When should a child be vaccinated against ticks?

When should a child be vaccinated against ticks? - briefly

The initial dose of the tick‑borne encephalitis vaccine is administered at approximately 12 months of age, with a second dose given 1–3 months later. Booster shots are recommended every 3–5 years thereafter.

When should a child be vaccinated against ticks? - in detail

The timing of immunization against tick‑borne diseases in children depends on the specific vaccine, the epidemiology of the region, and the child’s health status.

For the Lyme disease vaccine that has been approved in some countries, the recommended schedule is three doses administered at ages 4–6 months, 12 months, and 18 months. An additional booster is given at 4–6 years of age, with a second booster at 11–12 years if exposure risk remains high.

For the tick‑borne encephalitis (TBE) vaccine, the standard regimen consists of two primary doses spaced 1–3 months apart, followed by a third dose 5–12 months after the second. A booster is required every 3–5 years, depending on the vaccine brand and local incidence rates.

Key considerations for determining the appropriate start age include:

  • Geographic risk – areas with endemic Lyme disease or TBE warrant earlier and more frequent vaccination.
  • Outdoor activity level – children who spend extensive time in forests, grasslands, or engage in camping are at greater risk.
  • Medical history – immunocompromised children may need adjusted schedules and closer monitoring.
  • Vaccine availability – some regions only offer certain tick‑borne disease vaccines, influencing the feasible timing.

Healthcare providers should assess these factors during routine pediatric visits and schedule the first dose before the child’s exposure season begins, typically in early spring for temperate climates. Early immunization ensures sufficient antibody development prior to peak tick activity, reducing the likelihood of infection.