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Immunization & Preventive Clinic (IPC) — AIIMS Bhopal

Vaccination Services at IPC, AIIMS Bhopal

Organised information on immunization programmes available at the IPC, AIIMS Bhopal, for patients, guardians, and health workers.

Based on NIS (GoI) • MoHFW guidelines • AIIMS Bhopal operational workflow

Yellow Fever
Doses Available

HPV (Gardasil-4)
Doses Available

ARV / Rabies
Doses Available

Hepatitis B
For Healthcare Providers

1. Universal Immunization Programme (UIP / NIS)

Based on the updated National Immunization Schedule (NIS), Government of India.

Routine NIS Schedule

Beneficiary	Age	Vaccines Given	Practical Note
Infants (0–1 year)	At Birth	BCG, bOPV-0, Hepatitis B Birth dose	Hep B birth dose should be given as early as possible after birth
	6 Weeks	bOPV-1, Pentavalent-1, fIPV-1, RVV-1, PCV-1	Start primary infant series
	10 Weeks	bOPV-2, Pentavalent-2, RVV-2	Continue series
	14 Weeks	bOPV-3, Pentavalent-3, fIPV-2, RVV-3, PCV-2	Complete primary infant series
	9–11 Months	MR-1, JE-1*, PCV-Booster, fIPV-3, Vitamin A 1st dose	JE only in selected endemic districts
	16–23 Months	MR-2, JE-2*, DPT Booster-1, bOPV-Booster, Vitamin A (2nd–9th dose)	Vitamin A: one dose every 6 months up to 5 years
Children (1–17 years)	5–6 years	DPT Booster-2	Routine booster
	10 years	Td	Adolescent dose
	16 years	Td	Adolescent dose

Pregnant Women	First ANC / pregnancy registration	Td-1	Give at first contact
	Minimum 4 weeks after Td-1	Td-2	Complete schedule
	If vaccinated within past 3 years (2 doses Td/TT)	Td Booster	Single booster dose only

* JE vaccine is only for selected areas (endemic districts).

Catch-up Golden Rules

Rule	What to Do
Never restart a vaccine series	Give the next due dose
If delayed, vaccinate as early as possible	Follow age eligibility
Check MCP / immunization card first	Verify prior doses
If record is unavailable	Manage according to programme guidance
Give all due vaccines in same session if eligible	Use correct site and route

Minimum Interval Quick Reference

Vaccine / Situation	Minimum Interval
Td-1 to Td-2 in pregnancy	4 weeks
DPT / bOPV primary doses	4 weeks
Pentavalent due doses	4 weeks
Rotavirus remaining doses	4 weeks
MR-1 to MR-2 (catch-up)	4 weeks
JE-1 to JE-2	3 months
PCV delayed doses	At least 2 months
Two live injectable vaccines not given on same day	4 weeks

Route & Site of Administration

Vaccine	Route	Site (Zone)	Notes
BCG	ID	B — Right upper arm	Left deltoid region; raised bleb ~5 mm; do not rub
bOPV	Oral	D — Oral	2 drops on tongue; no feeding 30 min before/after
Hep B (birth)	IM	C — Antero-lateral thigh	Antero-lateral mid-thigh; given within 24 h of birth
Pentavalent	IM	C — Antero-lateral thigh	Left thigh for Penta-1; right thigh for Penta-2; left for Penta-3
fIPV	ID	B — Right upper arm	0.1 mL intradermal; right deltoid
Rotavirus (RVV)	Oral	D — Oral	Oral drops; 5 drops per dose
PCV	IM	C — Antero-lateral thigh	Antero-lateral thigh; alternate sides for multiple doses
MR / Measles	SC	E — Upper arm (either)	Sub-cutaneous; outer aspect of upper arm
JE	SC	E — Upper arm (either)	Sub-cutaneous; outer upper arm
DPT Booster	IM	E — Upper arm (either)	Deltoid IM; either arm acceptable at this age
Td (10 & 16 yr)	IM	E — Upper arm (either)	Deltoid IM
Td (Pregnancy)	IM	A — Left upper arm	Left deltoid; document both Td-1 and Td-2 in MCP card

Injection Site Map

Select a beneficiary group — each figure is drawn with age- and gender-appropriate proportions and shows only the relevant vaccine sites for that group.

