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TBE vaccination · Encepur

Protection against the bite.

Tick-borne encephalitis vaccination at The Health Clinic — always with a specialist physician, always with documentation.

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* The Encepur SmPC states boosters every 5–10 years for ages 12–49; we follow the Swedish national recommendation (Folkhälsomyndigheten): every 10 years under 50, every 5 years from 50.
Source: Folkhälsomyndigheten, 1177 and FASS product texts (Encepur, Encepur Barn, FSME-IMMUN). Last reviewed 14 September 2026.

Folkhälsomyndigheten
Smittskydd Stockholm
Encepur Adult
IVO-registered

One bite is enough. One series is enough.

Four schedules · One choice

Which schedule is right for you?

We follow Swedish national guidance — your age and exposure horizon determine the right schedule. The physician decides together with you at the first visit.

— Under 50 · Standard

Standard schedule

  1. Dose 1 Day 0 — first visit
  2. Dose 2 1–3 months after dose 1
  3. Dose 3 5–12 months after dose 2
  4. Booster 3 years after dose 3, then every 10 years

Three doses in the first year. Ideally started in the cold season ahead of the next tick season.

Default for healthy adults under 50
— 50+ or immunocompromised

Extended schedule

  1. Dose 1 Day 0 — first visit
  2. Dose 2 1 month after dose 1
  3. Dose 3 1–3 months after dose 2
  4. Dose 4 5–12 months after dose 3
  5. Booster 3 years after dose 4, then every 5 years

Four doses in the first year per Swedish guidance — an additional dose is needed for full protection.

Swedish national practice · differs from manufacturer’s international SmPC
— Faster start · Under 50

Rapid schedule

  1. Dose 1 Day 0 — first visit
  2. Dose 2 Day 14 — 2 weeks after dose 1
  3. Dose 3 9–12 months after dose 2
  4. Booster 3 years after dose 3, then every 10 years

For when you need protection sooner but can complete dose 3 later. Protection within 2 weeks of dose 2.

Healthy adults under 50 only · Encepur schedule per its SmPC (FSME-IMMUN’s rapid schedule places dose 3 at 5–12 months)
— When time is critical · Under 50

Express schedule

  1. Dose 1 Day 0 — first visit
  2. Dose 2 Day 7
  3. Dose 3 Day 21
  4. Booster 12–18 months after dose 3 — not 3 years

Full protection within ~5 weeks (about 2 weeks after the third dose). For imminent travel or vacation in tick areas.

Healthy adults under 50 only · Encepur’s own rapid schema — FSME-IMMUN has no 0/7/21 schedule
— Children · from 1 year

Children’s schedule

  1. Dose 1 Day 0 — first visit
  2. Dose 2 1–3 months after dose 1
  3. Dose 3 5–12 months after dose 2
  4. Booster 3 years after dose 3, then every 10 years

Children from 1 year follow the same schedule as adults under 50 — no extra doses for healthy children. Given with a paediatric vaccine (see below). Children with a weakened immune system follow the four-dose Extended schedule regardless of age. Children under 1 year are not vaccinated.

Licensed from 1 year · Folkhälsomyndigheten recommends from age 3 in risk area 1 — under 3: individual assessment with the physician
— Important · Swedish guidance
If you are 50 or older, or have a weakened immune system, you need four doses in the first year — not three. The Express schedule is not used for these groups. This follows Folkhälsomyndigheten, Smittskydd Stockholm and Svenska Infektionsläkarföreningen. If you were vaccinated abroad on a different schedule, bring your records — we will assess what catch-up is needed.

— Vaccines & ages
Two TBE vaccine brands are used in Sweden, each with a paediatric and an adult formulation: Encepur Barn (1–11 years, 0.25 mL) · Encepur (from 12 years, 0.5 mL) · FSME-IMMUN Junior (1–15 years, 0.25 mL) · FSME-IMMUN Vuxen (from 16 years, 0.5 mL). Please mention a child’s age when booking so the right formulation is prepared. Brands are interchangeable after the primary series.

— Starting from

2,500

SEK per dose
Booster doses and series-completion priced at the same flat rate. Insurance billing handled where applicable.

What’s included in every dose.

