Vaccines for disease | Recommendations | Clinical Guidance for Healthcare providers |
Routine vaccines | Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include Chickenpox (Varicella)Diphtheria-Tetanus-PertussisFlu (influenza)Measles-Mumps-Rubella (MMR)PolioShingles | Immunization schedules |
COVID-19 | All eligible travelers should be up to date with their COVID-19 vaccines. Please see Your COVID-19 Vaccination for more information. | COVID-19 vaccine |
Hepatitis A | Recommended for unvaccinated travelers one year old or older going to Bulgaria. Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series. Travelers allergic to a vaccine component or who are younger than 6 months should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given. Unvaccinated travelers who are over 40 years old, immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin. | Hepatitis A – CDC Yellow BookDosing info – Hep A |
Hepatitis B | Recommended for unvaccinated travelers younger than 60 years old traveling to Bulgaria. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Bulgaria. | Hepatitis B – CDC Yellow BookDosing info – Hep B |
Measles | Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading.All international travelers should be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine, including an early dose for infants 6–11 months, according to CDC’s measles vaccination recommendations for international travel. | Measles (Rubeola) – CDC Yellow Book |
Rabies | Bulgaria is free of dog rabies. However, rabies may still be present in wildlife species, particularly bats. CDC recommends rabies vaccination before travel only for people working directly with wildlife. These people may include veterinarians, animal handlers, field biologists, or laboratory workers working with specimens from mammalian species. | Rabies – CDC Yellow Book |
Tick-borne Encephalitis | For travelers moving or traveling to TBE-endemic areasTBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary. TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found. | Tick-borne Encephalitis – CDC Yellow Book |