Injection Sites — Infant (0–6 months)

Zone B — Right upper arm: BCG (ID), fIPV (ID)

Zone C — Antero-lateral mid-thigh: Pentavalent, Hep B, PCV (all IM)

Zone D — Oral: bOPV (2 drops), Rotavirus (5 drops)

Alternate thighs for multiple IM doses in the same session. Left thigh: Penta-1; Right: Penta-2; Left: Penta-3.

Injection Sites — Child (9 months–5 years)

Zone D — Oral: bOPV booster

Zone E — Upper arm (either): MR-1 (SC, 9–11m), MR-2 (SC, 16–23m), JE-1, JE-2*, DPT Booster-1

Zone C — Thigh: catch-up IM doses if due (Penta, PCV) in younger children

Zone B — Right upper arm: BCG (if missed), fIPV-3 (9–11m)

*JE in endemic districts only. MR and JE are given SC into the outer upper arm.

Injection Sites — Adolescent (5–16 years)

Zone E — Upper arm (either): DPT Booster-2 (5–6 yr, IM deltoid), Td (10 yr, IM), Td (16 yr, IM)

At this age, the deltoid muscle is well developed. Either arm is acceptable. Document in the school health card.

Injection Sites — Pregnant Woman

Zone A — Left upper arm (deltoid, IM): Td-1 (at first ANC contact), Td-2 (≥4 weeks after Td-1), Td Booster (if vaccinated within 3 years)

Record both doses in the MCP card. Give Td at first ANC even if late in pregnancy. Td Booster = single dose if she received 2 Td/TT within past 3 years.

🎯 Practice: Match Vaccine to Site

Select a vaccine card, then click the correct zone. Score 10/10 to complete!

Score: 0 / 10

A — Left upper arm B — Right upper arm C — Antero-lateral thigh D — Oral E — Upper arm (either)

Open Vial Policy (OVP)

Under the Open Vial Policy, partially used vaccine vials from outreach or field sessions can be brought back and used in subsequent sessions — but only for eligible vaccines.

✅ OVP Applies

Pentavalent
Td / TT
Hepatitis B
bOPV (oral polio)
Rotavirus (RVV)

Conditions: vial must be within expiry, VVM not reached discard point, no contamination, cold chain maintained, label intact.

❌ OVP Does NOT Apply

BCG (reconstituted — discard after 3 h)
Measles / MR (discard after 4 h once opened)
JE (discard after 4 h once opened)

These vaccines are reconstituted with diluent and lose potency rapidly after opening. They must never be returned to stock.

Madhya Pradesh note: MP follows the national NIS schedule. Key additions: Vitamin A supplementation every 6 months from 9 months up to 5 years of age. JE vaccine is administered in selected endemic districts only — confirm local district list before administration. PCV was introduced under UIP and is given at 6 weeks, 14 weeks, and 9 months (booster).

2. HPV Vaccination at AIIMS Bhopal 💉 0 doses

AIIMS Bhopal uses Gardasil-4 (Quadrivalent HPV Vaccine) under the Universal Immunization Programme via the U-WIN portal.

