The point that surprises most travelers is that CDC now recommends the yellow fever vaccine for the cities of Rio de Janeiro and Sao Paulo, not only for the Amazon. Along with hepatitis A and typhoid, it is what most Brazil travelers come to us for. We give the vaccine and sign the certificate at a single visit at 110 East 55th Street in Midtown East. A pre-travel consultation is $95 per person and each vaccine is priced per dose.
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What we usually give for Brazil
| Vaccine | Cost per dose |
|---|---|
| Yellow fever (YF-Vax), certificate signed and stamped on site | $295 |
| Hepatitis A | $135 |
| Typhoid, oral (Vivotif) | $195 |
| Typhoid, injection (Typhim Vi) | $215 |
| Hepatitis B | $125 |
| Hepatitis A and B combined (Twinrix) | $185 |
| Tdap (tetanus, diphtheria, pertussis) | $115 |
| Rabies, for longer or rural stays | $475 |
| Malaria tablets | By prescription |
Your nurse practitioner decides what you need at the consultation. See the full price list or everything we give the same day.
Yellow fever, including Rio and Sao Paulo
Brazil does not require the certificate to enter. CDC nonetheless recommends the vaccine for travelers aged 9 months and over across most of the country, and the list names Rio de Janeiro including the city and all coastal islands, and Sao Paulo including the city and all coastal islands, along with Acre, Amapa, Amazonas, the Distrito Federal and Brasilia, Espirito Santo, Goias, Maranhao, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Para, Parana, Piaui, Rio Grande do Sul, Rondonia, Roraima, Santa Catarina, Tocantins, designated areas of Bahia, and Iguacu Falls.
It is not recommended for travel limited to areas outside that list, which includes Fortaleza and Recife. We are a designated Yellow Fever Vaccination Center, so you leave with the signed and stamped card. It becomes valid 10 days after the vaccine is given, which is worth counting back from your departure date.
Malaria
Malaria in Brazil is an Amazon matter. CDC lists risk throughout Acre, Amapa, Amazonas, Rondonia and Roraima, present in Maranhao, Mato Grosso and Para though rare in their capitals, and rare sporadic cases in rural and forested parts of several other states. It lists no transmission in the cities of Brasilia, Rio de Janeiro or Sao Paulo, and none at Iguacu Falls.
So tablets are for Amazon and Pantanal itineraries rather than for a city or beach trip. More on malaria prevention.
Also worth discussing
- Typhoid for rural or poorly served areas, for a month or more in the country, or if you are visiting friends and relatives.
- Rabies for long stays, rural travel, bat exposure and young children.
- Dengue is widespread in Brazil and there is no vaccine available to travelers here, so bite precautions carry the load. See our notes on dengue.
- Routine vaccines brought up to date, measles above all. We do not stock the chickenpox or COVID-19 vaccines, so arrange those with your regular doctor if you need them.
When to come in
Ideally 4 to 6 weeks before you fly, which leaves room for any vaccine that needs more than one dose. It is never too late, so come in anyway if you are leaving sooner. Your pre-travel consultation is with one of our nurse practitioners, who see travelers every day and work alongside our founder and medical director, Dr. Bradley A. Connor.
For the current detail on Brazil, including any outbreak notices, see the CDC destination page (opens in a new tab).