Health 1st Medical Centre

Call Us:  [289-553-7711]

COVID-19 Vaccination required.

Age 65 and Older

Combination Vaccine for:

1. Tetanus Diphtheria (Td)

An initial series of three immunizations a booster immunization within the last 10 years.


If you have no proof of a primary series you must begin an adult series of TWO doses of Td 4 to 8 weeks apart with a third dose 6 to 12 months after the second. You must be as up-to-date as possible with the series at the time of your immigration medical.


Proof of a Td booster within the 4 weeks prior to your immigration medical examination.

2. Pneumoccocal vaccine

Pneumovax 23 (Routinely given at age 65-covered by most Provincial health plans)

Prevnar 13 (*New requirement-recommended to be given age 65 at least 6 months before Pneumovax 23; if after Pneumovax 23 then must wait one year to give Prevnar 13)

3. Chickenpox (Varicella)    

A verbal declaration of chickenpox.


Proof of immunization against chickenpox.
Normally two immunizations 4 to 8 weeks apart or the first of the two within the 4 weeks prior to your immigration medical examination.


An antibody titers blood test showing proof of immunity to chickenpox (varicella).

4. Influenza (Flu shot)


Required for everyone over 6 months of age (during flu season only - November to February)