Programme Details

Item	Details
Platform for registration	U-WIN Portal (Universal Immunization Programme)
Vaccine	Gardasil-4 (Quadrivalent Human Papillomavirus Vaccine)
Dose	0.5 ml
Route	IM (Intramuscular)
Site	Left upper arm
Session timing	9:00 AM to 1:00 PM

Component	Details
Consent form	Written consent via Sahmati Prapatra / Consent Form
Portal	Data entered on U-WIN Portal
Who gives consent	Father / Mother / Guardian
Legal basis	DPDP Act, 2023

Acceptable ID / Age Proof Documents

Accepted Document
Aadhaar
Birth Certificate
APAAR ID
Student Photo ID Card
Passport
MCP Card with DOB
Transfer Certificate (TC)
PEN ID
Ration Card with Photo
Orphanage DOB Declaration
Bank Passbook
Age Declaration Form

Pre-vaccination Screening

Screening Point	Action
History of yeast allergy	Do not vaccinate until reviewed — Gardasil-4 contains yeast protein
History of allergy to previous HPV vaccine	Do not vaccinate until reviewed
No history of allergy	Can proceed if otherwise eligible

Step-by-step Workflow for AIIMS Bhopal Staff

Step	Action
1. Verify eligibility	Confirm age and programme eligibility
2. Check consent	Ensure parent / guardian consent is completed
3. Verify ID proof	Match beneficiary details with one valid document
4. Screen for allergy	Ask about yeast allergy and previous HPV vaccine allergy
5. Record on U-WIN	Enter details correctly
6. Administer vaccine	Give Gardasil-4 0.5 ml IM in left upper arm
7. Follow session time	Vaccinate between 9 AM and 1 PM
8. Document immediately	Update register / portal / card before beneficiary leaves

3. Yellow Fever Vaccination at AIIMS Bhopal 💉 0 doses

Available only on Wednesdays at the IPC Centre, AIIMS Bhopal

Do not come without your original passport and travel proof.

Please arrive early. Late reporting may lead to missed vaccination on the same day.

Check the official MoHFW country list before visiting.

Vaccination is provided subject to document verification, beneficiary slotting, and vaccine availability. The yellow fever vaccination certificate becomes valid 10 days after vaccination and remains valid for life.

Day

Every Wednesday

Location

IPC Centre, AIIMS Bhopal

Reach Early

Preferably by 8:30–9:00 AM

Certificate Validity

Valid 10 days after vaccination; valid for life thereafter

Who Should Come

This service is intended for eligible travellers going to countries listed on the official Government of India yellow fever portal. Please consult the current country list on the MoHFW IHR/POE website before visiting, because the list is amended from time to time.

At AIIMS Bhopal, due to limited vaccine availability, priority is given to travellers who produce valid documents showing actual travel to a listed destination country.

Documents Required

Original passport is required under the official public guidance. In addition, AIIMS Bhopal verifies supporting documents related to travel before slotting.

Original passport
Proof of travel to a listed yellow fever country
Supporting documents — one or more of the following:
- Flight ticket or itinerary
- Hotel booking in the listed destination country
- Appointment letter, joining letter, work order, or deputation-related document
- Official communication from an employer, institution, company, or authority in the destination country indicating the travel and vaccination requirement

Without passport and adequate supporting proof of travel, vaccination slotting may not be processed.

Please Read Before You Visit

Yellow fever vaccination is available only on Wednesdays at AIIMS Bhopal IPC Centre.
Vaccine stock is limited.
Beneficiaries are considered only after document verification.
Slotting is done on a first-come, first-served basis at the clinic level.
Reaching early improves the chance of same-day vaccination.
If you come late, there may not be enough eligible beneficiaries available to open a vial without wastage.

How the Process Works

The official public guidance notes that the vaccination procedure may vary from centre to centre. At AIIMS Bhopal, the following workflow is followed to manage verification, slotting, and limited-dose use.

Check the official country list

Before coming, confirm that your destination country appears on the official MoHFW IHR/POE yellow fever list.

Come on Wednesday

Yellow fever vaccination is offered only on Wednesdays at the IPC Centre, AIIMS Bhopal.

Complete AIIMS registration

Complete the required AIIMS registration and obtain the registration document for clinic processing.

Report at the IPC clinic

Submit your registration paper at the IPC clinic so your details can be entered into the clinic queue.

Document verification

Your passport and supporting travel documents are checked to confirm eligibility and priority.

