Medical Information

Interim guidelines for immunisations and re-immunisations of children arriving from Ukraine

A child with full immunisation status for Ukraine 

• up to 5 years of age – 2 doses of Synflorix (minimum interval between 2 months)
• over 5 years of age – Synflorix is not required

Child with incomplete immunisation status for Ukraine – the missing doses of vaccines are applied, according to the Immunisation Calendar of Bulgaria

• up to 1 year of age
  – 1 to 3 doses of Pentaxim, according to available data on vaccines against diphtheria, tetanus, pertussis, polio, haemophilus influenzae; 
  – 2 doses of Synflorix (minimum interval between doses of 2 months); 
  – Mantoux test /BCG
• between 1-4 years
  – 1 dose of Pentaxim + 2 doses of Tetraxim (basic immunisation) – according to the available data for vaccines against diphtheria, tetanus, pertussis, polio, haemophilus influenzae;
  – 2 doses of Synflorix (minimum interval between doses of 2 months);
  – 1 dose of M-M-RVAXPRO;
  – Mantoux test /BCG;
  – reimmunisation with 1 dose of Pentaxim (in children under 4 years)
  – reimmunisation with 1 dose of Tetraxim (in children aged 4 years and over).
• between 5-6 years 
  – 1 to 3 doses of Tetraxim;
  – 1 dose of M-M-RVAXPRO;
  – Mantoux test /BCG.
• between 7-13 years 
  – 1 dose Tetraxim (basic immunisation); 
  – 1 dose of Td (basic immunisation); 
  – 1 dose of M-M-RVAXPRO;
  – Mantoux test /BCG; 
  – 1 dose of Tetraxim (reimmunisation). 
• over 13 years
  – 1 dose of M-M-RVAXPRO;
  – 1-2 doses of Td (basic immunisation); 
  – Mantoux test /BCG; 
  – 1 dose of Boostrix (reimmunisation). 
   

Child without data on immunizations – considered unvaccinated. It is covered by immunisations, according to the Immunisation Calendar of Bulgaria, taking into account the following:

• children under 1 year of age – apply: 3 doses of Pentaxim, 2 doses of Synflorix, Mantoux test /BCG. 
• children aged 1-4 years – apply: 1 dose of Pentaxim + 2 doses of Tetraxim, 1 dose of M-M-RVAXPRO (priority coverage with M-M-RVAXPRO over Synflorix), 2 doses of Synflorix, Mantoux test /BCG.
• children 5-6 years of age – apply: 3 doses of Tetraxim, 1 dose of M-M-RVAXPRO, Mantoux test /BCG.
• children aged 7-13 years – apply: 1 dose Tetraxim, 1 dose Td, 1 dose M-M-RVAXPRO, Mantoux test /BCG.
• children over 13 years of age – apply: 2 doses Td, 1 dose M-M-RVAXPRO, Mantoux test /BCG.