Vaccinations
This is the schedule I follow at my clinic. It follows Malaysia’s Ministry of Health guidelines, and adds a few extra vaccines I recommend for fuller protection. The vaccines marked NIP are free at any government clinic (Klinik Kesihatan). The ones marked +clinic are the additional vaccines I offer at ParkCity Medical Centre.
At birth
BCG, single dose (NIP). Hepatitis B, birth dose (NIP).
1 month
6-in-1 (diphtheria, tetanus, whooping cough, polio, Hib, hepatitis B), dose 1 (NIP).
2 months
Pneumococcal (PCV), dose 1 (NIP). Rotavirus, dose 1 (+clinic).
3 months
6-in-1, dose 2 (NIP). Rotavirus, dose 2 (+clinic).
4 months
PCV, dose 2 (NIP). Meningococcal, dose 1 (+clinic).
5 months
6-in-1, dose 3 (NIP).
6 months
PCV, dose 3 (NIP). Meningococcal, dose 2 (+clinic). Measles, single dose (NIP, Sabah only).
7 months
Influenza, dose 1 (+clinic).
8 months
Influenza, dose 2 (+clinic).
9 months
MMR (measles, mumps, rubella), dose 1 (NIP). Japanese encephalitis, dose 1 (NIP, Sarawak only).
12 months
PCV, dose 4 (NIP). MMR, dose 2 (NIP). Chickenpox (varicella), dose 1 (+clinic).
15 months
Meningococcal, dose 3 (+clinic). Chickenpox, dose 2 (+clinic).
18 months
6-in-1 booster (NIP).
21 months
Japanese encephalitis, booster (NIP, Sarawak only).
24 months
Hepatitis A, dose 1 (+clinic).
27 months
Typhoid, single dose (+clinic).
30 months
Hepatitis A, dose 2 (+clinic).
4 years
6-in-1 booster (NIP). MMR booster (NIP).
7 years
Diphtheria-Tetanus (DT) booster (NIP).
13 years
HPV, 3 doses (NIP).
15 years
Tetanus Toxoid booster (NIP).
Influenza is given as two priming doses at 7 and 8 months, then a single dose yearly.
All vaccines used are registered and approved by Malaysia’s National Pharmaceutical Regulatory Agency (NPRA). Keep your child’s health record book (buku rekod kesihatan) safe. It is needed for primary school registration.
These vaccines sit outside the free programme, but I recommend them for fuller protection. They are included in my schedule above. Whether your child needs each one depends on age, travel, and your family, so we will talk it through together.
Rotavirus. Oral drops at 2 and 3 months. Protects against a common cause of severe diarrhoea and dehydration in babies.
Meningococcal. Protects against meningococcal disease, including meningitis and blood infection.
Influenza (flu). Two priming doses, then yearly. Useful from infancy onwards.
Chickenpox (varicella). Prevents chickenpox, which is usually mild but can lead to skin infections and pneumonia in some children.
Hepatitis A. Protects the liver from hepatitis A, which spreads through contaminated food and water.
Typhoid. Worth considering, especially with travel.
If you are asking about other vaccines, like HPV for boys, dengue, or COVID-19, bring it up at your appointment and we will see what fits your child.
Most children are completely fine. Some have a mild reaction, and that is the immune system doing its job.
Usually normal (settles in a day or two):
A mild fever.
Redness, swelling, or soreness where the needle went in.
A bit more sleepy, fussy, or off their food.
A cuddle, fluids, and rest go a long way. Use paracetamol only if your doctor has advised it, at the right dose for your child’s weight.
Come and see a doctor if:
A baby under 3 months has any fever.
A fever stays high and will not come down.
Your child has a fit (seizure).
They are unusually floppy, drowsy, or hard to wake.
There is swelling of the face or lips, or trouble breathing. This is a rare allergic reaction and needs urgent care.
Serious reactions are very rare. We watch for them, and we are here if you are worried.
Wanting to understand before you agree is good parenting, not a red flag. So here are the honest answers to the worries I hear most.
The autism worry.
The single study that suggested a link between MMR and autism was found to be fraudulent and was withdrawn. Since then, research across millions of children has found no link. None.
The ingredients worry.
What is in a vaccine is present in tiny, tested amounts, and each one is there for a reason. Your child meets far more of these substances in everyday life than in a jab.
The “too many at once” worry.
Combination vaccines mean fewer needles, not more risk. A baby’s immune system handles many challenges every single day. A few vaccines together is well within its stride.
Vaccines are among the most studied medicines we have. If you are still unsure, that is completely okay. Come and talk to me. We will work through it, no pressure.
Are the vaccines really free?
My child has a runny nose on vaccination day. Should I cancel?
Can I space out or delay the vaccines?
Does it hurt? How do I comfort my baby?
My child missed some doses. Is it too late?
Do boys need the HPV vaccine?
Do I really need to keep the health record book?
Warm, unhurried care for your child — grounded in evidence and delivered with calm.
18+ years’ experience in paediatrics
Consultant Paediatrician at ParkCity Medical Centre, Kuala Lumpur
Calm, evidence-based care
English and Bahasa Melayu
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In-clinic at ParkCity Medical Centre, Kuala Lumpur. Calm, unhurried, in English or Bahasa Melayu.
This page is general education for parents. It is not a diagnosis or a substitute for seeing your doctor, and it carries no outcome guarantees. For advice about your child, please book an in-person consultation. In an emergency, go straight to the nearest emergency department.