Tick-Borne Encephalitis (TBE)

A full course involves three doses: the first two are usually given 1–3 months apart, followed by a third dose at 5–12 months after the second.

Tick-borne encephalitis (TBE) is a viral infection spread by the bite of infected ticks. It can cause flu-like symptoms and, in some cases, serious inflammation of the brain and nervous system.

BE is most common in parts of central, eastern, and northern Europe, as well as Russia and some areas of East Asia. It is often contracted in rural areas, forests, and grasslands during outdoor activities.

The vaccine is recommended for travellers spending extended time in rural or forested areas where TBE is present, especially if hiking, camping, or working outdoors.

The tick-borne encephalitis vaccine can be given from 1 year of age, with age-appropriate dosing schedules. It is often included in the routine childhood vaccination programme in many European countries where the disease is common. In the UK, it is not part of the routine schedule but is available for travellers at risk.

If you are uncertain whether this vaccine is necessary for your trip, we recommend seeking travel health advice first. You can book a consultation with our travel nurse here .

After completing the full 3-dose course, protection usually lasts for at least 3 years. If you remain at risk, booster doses are recommended every 3–5 years, depending on your age and the guidance in the country where you are vaccinated.

Most people tolerate the vaccine well. The most common side effects are soreness at the injection site, mild fever, or headache. These usually settle within a day or two. Serious side effects are very rare.