Immunisations

National Immunisation Schedule

See when to get vaccinated and what the vaccines protect you from.

Frequently asked questions about childhood vaccines

We know deciding about vaccines can feel overwhelming. It’s normal to have questions. At Tend, we want you to feel supported and informed.

The below FAQs reflect what many whānau have questions about. Our goal is to help you make the best choice for your tamariki, with clear, evidence-based information.

Vaccinating your tamariki not only keeps them safe, it also protects your whānau and your wider hapori. You’re not alone in this - we’re here to provide information, answer questions and support you in making a decision that’s right for your whānau.  

If you have further questions or would like to talk to a nurse directly about your child’s immunisations, book a free Immunisation Q&A consultation via the Tend app. 

Why does my child need vaccines?

Vaccines protect your tamariki from serious illnesses that can make them very sick. They help their immune system learn to fight infections safely. Vaccinating also protects your whānau and community (hapori).

Are vaccines still necessary in New Zealand?

Yes, even though we rarely see diseases like polio, measles or diphtheria thanks to immunisation, they can return quickly. Overseas travellers can bring them in and they can spread rapidly in schools and communities. Vaccines help protect everyone. 

My child is healthy – do they really need vaccines?

Yes, even healthy children can catch serious diseases. Vaccines work by training the immune system to fight the infection before exposure, so your tamariki is protected early, often before they could naturally encounter those illnesses. 

How do I know vaccines really work?

We see the proof every day. Several diseases that harm or result in death for tamariki are now rare because of vaccines. When vaccination rates drop, illnesses like measles and whooping cough come back.

How do vaccines help protect the wider community?

When most tamariki are vaccinated, it reduces the spread of disease. This protects vulnerable whānau and tamariki who cannot be vaccinated or are at higher risk, such as babies, children with certain immune problems or those receiving treatment for cancer.

Are vaccines safe?

Yes. All vaccines in New Zealand are carefully tested and monitored for safety by Medsafe. Most childhood vaccines have been given for decades - some for over 70 years -  and this long history shows they are safe and effective. Most side effects are mild, like a sore arm/leg, or a slight fever. Serious reactions are extremely rare. 

Vaccines have saved thousands of tamariki from serious illness and death.

I’ve heard vaccines can cause autism. Is that true?

No. There is no link between vaccines and autism. The study that first claimed this connection was flawed and has been retracted. Since then, many large, reliable studies worldwide have confirmed that vaccines are not a cause for autism. 

Can vaccines overload my child’s immune system?

No. Your tamariki’s immune system encounters many germs every day. Vaccines support it by preparing for future exposures, helping your child fight off disease more effectively.

What if my child has a reaction?

Most reactions are mild, such as a sore arm or leg, tiredness, or a low fever. These are normal signs that the immune system is responding. Serious reactions are very rare. After vaccination, you will be asked to stay for 20 minutes so staff can monitor for any signs of a serious reaction. If you’re ever worried, contact Healthline or your GP.

 I’m worried about what’s in vaccines.

Vaccines contain only what’s needed to help your tamariki’s immune system to learn to fight serious diseases. All ingredients are carefully tested and the amounts used are completely safe for children and young babies. 

Do vaccines contain mercury/aluminium/formaldehyde?

Mercury: No childhood vaccines in New Zealand contain mercury (thiomersal)

Aluminium: Some vaccines contain tiny amounts of aluminium salts to help them work better - less than what babies get from breast milk or formula

Formaldehyde: Used to inactivate viruses, but the tiny trace amounts left are much less than what our bodies naturally produce every day

Do vaccines contain foetal tissue/cells? 

No vaccines contain foetal tissue. Some vaccines are made using cell lines that originated from foetal tissue decades ago (1960s), but the vaccines themselves don't contain any foetal cells or tissue. If this concerns you for religious or ethical reasons, speak with your GP about which vaccines use different methods.

Are childhood vaccines different now since COVID-19? 

No. The childhood vaccines on the National Immunisation Schedule are the same vaccines used for many years. COVID-19 vaccines use different technology, but like all vaccines, they are carefully tested for safety and effectiveness. The introduction of COVID-19 vaccines hasn't changed how traditional childhood vaccines are made or given.

Can vaccines affect my child’s future health?

No. Vaccines do not cause long-term health problems. They protect your tamariki and help their immune system build lifelong protection against serious diseases.

Are vaccines halal/kosher?

Yes. Islamic and Jewish authorities in New Zealand have confirmed that vaccines are permissible as they're necessary for health. The tiny amounts of any animal-derived ingredients (like gelatine in some vaccines) are highly purified and considered acceptable for protecting life

My baby is so small -  is it too early?

No. Babies are the most at risk from serious diseases like whooping cough and measles. Starting vaccines on time gives your baby the best protection, right from the start.