Slotting by reporting sequence

Eligible beneficiaries are slotted in the order in which they register at the clinic.

Vaccination when vial use is feasible

Because doses are limited and multiple doses may be drawn from a vial, the vial is opened only when sufficient eligible beneficiaries are available, so that wastage is minimized.

Post-vaccination observation

All vaccine beneficiaries are required to wait for 30 minutes after vaccination for observation.

Certificate validity

Your yellow fever vaccination certificate becomes valid 10 days after vaccination and remains valid for life.

Important: AIIMS Registration and Clinic Slot Entry Are Different

Routine AIIMS registration alone does not complete the vaccination process. After registration, you must report to the IPC clinic and submit your registration paper for clinic-level slot entry.

Why Reaching Early Matters

✓ If you reach early

Earlier document verification
Better position in clinic queue
Higher chance of being grouped in an open vial batch
Better chance of same-day vaccination

✗ If you reach late

Later slotting in queue
Fewer beneficiaries available around the same time
Vial opening may not be feasible without wastage
Vaccination may have to be deferred

Certificate and Travel Validity

Passengers travelling to or from yellow fever endemic countries are required to possess a valid yellow fever vaccination certificate issued by an authorized vaccination centre. The certificate becomes valid only after 10 days from the date of vaccination. Official public guidance also notes that invalid, incomplete, altered, or defective documentation can lead to quarantine-related issues.

Please plan your vaccination well in advance of travel.

Who Should Not Receive the Vaccine Without Medical Assessment

The official public guidance lists several contraindications and precautions, including severe allergy to egg/chicken/gelatin, pregnancy, infants younger than 9 months, significant immune compromise, acute or moderate illness, thymus-related disorders, and major liver or kidney disease. Final vaccination decisions may depend on risk assessment by the designated centre.

Frequently Asked Questions

Is yellow fever vaccination available every day at AIIMS Bhopal?

No. This service is available only on Wednesdays at the IPC Centre, AIIMS Bhopal.

What is the most important document I must carry?

You must carry your original passport. The official public guidance specifically lists original passport as a mandatory document.

What other travel proof should I bring?

Please bring supporting proof of travel, such as ticket/itinerary, hotel booking in the destination country, and where applicable, official communication from a source in the destination country showing the need for travel and vaccination.

Is hospital registration enough?

No. After AIIMS registration, you must also report to the IPC clinic and submit your registration paper for clinic-level slotting.

Why am I being asked to come early?

Because vaccine stock is limited, and vial opening depends on having enough eligible beneficiaries available at the same time. Early reporting improves your position in the queue and increases the chance of same-day vaccination.

When does the certificate become valid?

The certificate becomes valid 10 days after vaccination and remains valid for life.

Where should I check the country list?

Please check the official MoHFW IHR/POE yellow fever page for the current list of countries, because the list may be amended from time to time.

What happens after vaccination?

You will be asked to remain for 30 minutes of observation after vaccination. If you feel unwell, inform the doctor on duty immediately.

Core Vaccine Facts & Medical Details

Core Facts

Item	Guidance
Vaccine type	Live attenuated 17D strain
Dose	0.5 ml
Route	Subcutaneous
Schedule	Single dose
Onset of protection	10 days after vaccination
Duration of protection	Lifelong
Severe disease mortality	40–60% in severe cases
Treatment	No specific treatment — vaccination is the only effective protection
Fee	Rs. 300 per dose

International Certificate (ICVP)

Item	Guidance
Certificate becomes valid	10 days after vaccination
Certificate validity	For life
Language	English or French; additional languages may be added
Invalid certificate examples	Overwriting, photocopy, wrong personal details, non-designated centre, or vaccination <10 days before arrival

What to Bring

Item	Why
Original passport	Mandatory for certificate details
Travel itinerary	To assess whether yellow fever vaccine is required
Sufficient time before travel	Certificate valid only 10 days after vaccination
Previous yellow fever certificate (if any)	To avoid unnecessary re-issue

