When should adults get a tick vaccine?

When should adults get a tick vaccine? - briefly

Adults at risk of tick‑borne infections—such as residents of endemic regions, travelers to those areas, or individuals with frequent outdoor exposure—should receive the vaccine before the start of the tick season, usually in early spring. The recommended schedule is two doses given four weeks apart, followed by a booster dose five years later.

When should adults get a tick vaccine? - in detail

Adults at risk of tick‑borne diseases should receive the vaccine before exposure season begins. The primary considerations are geographic location, occupational or recreational activities, and personal health status.

In regions where Ixodes ticks are active, the transmission period typically starts in early spring and ends in late autumn. Immunisation is recommended at least two weeks prior to the first anticipated tick encounter, allowing sufficient time for the immune response to develop. For example, in the northern United States, vaccination in March or early April provides protection through the summer and fall months.

Individuals with heightened vulnerability—such as forest workers, farmers, hunters, hikers, and those who travel to endemic areas—should not postpone the series. The standard schedule consists of three doses:

  • First dose: administered at the chosen start date.
  • Second dose: 2–4 weeks after the first.
  • Third dose: 6 months after the second, which solidifies long‑term immunity.

People with compromised immune systems or chronic illnesses (e.g., rheumatoid arthritis, diabetes) benefit from completing the full series, as they face a greater risk of severe disease. Contraindications include severe allergic reactions to any vaccine component; otherwise, the regimen is safe for the adult population.

If an adult missed the initial dose before the tick season, vaccination can still commence during the season, but protection will not be optimal until the full series is completed. Booster doses are not routinely required unless new evidence of waning immunity emerges.