  • Pre-vaccination consultation with specialist physicianIndication, allergy review, schedule selection.
  • The Encepur Adult vaccine administered by a nurse0.5 mL IM, deltoid. 15-minute post-injection observation.
  • Internal vaccination card on letterheadUpdated at every dose. Branded — never loose paper.
  • All future doses booked at first visitSeries-completion priority. Calendar invites + SMS reminders.
  • Formal vaccination certificate at series completionUseful for travel, embassy and occupational purposes.
  • Automated recall when your next booster is due3-, 5- or 10-year recall depending on age and schedule.
The visit · 30–45 minutes

How it works.

Every patient is seen by a physician — not a vaccination booth. Documentation, indication and aftercare are written into your record.

01

Pre-screen

Indication, prior vaccination history, allergies (egg or chicken protein, formaldehyde, neomycin, gentamicin, chlortetracycline), pregnancy or immunosuppression review.

02

Consult

Specialist physician selects the right schedule with you, explains booster timing and reactions, takes informed consent.

03

Vaccination

Nurse administers 0.5 mL Encepur Adult intramuscularly in the deltoid. Lot number, expiry and site documented.

04

15-minute observation

You stay 15 minutes after the injection. Vaccination card updated. Next appointment booked before you leave.

After primary series

Booster cadence, by age.

Booster intervals follow Swedish national practice. We book and recall automatically.

Under 50
First booster 3 years after the primary series, then every 10 years. Express schedule: first booster after 12–18 months, then every 10 years.*
50 or older
Booster every 5 years. Applies if vaccinated after 50, or if fewer than four doses received before 50.
Immunocompromised
Booster every 5 years — the 50+ schedule applies regardless of age. A serology check (NT or ELISA titre) can be arranged to confirm protection.
Indication

Right for you — and not.

+ Appropriate

  • You spend time in tick areas (forest, summer house, garden)
  • You’re travelling to TBE-endemic regions in Europe
  • Children — recommended from age 3 in TBE risk areas (Folkhälsomyndigheten); can be vaccinated from 1 year with a paediatric vaccine
  • Hunters, foresters, military, field-work occupations
  • You’ve had a known tick bite and want protection going forward
  • You’re behind on your booster schedule (catch-up)

— Wait or defer

  • Acute infection with fever above 38 °C
  • Severe allergy to a vaccine component — including egg or chicken protein, formaldehyde, or the antibiotics neomycin, gentamicin, or chlortetracycline
  • Pregnancy — case-by-case risk-benefit assessment
  • Latex allergy — needle shield contains natural rubber
  • Bleeding disorders (anticoagulation review first)
  • Walk-in urgent care without indication
Documentation

Download the protocol.

Patient information sheets and the internal clinical protocol — for patients and referring physicians.

EN
— Patient information
TBE Vaccination with Encepur
One-page summary for patients: schedules, common reactions, when to wait, documentation. English version.
PDF · 37 KB↓


SE
— Patientinformation
TBE-vaccination med Encepur
Sammanfattning på en sida för patienter: scheman, vanliga reaktioner, när man bör vänta, dokumentation. Svensk version.
PDF · 38 KB↓


SOP
— Clinical protocol
Encepur Adult — Clinical SOP
Internal standard operating procedure for clinical staff. Schedule selection, administration, recall, special situations. SOP-VAX-001 v1.1.
PDF · 93 KB↓

Frequently asked

Questions and answers.

Do I need a referral?
No. You can book a TBE vaccination consultation directly with us. The pre-vaccination consultation determines whether vaccination is indicated and which schedule to use.
I was vaccinated abroad — does that count?
Often yes. Bring your vaccination record. We assess what catch-up doses you need according to Swedish guidance. Vaccines like FSME-Immun and Encepur are interchangeable after the primary series.
Can I get vaccinated during pregnancy?
It’s a case-by-case risk-benefit assessment by the physician. Vaccination is generally deferred unless high exposure risk justifies it. Breastfeeding is not a contraindication.
What about egg allergy?
Per the Encepur SmPC, egg allergy based on questionnaire or skin-prick test does not normally entail increased risk. We document and proceed with standard 15-minute observation. Severe anaphylaxis to egg is a contraindication — refer to an allergologist first.
Will I get a vaccination certificate?
Yes. We update your internal vaccination card at every dose, and issue a formal vaccination certificate on letterhead at completion of the primary series — useful for travel, embassy and occupational purposes.
Authorized provider
Cigna Healthcare
International medical network
Trusted partner to
45+
Embassies in Stockholm