Session Procedure

Step	What Happens
1. Registration counter	Identity and travel documents checked
2. Waiting area	Beneficiary waits in sequence
3. Injection room	Vaccine administered
4. Observation room	Post-vaccination observation for 30 minutes
Important advice	Beneficiary should not come fasting — eat before vaccination

Contraindications

Condition	Guidance
Severe allergy to egg, chicken, or gelatin	Do not vaccinate
Pregnant / likely pregnancy in next 2 weeks	Do not vaccinate
Infants <9 months	Do not vaccinate
HIV / AIDS with CD4 <200/mm³ or <15% lymphocytes	Do not vaccinate
Significant immunosuppression, malignancy, transplant, chemotherapy	Do not vaccinate
Thymus disorders / thymectomy	Do not vaccinate
Major liver or kidney disease	Do not vaccinate
Moderate or severe acute illness	Postpone until recovery
Age ≥60 years or significant comorbidities	Risk-benefit assessment by YFVC Nodal Officer before vaccination

Co-administration with Other Vaccines

Situation	Rule
Yellow fever + another live vaccine given together	Can be given on the same day
If not given on the same day	Minimum gap of 4 weeks

4. Adult Vaccination 💉 0 Hep B doses (HCW)

Adult vaccination at AIIMS Bhopal is guided by age, comorbidities, occupation, pregnancy status, travel plans, and prior vaccine history. Consult the relevant department for individualized advice.

Adult Vaccine Quick Reference

Vaccine	Who to Consider	Practical Note
Tdap / Td	Adults needing booster, wound prophylaxis, healthcare workers, pregnancy	Booster-based
Influenza	Elderly, chronic disease, healthcare workers, pregnancy, immunocompromised	Usually annual
Pneumococcal	Older adults, chronic disease, immunocompromised	Risk-based
Hepatitis B	Healthcare workers, exposure risk, unvaccinated adults	Important in hospital practice
Hepatitis A	Travel / liver disease / exposure risk	Risk-based
Shingles	Older adults / selected groups	Usually 2-dose schedule where indicated
MMR / Varicella	Non-immune adults	Avoid live vaccines in pregnancy
Rabies (ARV)	Animal bite exposure, high-risk occupations, travellers to endemic areas	See Section 5 below
Typhoid	Travellers / repeated exposure risk	Risk-based
HPV	Selected adolescents / young adults outside programme	Counsel separately
COVID-19	As per current local policy	Follow institutional advice
Yellow Fever	International travellers to / from endemic regions	See Section 3 above

AIIMS Bhopal Routing by Patient Category

Patient Category	Practical Approach
General adult ("Which vaccine do I need?")	Route for counselling based on age, comorbidity, occupation, pregnancy, travel, and prior vaccine history
Healthcare worker / student / resident	Prioritize Hep B, Td/Tdap, Influenza, and other risk-based vaccines
Pregnant adult	Prioritize Td / Tdap-type tetanus protection; HPV not during pregnancy
Immunocompromised adult	Individualized plan required
Traveller	Assess need for yellow fever, typhoid, hepatitis A, rabies, influenza
Animal bite case	Assess wound category, clean wound, start ARV / RIG as indicated

5. ARV / Rabies Vaccine (Human I.P.) — Abhayrab 💉 0 doses

Rabies post-exposure prophylaxis (PEP) should be started immediately after Category II or III exposure. There are no contraindications to post-exposure vaccination.

