Sorry if I wasn't very clear on this one - there is a 'different' flu shot for 60+ that is more than the trivalent normal flu shot most people receive my doctor told me it is 4X stronger. I had it last week and wasn't aware there was a differet shot - sure enough the package said for over 60s.

That's correct. The name of the vaccine for older individuals is Efluelda and it does contain 4x the antigen of standard vaccines to combat age-related immune system decline. I had it a few weeks ago at Bumrungrad, and the aftereffects for me were no different than the usual flu shot

On 5/13/2026 at 10:40 AM, Hish said:

The German RKI has not changed its very restrictive stance, that Qdenga should only be used if you have ever had a lab-confirmed Dengue infection (they are obviously afraid of another Sanofi debacle, after all, that one took years and very wide-spread use until it turned out kids were dying)

I would assume this is more practical than medically related. One's first dengue infection is generally much milder or even entirely asymptomatic compared to subsequent infections. However, catching a different strain of the virus later on significantly increases the risk of developing severe dengue. And the efficacy of Qdenga is much stronger amongst people who have already had a dengue infection than it is among people without any prior infection

2 hours ago, VirgoSG said:

Then that would be because the doctors don't keep up with the latest drug approvals. The Australian government Department of Health, Disability and Ageing web page clearly says that of April 8th 2026 Qdenga "can be given to adults, adolescents and children from 4 years of age" with no upper limit. You can check this out yourself at:

https://www.tga.gov.au/resources/auspmd/qdenga-dengue-tetravalent-vaccine-live-attenuated-dengue-virus-serotypes-1-2-3-and-4

Yes, you are correct on that point but that drug approval document clearly states "Safety was (only) assessed in people aged 4-60 years" and the other document for which you provided a link states that there is no clinical data for adults over 60 years of age. So whilst technically there is now (since last month) no upper age limit in Australia, you'd be foolish to have the vaccination without being assessed by a doctor first. Personally I wouldn't risk it until there have been some trials done and clinical data established for adults over 60.

Edited May 14May 14 by banyanman

16 hours ago, ronnie50 said:

The European Medicines Agency (like the US FDA) places no upper age limit on Qdenga vaccine. I had mine at Bangkok Hospital (after I pointed to the EU's rules)

Qdenga is not US FDA approved, so obviously there is no age limit from the US FDA.

As for Bangkok Hospital and Bumrungrad @banyanman , these things are up to the individual doctor

I've had all on the list in the OP except Dengue. The Missus had two shots of the Dengue vaccine, but when I asked for myself they said they do not recommend it unless you've already had Dengue (she has had Dengue once).

They also mentioned age as noted in some posts above.

Is this now outdated advice?

8 hours ago, Hish said:

Qdenga is not US FDA approved, so obviously there is no age limit from the US FDA.

As for Bangkok Hospital and Bumrungrad @banyanman , these things are up to the individual doctor

I think you misread/misunderstood. I was referring to the EU Medicines Agency (that is the 'equivalent' of the US FDA) - I'm aware the latter hasn't approved Qdenga (remains silent on it).

On 5/13/2026 at 9:24 AM, VirgoSG said:

Just one addition to your list would be to get Hepatitis A and B vaccines if you don't already carry immunity to one or both (many of us do have long-lasting protection, but worth checking)

I think if you do the full course of Hep B vaccine, you are good for life. Hep A (I think) needs to be updated every five years or so - I haven't had the Hep A vaccine for a long time - and in a place like Thailand I probably should get a booster.