There are 10 compulsory/mandatory vaccinations for children in Bulgaria.
According to the current vaccination program of the Republic of Bulgaria, compulsory prophylactic vaccinations and re-vaccinations of a certain age are carried out as follows:
All newborns are vaccinated with tuberculosis vaccine (BCG) and against hepatitis B before they leave the hospital.
From the second, third and fourth months, children are vaccinated against diphtheria, tetanus, pertussis, polio, haemophilus influenza type B infections and pneumococcal infections as well as hepatitis B if the hepatitis B vaccine is a multi-component vaccine.
If the hepatitis B vaccine is not in the multi-component vaccine, the second dose is administered from the first month and the third dose from the sixth month
Between the ages of 7 and 10 for children without a BSE mark, vaccination in the delivery home is followed by a BCG vaccine after a negative tuberculin sample.
From the thirteenth month, children are immunized with a combined vaccine against measles, rubella and mumps.
At the age one year a pneumococcal vaccine is given, but not earlier than 6 months after the third dose.
From the sixteenth month vaccines against diphtheria, tetanus, pertussis, polio and haemophilus influenza-type B infections is given, but not earlier than 12 months after the third administration.
At age 6 – vaccine against diphtheria, tetanus, pertussis and polio are given.
At age 7 – re-vaccination against Tuberculosis of subjects with a negative tuberculin sample.
At 11 years of age – re-vaccination with tuberculosis of subjects with negative tuberculin sample.
At age 12 – re-vaccination against measles, rubella and mumps and tetanus and diphtheria.
At the age of 17 – re-vaccination against tetanus and diphtheria.
At the age of 25 years, and every 10 years thereafter – re-vaccination against tetanus and diphtheria.
Every insured persons with a selected GP, will get the mandatory vaccinations and re-vaccinations administrated by the GP. These vaccines are given free of charge for the patient.
For health insured persons who have not exercised the right to choose a GP, compulsory vaccination and re-vaccinations will be performed free of charge in the vaccine office of each Regional Health Inspection on the territory of the district towns.
Besides the mandatory vaccines, there are so-called recommended vaccines. They are performed on request by the patient for a fee. These are recommended to travelers in regions where there is an increased risk of contracting certain vaccine-preventable infections; in regions endemic to the diseases in question; non-vaccinated subjects with accompanying diseases and increased risk of infection, and others.
This includes hepatitis A, hepatitis B, influenza, fever, rabies, yellow fever, diphtheria, tetanus and pertussis (acellular component) vaccines and with reduced antigen content of the diphtheria component against measles, mumps, rubella, meningococcal , pneumococcal, rotavirus, hemophilus type B infections, human papillomavirus infections, etc.
There are requirements for 10 vaccines for children in order to enter school.
Adverse event following immunization public reporting system
The report can be made by the patients or by health workers? Adverse events of vaccines must be reported to
National Medical Agency: ИЗПЪЛНИТЕЛНА АГЕНЦИЯ ПО ЛЕКАРСТВАТА