WHO Exposure Categories & Action

Category	Type of Exposure	Action
Category I	Touching / feeding animals; licks on intact skin	No PEP if history reliable
Category II	Nibbling of uncovered skin; minor scratches / abrasions without bleeding	Start ARV immediately
Category III	Single / multiple transdermal bites or scratches; licks on broken skin; bat contact	Start ARV + RIG immediately

Post-exposure Schedule

Patient	IM Regimen (Essen)	ID Regimen (Thai Red Cross)
New case (unimmunized)	Days 0, 3, 7, 14, 28	Days 0, 3, 7, 28 at 2 sites
Previously immunized	Days 0 and 3	Days 0 and 3
Immunocompromised	Days 0, 3, 7, 14, 28 + RIG	ID not recommended; use IM + RIG

Pre-exposure Schedule

Route	Days
Intramuscular (IM)	Day 0, Day 7, Day 21 or 28
Intradermal (ID)	Day 0, Day 7, Day 21 or 28

Administration Notes

Item	Guidance
IM site — adults	Deltoid region
IM site — children	Anterolateral thigh
Do NOT use	Never inject into gluteal region
ID dose	0.1 mL at 2 different lymphatic drainage sites (usually both upper arms), raising a visible bleb
After reconstitution	Use immediately; discard after 6 hours if stored at +2°C to +8°C

Key Precautions

Condition	Guidance
Post-exposure: pregnancy / lactation	Do not withhold PEP
Post-exposure: immunocompromised	Use IM schedule + RIG
Taking chloroquine (anti-malarial)	Use IM route only
Pre-exposure: severe febrile illness	Defer pre-exposure vaccination
Storage	+2°C to +8°C; do not freeze

AIIMS Bhopal — Clinic Routing

Patient Need	Likely Routing Point
Routine immunization clarification	Immunization Clinic / Immunization Day
HPV programme (eligible girl)	AIIMS Bhopal HPV / Adolescent Vaccination Session (9 AM–1 PM)
Adult vaccine counselling	Hospital-based counselling / CFM / Medicine / relevant specialty
Yellow fever certificate for travel	Designated Yellow Fever Vaccination Clinic (YFVC), AIIMS Bhopal
Animal bite / ARV / rabies	Emergency / ARV Clinic / Designated Anti-Rabies Service

📅 Vaccine Due Date Calculator

Enter a child's date of birth to see which UIP vaccines are due, overdue, or upcoming. For delayed or missed doses, enter the date a dose was given to calculate when the next dose is due.

Child's Date of Birth

For delayed or missed doses: enter the date each dose was given in the last column to recalculate catch-up dates automatically.

Vaccine / Dose	Scheduled Age	Status	Action	Date Given (for catch-up)

★ JE vaccine is given only in selected endemic districts. • Rotavirus (RVV) has a maximum age limit of ~8 months — check with your doctor if the child is older. • Results are indicative only — always verify with your health worker or doctor. • PCV and JE availability may vary by district/institution.

Check Vaccination Status — U-WIN Portal

All vaccines administered under the Universal Immunization Programme (UIP) — including HPV (Gardasil-4) — are recorded on the U-WIN (Universal Immunization Win) Portal of the Government of India.

How to check your child's vaccination record on U-WIN

Visit the U-WIN Portal (u-win.mohfw.gov.in) on your mobile or computer.
Click on "Beneficiary Login" or the vaccine record / certificate section.
Enter the mobile number that was used at the time of vaccination registration.
An OTP (One-Time Password) will be sent to that mobile number — enter it to verify.
Your child's vaccination history and upcoming schedule will be displayed.
You can also download the vaccination certificate from the portal.

Important: Use the same mobile number that was provided at the time of registration at the vaccination session. If you do not have access to that number, contact the vaccination centre where the vaccine was given for assistance.

Vaccine Programme	Recorded on U-WIN?	Certificate Available?
All UIP vaccines (BCG, bOPV, Pentavalent, PCV, MR, JE, fIPV, RVV, DPT, Td, Vitamin A)	✓ Yes	✓ Yes
HPV Vaccination (Gardasil-4) — AIIMS Bhopal programme	✓ Yes — entered by health worker at session	✓ Yes
Yellow Fever Vaccination	✗ No — a separate paper ICVP certificate is issued at the YFVC	Paper certificate only
ARV / Rabies Vaccine	✗ No — recorded in ARV card / hospital records	ARV card issued at clinic