Why are so many vaccines given at once?

Giving multiple vaccines at the same visit helps protect your tamariki early and reduces the number of clinic visits. The human immune system naturally handles thousands of germs everyday, so receiving several vaccines at once is safe and does not overwhelm it.  

Can we space out the vaccines instead?

For the best protection, it’s important your tamariki receives vaccines on time. Following the  national schedule is the safest approach. Spacing out vaccines leaves your tamariki unprotected for longer, which increases the risk of illness. 

When are the next vaccinations?

Your nurse will tell you when the next vaccines are due based on the National Immunisation Schedule. The main ages are: 6 weeks, 3 months, 5 months, 12 months, 15 months, and 4 years. We'll give you a reminder card and can send text reminders through the Tend app.

Why are some vaccines combined?

Combination vaccines protect against several illnesses in one injection. Fewer needles, less stress, same strong protection for your tamariki.

My child missed some vaccines - what now?

It’s okay. Your nurse or GP can make a catch-up plan. You don’t start over - you just continue where your child left off.

How do I know if my child is fully vaccinated?

Your nurse or GP can check your child’s immunisation record on the national register. You may have a Plunket or Well Child Tamariki Ora book at home too. Keeping a personal record can help you track which vaccines your tamariki has received and when the next dose is due.

What about children with allergies or medical conditions?

Most children with allergies or long-term health conditions can still be safely vaccinated. Your GP or nurse will review your child’s health history and can advise on the best timing or any extra precautions.

What if a family member is sick?

It’s usually safe to vaccinate your tamariki even if other whānau are unwell. In some cases, your nurse may suggest a short delay if your child is currently unwell with fever.

I’ve heard that natural immunity is better.

While getting a disease can provide some immunity, it can also make your tamariki very sick, requiring hospital care or even be life threatening. Vaccines give the same protection safely, without putting your child at unnecessary risk. 

Can I boost my child's immunity naturally instead? 

Good nutrition, sleep, and exercise support overall health, but they can't prevent specific diseases like measles or whooping cough. Vaccines train the immune system to recognise and fight these specific diseases. Both healthy living and vaccines work together to keep your tamariki well.

What about homeopathic vaccines?

Homeopathic preparations are not vaccines and don't provide protection against disease. They're not recognised by the Ministry of Health or Medsafe. Only approved vaccines on the National Immunisation Schedule have been proven to protect your tamariki.

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Are vaccines free?

Yes. All vaccines in the National Immunisation Schedule are free for tamariki and rangatahi up to age 18. Most vaccines on the national schedule are also free for adults, but it’s best to check with your health care provider on eligibility. 

How long does it take to get the vaccines?

The injections themselves are quick, however following the vaccine you will need to remain at the clinic for 20 minutes to monitor for any allergic reaction.  This is a rare risk with all medications and treatments, but if a reaction happens, it usually occurs within this time. Staying in the clinic helps us keep you or your child safe and provide care quickly if needed.

What if I have a reaction to an immunisation?

Some people experience mild reactions, such as fever, swelling, or tenderness at the injection site. These reactions are normal and usually go away after a couple of days. 

Do I need to bring anything to the appointment? 

Bring your child's Plunket book or Well Child Tamariki Ora record  if you have it. Dress your baby in clothes that make it easy to access their upper legs (where vaccines are usually given). Consider bringing a favourite toy or comfort item and a bottle or dummy for afterwards if your baby uses them.

Can I bring other children to the appointment? 

Yes, you can bring other tamariki. Let the clinic know when booking so they can arrange a suitable room. Our clinics all have colouring-in for other children to do. 

What if I can’t get my children to a clinic?

Talk with your doctor or nurse, there are many options available including flexible appointment times, outreach services or mobile clinics to make sure your tamariki can get vaccinated.

Can we bathe tonight?

Yes. It's perfectly fine to bathe your tamariki after vaccination. You can gently clean around the injection site with warm water. A warm bath might even help soothe any discomfort. Bathing does not affect the vaccine or increase side effects. 

Can I feed while you vaccinate?

Yes. Breastfeeding or bottle feeding during or immediately after vaccination can help comfort your pēpi. The sucking action and closeness to you helps reduce pain and distress. 

Can my child go to school/daycare after vaccination?

Yes. Your tamariki can return to school, kindy or daycare straight after vaccination. They don't need to stay home unless they feel unwell (like having a fever or being unusually tired). Let teachers know your child was vaccinated in case they seem a bit unsettled.

I’m still unsure - who can I talk to?

You can talk with your GP or Nurse. We are here to listen, answer your questions, and support you in making the best decision for your tamariki.

Book a free Immunisation Q&A consult with a nurse via the Tend app. 

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